title: The process of translating family nursing knowledge into clinical practice.
abstract: OBJECTIVE
  To report on approaches that were used to assist with implementation of family systems nursing (FSN) at a university hospital level in Northern Europe.
  
  
  METHODS
  A quasi-experimental research design was used for the first phase of the study. For the second phase, a cross-sectional research design was used. Data were collected in the first phase of the study from 457 nurses in all except one of the divisions of the hospital regarding their attitudes towards involving families into their care before and after having participated in the education and training intervention (ETI) program in FSN. Furthermore, in the second phase, data were collected from 812 nurses, after FSN had been implemented in all divisions at Landspitali University Hospital, regarding the nurses' knowledge of FSN and their evaluation of the quality of the ETI program (i.e., theoretical lectures on FSN as well as the benefit of the skill lab training regarding applying FSN into their clinical practices). Graham and colleagues' Knowledge to Action framework was used as the conceptual framework for the research.
  
  
  RESULTS
  Nurses who had taken a course in FSN reported a significantly more positive attitude towards involving families in their care after the ETI program compared to those who had not taken such a course. Furthermore, a majority of the nurses who participated in the ETI program reported that the program was a favorable experience and indicated readiness for applying FSN in clinical practice.
  
  
  CONCLUSIONS
  Further research is needed regarding the benefits of offering FSN at an institutional level, but focusing international attention on effective strategies to implement FSN into nursing practice may result in better health care for individuals and families around the globe.
  
  
  CONCLUSIONS
  Providing clinically meaningful education and training in family nursing through programs such as the ETI program for practicing nurses at a university hospital is essential in supporting nurses applying new knowledge, when providing evidence-based health care services, to individuals and their family members. Such training can facilitate integration of new and needed information in clinical practice.
authors.affiliation: Professor at the University of Iceland, Faculty of Nursing and Head of the Center of Excellence in Family Nursing Research and Development at Landspitali University Hospital, Reykjavik, Iceland.
authors.forename: Erla Kolbrun
authors.initials: EK
authors.lastname: Svavarsdottir
authors.forename: Anna Olafia
authors.initials: AO
authors.lastname: Sigurdardottir
authors.forename: Elisabet
authors.initials: E
authors.lastname: Konradsdottir
authors.forename: Anna
authors.initials: A
authors.lastname: Stefansdottir
authors.forename: Eydís Kristin
authors.initials: EK
authors.lastname: Sveinbjarnardottir
authors.forename: Audur
authors.initials: A
authors.lastname: Ketilsdottir
authors.forename: Katrin
authors.initials: K
authors.lastname: Blondal
authors.forename: Arndís
authors.initials: A
authors.lastname: Jónsdóttir
authors.forename: Dorothea
authors.initials: D
authors.lastname: Bergs
authors.forename: Hlíf
authors.initials: H
authors.lastname: Guðmundsdottir
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002983:Clinical Competence; D003430:Cross-Sectional Studies; D005060:Europe; D055318:Evidence-Based Nursing / Q000458:organization & administration*; D022143:Family Nursing / Q000193:education* / Q000458:organization & administration*; D006785:Hospitals, University / Q000458:organization & administration*; D006801:Humans; D008875:Middle Aged; D015402:Nursing Education Research; D015403:Nursing Evaluation Research; D015404:Nursing Methodology Research; D009741:Nursing Staff, Hospital / Q000193:education* / Q000523:psychology* / Q000706:statistics & numerical data; D011368:Professional-Family Relations
keywords: Knowledge translation; clinical practice; family nursing