Dissertation/Thesis Abstract

Using a collaborative center for integrative reviews and evidence summaries to narrow the education-practice-research gap
by Crawford, Cecelia L., D.N.P., Western University of Health Sciences, 2012, 300; 3557774
Abstract (Summary)

The overarching purpose of this dissertation project was to design a collaborative center for integrative reviews and evidence summaries (CCIRES) to advance the state of the art and science of nursing knowledge and narrow the education-practice-research gap. The CCIRES program was created as a web-based platform embedded in the Kaiser Permanente Southern California infrastructure. The specific purpose of this project was to implement CCIRES via that infrastructure, and evaluate the implementation, structures, processes, and usability of CCIRES. The Diffusion of Innovations was the theoretical framework, as supported by the Model of Diffusion in Service Organizations and the Colorado Patient-Centered Interprofessional Evidence-Based Practice Model. These theoretical perspectives and models informed the structures and processes for the design, implementation, and evaluation of the CCIRES innovation. The literature captured the history of the education-practice-research gap and the use of translational research to support evidence-based nursing practice. A rigorous methodology involving formative and summative evaluation structured data collection and analyses. Four expert members of CCIRES comprised the sample targeted for voluntary participation in the SWOT web-based survey and construction of a logic model providing the data outcomes. NVIVO was the qualitative software program chosen for SWOT data storage and management. The SWOT analysis identified nine individual themes, with three themes spanning all categories and four themes populating four separate categories. These data results allowed deep examination of the essential core functions needed to achieve CCIRES' goals and succeed as a program. Group consensus during a webinar meeting was the data analysis technique for the construction of the 2012 CCIRES logic model. CCIRES members analyzed the alignment of multiple model components to understand the gaps, commonalities, and interrelated elements needed for a successful academic-service partnership program. Secondary outcomes included increased membership, website design, increased evidence review competencies, development of resources, and tool testing. CCIRES' goal of narrowing the education-practice-research gap facilitates the delivery of meaningful knowledge into the caring hands of professional nurses. CCIRES next bold step is to partner with other influential groups seeking to increase the breadth, depth, and rigor of the evidence. By heeding this call to action, CCIRES can translate, diffuse, and disseminate 21st Century nursing knowledge that has meaning for the two people who seek it and need it most—the nurse and the patient.

Indexing (document details)
Advisor: Shea, Carole A.
Commitee: Chang, Betty L., Khaghani, Fatemeh, Koster, Marguerite A.
School: Western University of Health Sciences
Department: College of Graduate Nursing
School Location: United States -- California
Source: DAI-B 74/08(E), Dissertation Abstracts International
Source Type: DISSERTATION
Subjects: Nursing
Keywords: Academic service partnership, Education research practice gap, Evidence based practice, Evidence summaries, Integrative reviews, Program evaluation
Publication Number: 3557774
ISBN: 9781303015090
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