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Using the diffusion of innovation model to influence practice: a case study

P Pearcey1, P Draper

  • 1Department of Nursing Studies, University of Hull, England.

Journal of Advanced Nursing
|April 1, 1996
PubMed
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Action research, an alternative to top-down methods, can facilitate research-based practice in nursing. This approach empowers staff to implement evidence-based changes, improving patient care.

Area of Science:

  • Nursing
  • Healthcare Management
  • Organizational Change

Background:

  • Research findings are underutilized in clinical nursing practice.
  • Traditional top-down dissemination methods in healthcare may hinder research utilization.
  • Lack of effective implementation strategies limits evidence-based practice.

Purpose of the Study:

  • To explore an alternative approach to facilitate research-based practice in nursing.
  • To investigate the potential of action research in promoting evidence-based practice.
  • To address barriers to research utilization in clinical settings.

Main Methods:

  • An action research approach was employed with all staff on a single hospital ward.
  • Participants identified a researchable area: developing a protocol for preoperative information-giving.

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  • Data were collected through semi-structured interviews, informal discussions, and field notes, analyzed using Rogers' diffusion of innovation model.

    • Main Results:

    • Action research engaged staff in identifying and addressing practice issues.
    • The study provided a framework for implementing research-based practice through collaborative efforts.
    • While not generalizable, the approach demonstrated potential for facilitating change.

    Conclusions:

    • Action research offers a viable alternative to traditional dissemination methods for promoting research-based practice.
    • Empowering clinical staff through participatory approaches can overcome barriers to evidence-based practice.
    • The diffusion of innovation model provides a useful framework for analyzing and guiding such change processes.