The model links research use, as a first step, with evidence-informed practice.The Stetler model provides a way to think about the relationship between research use and evidence-informed practice. Integrating both concepts enhances the overall application of research.Results: NMs perceived workplace culture, structure, and resources as facilitators or barriers to empowering nurses under their supervision to use EBP and drive change.
To stratify the sample, NMs were selected from nursing units designated as high or low performing based on implementation of EBP interventions, scores on the Meyer and Goes research use scale, and fall rates.
Descriptive content analysis was used to identify themes that reflect the complex nature of infrastructure described by NMs and contextual influences that supported or hindered their promotion of EBP on the clinical unit.
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These summaries are written by the NCCMT to condense and to provide an overview of the resources listed in the Registry of Methods and Tools and to give suggestions for their use in a public health context.
First developed in 1976 with Marram, it was refined in 1994 with conceptual underpinnings and a set of assumptions.
The model has been further refined on the basis of a related utilization-focused integrative review methodology, targeted evidence concepts, and continuing experience through use of the model with clinical nurse specialists.
High-performing unit NMs described a structure that included nursing-specific committees, allowing nurses to drive change and EBP from within the unit.
Knowledge translation (KT) addresses the ongoing problem of the lack of utilization of evidence-based research. Abstract with link to fee-based full-text retrieved July 9, 2007, from This framework focuses on implementing research for evidence-based practice, attending to the characteristics of the elements of evidence (research, clinical experience, and patient experience), context (culture, leadership, and evaluation) and facilitation (purpose, role, and skills/attributes). Abstract with link to full-text (free with access to JSTOR) retrieved July 10, 2007, from
A conceptual overview of the process of implementation synthesizing information from 25 implementation frameworks.
The synthesis extends prior work by focusing on specific actions that can be employed to foster high quality implementation.
The purpose of this article is to identify contextual factors described by NMs to drive change and facilitate EBP at the unit level, comparing and contrasting these perspectives across nursing units.