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The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time

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Promoting research utilization using a conceptual framework.

Mary E Larkin¹, Catherine A Griffith, Virginia A Capasso

¹Diabetes Center, Massachusetts General Hospital, 50 Staniford Street, Boston, MA 02114, USA. mlarkin1@partners.org

The Journal of Nursing Administration

|November 3, 2007

Summary

Massachusetts General Hospital advanced research-based practice by re-engineering its Nursing Research Committee. This initiative addressed persistent barriers to implementing evidence-based practice in healthcare settings.

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Area of Science:

Health Services Research
Nursing Practice
Knowledge Translation

Background:

Evidence-based practice (EBP) has grown since the 1990s, yet significant barriers hinder the application of research findings in clinical settings.
Translating research into practice remains a critical challenge in healthcare, impacting patient outcomes and quality of care.

Purpose of the Study:

To explicate the mission and methods used by Massachusetts General Hospital to promote research-based practice.
To identify facilitating factors for research utilization within a healthcare setting.

Main Methods:

Re-engineering the Nursing Research Committee as a primary mechanism for advancing research-based practice.
Utilizing the Promoting Action on Research Implementation in Health Services (PARIHS) framework to guide the initiative.
Delineating characteristics of committee membership, leadership, and the practice environment.

Main Results:

The re-engineered committee served as a vehicle to overcome barriers in research implementation.
Specific contextual factors, including membership, leadership, and environmental characteristics, were identified as crucial for facilitating research utilization.
The PARIHS framework provided a structured approach to understanding and advancing research-based practice.

Conclusions:

Organizational restructuring, exemplified by the Nursing Research Committee's re-engineering, can effectively promote research-based practice.
Addressing contextual factors is essential for successful knowledge translation and the integration of research into nursing practice.
The study highlights strategies for overcoming persistent barriers in evidence-based practice implementation within hospitals.