An Introduction to the Multisystem Model of Knowledge Integration and Translation

Abstract

Many nurse researchers have designed strategies to assist health care practitioners to move evidence into practice. While many have been identified as "models," most do not have a conceptual framework. They are unidirectional, complex, and difficult for novice research users to understand. These models have focused on empirical knowledge and ignored the importance of practitioners' tacit knowledge. The Communities of Practice conceptual framework allows for the integration of tacit and explicit knowledge into practice. This article describes the development of a new translation model, the Multisystem Model of Knowledge Integration and Translation, supported by the Communities of Practice conceptual framework.

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.…”

“…The meetings between research nurses and caregivers should be programmed according to the recommended model for the construction of the change plan, as well as for the delineation of the pilot study to be previously carried out, and for the final decision to integrate the evidence. 43 The RAAAM model was applied in a large hospital in Australia. The author of the model and coordinator of the study started the proposal due to the need to promote the research in the health institution.…”

“…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.…”

“…The concept of evidence was also distinct among models. Systematized information derived from reports from the service itself was considered important evidence from the Tyler Collaborative Model, 35 JHNEBP, [36][37] The Colorado Model, 42 The Clinical Scholar Model, 40 The MKIT Model 43 and RAAAM 44 models. While the models Rosswurm and Larrabee's Model, 32 ARCC, [33][34] Model in an Academic and Medical Center 41 presented stricter structures for the incorporation of the evidence to the practice, being understood exclusively as application of synthesis of results of experimental or quasi-experimental studies.…”

Using Grounded Theory to Reveal Tacit Knowledge for Nurse Educators in an Unfamiliar African Setting

“…This study is significant because it adds to the evidence concerning tacit knowledge in nursing (Ferguson & Day, 2005;Palmer & Kramlich, 2011). It builds the science of nursing through theory development, grounded in experiential knowledge that can serve as a framework for future practice (Meerabeau, 1992;Whitehead, 2005).…”