Design: This research utilization model is proposed, based on the review of literature and a research utilization study of practicing nurses, using the descriptive-correllational research design.
Methods; The review of literature and a recent study by this investigator confirm the need to propose an integrated approach to the dearth of translation of research into practice in our health care settings. The gap between the dissemination of research findings and its utilization in the practice arena continues to be a problem in the nursing profession.
Findings : The study shows that the knowledge level of research among the nurses is still one of the main issues in their decision to integrate research into practice. Those who had the knowledge feel isolated from lack of expert support, and administrators not considering research as a focus needing priority in clinical areas. Review of available models show a need for a built-in cooperative foundation. This proposed model is designed to embrace a cooperative effort that enhances the research skills and awareness of practicing nurses in order to reduce their frustration and sense of research isolation while stressing cost efficiency and significance of research in nursing practice.
Conclusions: If nurses are to improve nursing practice through research utilization, it will take the commitment and collaboration of educators/researchers, clinicians, and administrators. Whatever approach is taken, it is pertinent to first evaluate the existing models in the light of contemporary practice issues and health care reform, and then pull the most effective components of several models together to streamline an overall utilization process, in an innovative model that is collaborative in nature. With the shrinking health care dollar, the health care system can no longer afford to have nurses in practice settings throughout the nation not taking full advantage of research findings that are beneficial to patients, and also cost efficient.
Implications: For improvement in the state of research utilization in practice areas, there is need for cooperation between the leaders in the academic and the practice settings. This cooperative aspect has not been given much priority in previous utilization models. This is the built-in aspect which is elaborated in this proposed collaborative model.
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