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The CURN Model


  • Organization must be committed

  • Visible, potent, enduring mechanisms vital

  • Substantial resources necessary

  • Planned change is essential

  • Two or more studies are required to support change


  • Systematic problem identification

  • Assessment of research

  • Adaptation/design of practice innovation

  • Conduct of clinical trial and evaluation

  • Decision: adoption, modification, rejection

  • Plan for diffusion of innovation

  • Mechanisms for maintenance


  • Evaluating and integrating studies for the research base

    • Replication (at least two studies)
    • Scientific merit
    • Risk


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