Journal of Advanced Nursing

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  • Topic: Advanced practice nurse, Nursing, Clinical nurse specialist
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JAN
ORIGINAL RESEARCH

JOURNAL OF ADVANCED NURSING

The role of advanced practice nurses in knowledge brokering as a means of promoting evidence-based practice among clinical nurses Kate Gerrish, Ann McDonnell, Mike Nolan, Louise Guillaume, Marilyn Kirshbaum & Angela Tod Accepted for publication 5 February 2011

Correspondence to K. Gerrish: e-mail: k.gerrish@shu.ac.uk Kate Gerrish MSc PhD RN Professor of Nursing Centre for Health and Social Care Research, Sheffield Hallam University and Sheffield Teaching Hospitals NHS Foundation Trust, UK Ann McDonnell MSc PhD RN Reader Centre for Health and Social Care Research, Sheffield Hallam University, UK Mike Nolan PhD RN Professor of Gerontological Nursing Sheffield Institute for Studies in Ageing, University of Sheffield, UK Louise Guillaume BA (Hons) MSc PhD Information Specialist School of Health and Related Research, University of Sheffield, UK Marilyn Kirshbaum MSc PhD RN Reader in Nursing School of Human and Health Sciences, University of Huddersfield, UK Angela Tod MSc PhD RN Principal Research Fellow Centre for Health and Social Care Research, Sheffield Hallam University, UK

GERRISH K., MCDONNELL A., NOLAN M., GUILLAUME L., KIRSHBAUM M. & T O D A . ( 2 0 1 1 ) The role of advanced practice nurses in knowledge brokering as a means of promoting evidence-based practice among clinical nurses. Journal of Advanced Nursing 67(9), 2004–2014. doi: 10.1111/j.1365-2648.2011.05642.x

Abstract
Aim. To identify approaches used by advanced practice nurses to promote evidence-based practice among clinical nurses. Background. Barriers encountered at individual and organizational levels hinder clinical nurses in their ability to deliver evidence-based practice. Advanced practice nurses are well placed to promote evidence-based practice through interactions with clinical nurses. However, little is understood about how advanced practice nurses might realize this potential. Method. A multiple instrumental case study of 23 advanced practice nurses from hospital and primary care settings across seven Strategic Health Authorities in England was undertaken in 2006. Data collection comprised interviews and observation of advanced practice nurses and interviews with clinical nurses and other healthcare professionals. Data were analysed using the Framework approach. Findings. Advanced practice nurses acted as knowledge brokers in promoting evidence-based practice among clinical nurses. Knowledge management and promoting the uptake of knowledge were key components of knowledge brokering. Knowledge management involved generating different types of evidence, accumulating evidence to act as a repository for clinical nurses, synthesizing different forms of evidence, translating evidence by evaluating, interpreting and distilling it for different audiences and disseminating evidence by formal and informal means. Advanced practice nurses promoted the uptake of evidence by developing the knowledge and skills of clinical nurses through role modelling, teaching, clinical problem-solving and facilitating change. Conclusion. The role of advanced practice nurses in knowledge brokering is complex and multi-faceted. It extends beyond the knowledge management, linkage and capacity building identified in the literature to include active processes of problemsolving and facilitating change. Keywords: advanced practice nurses, case study, clinical nurses, evidence-based practice, knowledge brokering

2004

Ó 2011 Blackwell Publishing Ltd

JAN: ORIGINAL RESEARCH

Knowledge brokering by advanced practice nurses

Introduction
Until recently much of the responsibility for achieving evidence-based practice (EBP) in nursing rested with individual practitioners. Clinical nurses (CNs) involved in patient care were expected to possess the knowledge and skills to identify, appraise and implement research findings in practice. However, this position fails to recognize the complexity of the process and the broad...
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