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Putting Research Into Practice: Applying Research
Utilization Model
Kisker, E.E., Brown, R.S. (1996). Do school based health centers improve
adolescents' access to health care, health status, and risk-taking behavior?
Journal of Adolescent Health, 18, 335-343.
Havelock's Linker System Theory will be used to outline a plan
for utilization of the findings from the study.
| Step 1: |
Identification of Needs
- Accessible, affordable health care for adolescents.
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| Step 2: |
Problem Diagnosis
- Need for education about growth and development.
- Need for health education.
- Prevention education for high risk behaviors.
- easily accessible health care.
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| Step 3: |
Retrieval of Resources
- Literature search.
- Bring together community leaders, board of education, parents.
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| Step 4: |
Change Agent Helps Leaders Understand Research
- Literature shows increase of usage of SBHC's for low income students.
- SBHC's didn't increase high risk behaviors.
- Clinics were in high schools (too late to impact prevention of high
risk behaviors).
- No comparison of clinic successes with education preparation of clinic
nurses.
- No information about financial impact on communities.
- Need for more rigorous research design.
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| Step 5: |
Selecting/Formulating Innovation
- Enlist support of community leaders.
- Select rigorous research design.
- Place SBHCs in middle schools and high schools.
- APNs part of program development to meet desired outcomes.
- APNs to educate clinic staff and oversee program.
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| Step 6: |
Application of the Innovation
- Adapt as needed.
- Data collection to evaluate outcomes.
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Used with permission from Carole Melander, RN, MS, 1997
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