Knowledge Translation in Nursing and Healthcare

Knowledge Translation in Nursing and Healthcare provides authoritative guidance on the implementation of evidence-informed practice, covering issue identification and clarification, solution building and implementation, evaluation, and sustainment. Integrating theory, empirical research, and experiential knowledge, this hands-on resource assists nurses and healthcare practitioners in collecting quality evidence, transforming it into a useable, customized recommendation, and then applying best practice in various point-of-care settings.

Written by highly experienced implementation researchers working with practitioners, the book demonstrates how the synthesis and translation of evidence supports improvement of existing care and service delivery models, and produces increased benefit for both patients and health services. Examples drawn from the authors' first-hand experiencesuch as pressure injury prevention in acute care, transition of care for people with heart failure, and community leg ulcer careillustrate the use of best practice in addressing care and quality issues. This important reference and guide:

• Outlines a planning framework that activates research and evidence in practice settings, moving knowledge into action and sustaining the use of best practice
• Introduces the framework that enables effective evidence-informed methodology and decision-making
• Features numerous illustrative field examples of both successful and unsuccessful implementations in a variety of practical situations
• Offers perspectives on best practice implementation from experienced practitioners and researchers

Knowledge Translation in Nursing and Healthcareis a must-have for those wanting to implement, evaluate, and sustain best practice in the delivery of evidence-informed healthcare to patients, families, and communities.

Margaret B. Harrison, BN, MHA, PhD, Professor Emerita, School of Nursing, Queens University, Kingston, Canada. She is a practice-based researcher who focuses on improving care with the use of evidence.

Ian D. Graham, PhD, FCAHS, FNYAM, FRSC, Professor, School of Epidemiology and Public Health, University of Ottawa, and Senior Scientist, Centre for Practice-Changing Research, The Ottawa Hospital Research Institute, Ottawa, Canada. He is an applied implementation science practitioner.

About the Authors xiv

Acknowledgments xvi

Foreword xvii

Glossary xxi

1 Introduction 1

2 Perspectives from the Field: Improving Care Through Evidence-Informed Practice 10

3 Guiding Theories, Models, and Frameworks 20

4 A Roadmap for Implementing Best Practice 43

Part 1 Phase I: Issue Identification and Clarification 69

5 The Call-to-Action 71

6 Find the Best Practice Evidence 79

7 Assemble Local Evidence on Context and Current Practices 95

Part 2 Phase II: Build Solutions 107

8 Customize Best Practices to the Local Context 109

9 Discover Barriers and Drivers to Best Practice Implementation 137

10 Implementation Strategies: What Do We Know Works? 171

11 Tailor Implementation Strategies 238

12 Field Test, Plan Evaluation, and Prepare to Launch 261

Part 3 Phase III: Implement, Evaluate, and Sustain 295

13 Launch and Evaluate 297

14 Sustain the Gains 305

15 Reflections: Is It Worth it? 326

Index 333