A Model for Increasing Appreciation, Accessibility and Application of Research in Nursing

Modelos Para a Implementação Da Prática Baseada Em Evidências Na Enfermagem Hospitalar: Revisão Narrativa

“…The Colorado Model presented an approach that considers a greater number of aspects for EBP implementation and sustainability, both within the organization and in relation to the individual competencies of nurses. 42 The Multisystem Model of Knowledge Integration and Translation (MKIT) 43 and The Research Appreciation, Accessibility and Application Model (RAAAM) 44 were models that addressed the systemic implementation of EBP in nursing, and presented conceptual similarities. In the description of the MKIT model, it was argued that nurses want to improve the quality of the practice, however they do not know how to use the research for that purpose.…”

“…Therefore, the identification of the evidence was conducted by the tutoring originated in the relationship between universityhospital institution -conducted by nurses researchers. 44 For the translation of research results into clinical practice, groups of facilitators were organized, which intermediated the reading of the syntheses of evidence for the language for the improved comprehension throughout the nursing team.…”

“…As a result, those involved used the research to find alternative solutions for everyday problems. 44 Historically, EBP originated in evidence-based medicine (EBM). Despite being an approach, discussed in Clinical Epidemiology since the 1970s, the first MBE publications occurred in the 1990s with Guyatt et al, At McMaster University (Canada) and Sackett and the editorial collaborators in the British Medical Journal.…”

“…The Clinical Scholar Model Induce the development of research that can be applied in practice; identify transformational leadership in organizations; perform a search, critical evaluation and synthesis of the evidence by the actions of nurses with specialty for the action; to promote the translation of evidence through meetings between nurse researchers and nursing assistants; prepare a pilot study and intervention plan with the support of specialized nurses; integrate evidence into the work process and organize normative documents (protocols and clinical guidelines); monitor the results achieved by the implementation; to disseminate implementation results. The Research Appreciation, Acessibility and Application Model (RAAAM) 44 (2015, Australia) Organizational Scientific and non scientific evidence To value research in the hospital context (through partnerships between universities and hospitals); access research results that can support the improvement of the quality of practice (organization of committees or specific groups and inclusion of specialist tutors in the hospital context); apply research (the development of research is an integral activity of the role of nurses in the hospital context); ensure the sustainability of the model (the development of communication strategies for dissemination and reporting to evaluate EBP).…”

“…The emphasis on the organizational approach was a predominant proposition among the models for the implementation of EBP in the hospital setting. It could also be observed that the models differ in the conduct of specific research to support nurses' practice decisions, discussed in: QAMUR, 26 Iowa Model, [27][28] OMRU, [33][34] Tyler Collaborative Model, 39 The MKIT Model 43 and RAAAM 44 -the others turned to the synthesis of the results of primary studies. The concept of evidence was also distinct among models.…”