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The Stetler Model of Research Utilization

Research Utilization Projects in Nursing

  • - Western Interstate Commission for Higher Education 1970's (WICHIE)

    • 6 year project

    • Had workshops to teach nurses about the research process and try to get them to use research findings in practice.

    • Three reports from this project were published. One group developed a pre-operative teaching program, another devised a care plan for grieving spouses and tested it effectiveness and the third developed a program to treat and prevent constipation in nursing home residents by increasing the fiber in their diets. The main outcome of the WICHE project was the realization that only a limited number of quality clinical studies had been conducted and that most of the findings were not ready for use in practice

  • CURN project 1975-1980

    • Federally funded 5 year project

    • Used research to facilitate the development of clinical protocols

    • The protocols were tested in a group of hospitals and modified as necessary

    • Many of these protocols are still in use today.

    • Used the following Research Utilization Process

      • Identification and synthesis of multiple studies on a selected topic

      • Organization of the knowledge into a solution or a clinical protocol for practice

      • Transformation of the clinical protocol into specific nursing actions that are used with patients

      • Clinical evaluation of the new practice to determine whether it produced the designed outcome (Horsley et al., 1983)

      • Research Utilization involves the following Stages

        • Knowledge Phase - find out what the research has to say about the problem of interest

        • Persuasion Stage - find out who the power players are and communicate the research findings to them. This is best done in small groups or 1 or 1 interactions.

        • Decision Stage - at this stage the proposed innovation is either accepted or rejected by the social organization. Rejection of innovation can be either active or passive. One person alone can not force a change, it has to be done through the organizational process. See the Diffusion Innovation Model below.

        • Implementation Stage - put into practice a research based protocol

        • Confirmation Stage - evaluate the effectiveness of the change, and decide to keep the change, to modify the protocol or to go back to the way things were before.

        (Mary Bennett DNSc, RN )

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