The Multi-System Model of Knowledge Integration and Translation (MKIT): A New Translation Model

Thursday, 15 July 2010: 2:05 PM

Debra J. Palmer, RN, MS
Nursing, Mid Coast Hospital, Scarborough, ME
Kelly E. Lancaster, RN, BSN, CAPA
Dept of Nursing, Ambulatory Surgery Center, Brighton Campus, Maine Medical Center, Portland, ME
Debra L. Kramlich, RN, BSN, CCRN
Scu 2/PICU, Maine Medical Center, Portland, ME
Paulette Gallant, RN, BSN
Nursing, Maine Medical Center, Portland, ME

Learning Objective 1: The learner will be able to identify a conceptual framework appropriate for integration of explicit and tacit knowledge.

Learning Objective 2: The learner will be able to describe the steps of the MKIT model and how it has been used successfully in pracitce.

Introduction: The nursing profession constantly develops new knowledge to provide best practice. Nurses practicing must make informed decisions regarding patient care from a variety of sources, not just scientific evidence. There is emerging literature recognizing the importance that practitioners’ tacit knowledge is grossly undervalued, a powerful resource not recognized in current models.Purpose: To develop a universal knowledge translation model that integrates tacit and explicit knowledge within multi-disciplinary community partnerships employing a micro-systems approach.
Methods: A literature search was conducted with CINAHL, OVID and PubMed databases, using the search terms: Communities of Practice, conceptual frameworks, evidence-based practice, knowledge translation, knowledge integration, research utilization and translational models. Critical appraisal of eight translation models, themes from research mentors’ and protégées’ interviews using qualitative research methods, and the institutional environment was carefully examined for structures that would support sustained change. All of this evidence was synthesized and the conceptual framework of Communities of Practice (CoP) was chosen to support the development of a new knowledge translation model. The Multi-system Model of Knowledge Integration and Translation (MKIT), was then trialed during the development and implementation of a family presence during resuscitation guideline.
Results: The use of the MKIT allowed for successful adoption of the new guideline in the critical care micro-system and then implemented throughout the institution (the macrosystem). We have sustained the practice for over a year.
Implications: The MKIT model is a circular process with a focus on the micro-system, for identifying and resolving problems with CoP. CoP is a universal concept that serves as the foundation for integration of tacit and explicit knowledge and therefore allows for global application of the MKIT.