Strategic Vision: Development of a Southern California Kaiser Permanente Nursing Research Program Translational Research Model

Tuesday, 14 July 2009: 2:25 PM

Anna Omery, RN, DNSc, NEA-BC1
Regina M. Valdez, MA2
June L. Rondinelli, RN, MSN1
Cecelia L. Crawford, RN, MSN2
Joyce A. Johnson, PhD, RN-BC3
1Patient Care Services, Kaiser Permanente, Pasadena, CA
2Regional Nursing Research Program, Kaiser Permanente, Southern California, Pasadena, CA
3Education and Research, Kaiser Permanente Medical Group, Southern California, Pasadena, CA

Learning Objective 1: define the three interrelated structures of the Southern California Kaiser Permanente Nursing Research Program Translational Research Model.

Learning Objective 2: identify two research outcomes related to the Southern California Kaiser Permanente Nursing Research Program Translational Nursing Research Model.

The Southern California Kaiser Permanente Nursing Research Team’s development of a Translational Research Model was driven by the need to implement research evidence into practice; the vision to expand nursing research activities; and the synthesis of relevant literature. The goal of the Translational Research Model is to characterize the nature and types of present and future nursing research activities.  First, an operational definition of translational research was formulated from the evidence that aligns with the community and overall healthcare directives. In the next step, research activities were classified and defined with use of Donabedian’s framework of structure, process, and outcome. In the Translational Research Model, studies and related projects are divided into three interrelated structures:  T1) basic science (bench to bedside/laboratory to human) that can potentially affect practice; T2) new knowledge tested in the clinical setting (bedside to community/evidence to practice); and T3) implementation of evidence beyond the pilot and population(s) with testing systems change.  Processes in the Model include: proposal development with systematic methodology and sampling; supporting active studies; conducting integrative reviews; and guideline development. Outcomes are new nursing knowledge significant to patient care, improvement in patient populations, and nursing systems change.  The final steps of dissemination of the Model across an integrated healthcare system will be highlighted.  Examples of present projects that align with the Model will be provided.  The development and implementation of this Model resulted in a strategic infrastructure that gives a voice to nursing research activities within one integrated healthcare system.