Strategic collaborative model for evidence-based nursing practice.
OBJECTIVE
To describe a model that has been developed to guide nurses and other health professionals in collaborative efforts toward evidence-based nursing practice.


METHODS
A review of literature was conducted using MEDLINE and CINAHL to search for articles on research utilization for evidence-based practice in health care delivery. Empirical studies; reviews; and theoretical, opinion, and information articles were included in the review in order to provide a more comprehensive view of the state of evidence-based nursing internationally.


RESULTS
Findings revealed a number of barriers to evidence-based nursing practice, which have persisted over the last two decades, including inadequate knowledge of research among practicing nurses, lack of administrative support for research activities in clinical settings, lack of empowerment of nurses, and lack of needed mentoring from nursing research consultants.


CONCLUSIONS
Barriers in the areas of nursing education and administrative support appear to be major. A need was identified for a pragmatic model that encourages cooperation and collaboration between educators/researchers in academia and the administrative leaders in the clinical facilities if evidence-based nursing practice is to become the norm. FRAMEWORK OF MODEL: The Tyler Collaborative Model is based on an eclectic approach to planned change for creating evidence-based practice. This model identifies a step-by-step process for change, while allowing for the opportunity to integrate any of the previously available methods of critical appraisal to determine the best evidence for practice in each clinical setting.
Olade
Rosaline A
RA
College of Nursing, University of Nebraska Medical Center, Omaha 68198-5330, USA. rolade@unmc.edu
D001291:Attitude of Health Personnel; D019985:Benchmarking; D002755:Choice Behavior; D003299:Cooperative Behavior; D003659:Decision Making, Organizational; D004059:Diffusion of Innovation; D019317:Evidence-Based Medicine / Q000193:education / Q000458:organization & administration*; D005181:Faculty, Nursing / Q000458:organization & administration; D007722:Health Knowledge, Attitudes, Practice; D006301:Health Services Needs and Demand; D006801:Humans; D007400:Interprofessional Relations; D007857:Leadership; D016294:Models, Nursing; D009718:Nurse Administrators / Q000193:education / Q000458:organization & administration / Q000523:psychology; D015399:Nursing Research / Q000193:education / Q000458:organization & administration*; D009740:Nursing Staff / Q000193:education / Q000458:organization & administration / Q000523:psychology; D009936:Organizational Innovation; D016134:Organizational Policy; D012944:Social Support