The Ottawa Model of Research Use (OMRU) is an interactive model developed by Logan and Graham (1998). The OMRU views research use as a dynamic process of interconnected decisions and actions by different individuals relating to each of the model elements (Logan & Graham, 1998). The OMRU includes six key elements: (1) evidence-based innovation, (2) potential adopters, (3) the practice environment, (4) implementation of interventions, (5) adoption of the innovation, (6) outcomes resulting from implementation of the innovation (Graham & Logan, 2004).
The Ottawa Model of Research Use (OMRU) offers a “comprehensive, interdisciplinary framework of elements that affect the process of health-care knowledge transfer, and is derived from theories of change, from the literature, and from a process of reflection” (Graham & Logan, 2004, p. 93). It promotes research use, and could be used by policymakers and researchers (Logan & Graham, 1998). The OMRU is an example of a planned change theory, which helps “administrators control factors that will influence the likelihood of changes occurring at the organizational level and how these changes occur” (Graham & Logan, 2004, p. 2).
The Ottawa Model of Research Use has been used in nursing to explore the barriers and supports for adoption of new innovations, describe the process of adoption of new innovation or guidelines, implement a new research based guidelines, and to increase evidence-based practice across health-care settings. The feasibility and effectiveness of using the OMRU in actual practice contexts was supported by findings from a number of studies (Scott et al., 2009; Hogan & Logan, 2004; Logan, Harrison, Graham, Dunn, & Bissonnette, 1999; Stacey, Pomey, O'Conner, & Graham, 2006).
Scott et al. (2009) used OMRU to determine the barriers and supports for implementing metered dose inhalers with spacer devices in pediatric emergency departments for acute exacerbations of asthma research. barriers and facilitators interact with each other in terms of (1) attributes of the innovation e.g., perceived ease of use, clear advantages of metered dose inhalers with spacer and cost, (2) attributes of the practice environment e.g., staffing, organizational bureaucracy, presence of a research champion, and autonomy, (3) and attributes of the individual clinicians working within the emergency departments e.g., entrenched ideas and scepticism. The main barriers to the adoption of the metered dose inhalers with spacers were Lack of leadership in the form of a research champion, perceived resistance from patients or parents, a lack of consensus about the benefits of metered dose inhalers with spacers among staff, perceived increased cost, and perceived increased workload associated with metered dose inhalers with spacers use were the most prevalent barriers.
According to ASHA Evidence Based Practice is the combination of clinical expertise opinion, data, and patient’s perspectives, with the goal of providing high-quality services (2013). The process of evidence-based practice consists of formulating a research question, collecting evidence, including views, and then evaluating the entire process. This project introduces the research topic I’ve chosen, which identifies a researchable problem, and formulates an answerable question that is relevant to nursing and evidence-based practice.
Emergency room case managers are active members of the health care team and act as a liaison between the emergency room, hospital, community case management program to improve continuity and efficiency of care (Powell). Case managers coordinate appropriate are care chosen for the class project is emergency room case manager’s role in the preventions and management of asthma. The performance indicators measured are cost of care, quality of care, health status and clinical outcome (Powell). The performance indicators measured are cost of care, quality of care, health status and clinical outcome (Powell). Measuring health outcome is central to assessing the quality of care patient is receiving and outcome measures can be used for quality improvement
...cation dates of the studies discussed in this paper shows that Knowledge to Action Framework, Roger’s Diffusion of Innovation Model, and Promoting Acting on Research Implementation Model and Iowa Model of Evidence-Based Practice are the currently models and frameworks used in nursing and nursing relevant studies. It is observed that OMRU and Stetler Model of Research Utilization utilization in the current studies.
LoBiondo-Wood, G., & Haber, J. (2014). Nursing Research: Methods and Critical Appraisal for Evidence-Based Practice (8th ed.). St. Louis, MO: Elsevier, Inc.
Recognition of the gap that exist between research finding and their application to practice is growing, DNP must be able to translate newly discovered relevant scientific knowledge into their provision of health care and navigate in the health care system to improve patient outcome. both educational pathway are completing one another, from research to practise , collaboration is an essential skill for all researcher and practitioner in the 21th century health care.
One of the most important points of the publication by Jeffrey R. Harris and his colleagues is the significance of developing and examining effective dissemination approaches in broad adoption of evidence-based, health promotion practices (Harris et. al., 2012). As a result, they developed a framework that would help in the establishment of evidence-based health promotion practices. As a practical structure, the HPRC model is based on literature on dissemination and the individual experiences of the authors in the distribution of evidence-based practices in nursing.
Evans, B. A., Snooks, H., Howson, H., & Davies, M. (2013). How hard can it be to include research evidence and evaluation in local health policy implementation? Results from a mixed methods study. Implementation Science, 8(1), 1-9.
Although, many a times, the biggest barrier to deliver the best treatments are the senior health care professionals and the nursing leaders who do not entertain the implementation of the interventions planned based on the evidences obtained from research studies (Eizenberg, 2011). This is because most of the leaders were educated when either evidence based on research practices did not exist or were not well integrated into the educational programs and are thus strict followers of ritual or opinion based practices (Newton & McKenna, 2009). Thus, when the new generation nursing professionals who have learnt to utilize evidence based on research practices enter the nursing world, they are posed with challenges of whether to follow their seniors or to follow what is ethical according to them (Newton & McKenna, 2009). Even the political and organizational cultures that are resistant to changes form the biggest barrier. Such barriers act as a huge problem that prevents the best outcomes for patients (Melynk,
Research based practice is arguably the hallmark of professional nursing and is essential for high quality clinical and cost effective nursing care (ICN 2009)
Burns, N., & Grove, S. K. (2011). Understanding nursing research: building an evidence-based practice (5th ed.). Maryland Heights, MO: Elsevier/Saunders
Spurgeon, P., Burke, R. J., & Cooper, C. L. (2012). The innovation imperative in health care
The Johns Hopkins Nursing Evidence-Based Practice Model provides nurses with a system to formulate a practice question, appraise both research and non-research evidence, and to develop recommendations for practice (Dearholt & Dang, 2012). This model guides nurses through the evidence-based research process with ease and minimal difficulty using a problem solving approach.
Davies, K. S. (2011). Formulating the evidence based practice question: A review of the frameworks. Evidence Based Library and Information Practice, 6(2), 75–80. Retrieved from https://ejournals.library.ualberta.ca/index.php/EBLIP/article/viewFile/9741/8144
Ubbink, DT, et al. Implementation of evidence-based practice: outside the box, throughout the hospital. Netherlands Journal of Medicine [serial online]. 2011;69(2):87-89
What are the best ways of achieving this in the reality of the modern NHS? To conclude, Evidence Based Practice is a process of building up accurate information from medical research which has been correlated and assessed. From this, the nurse is capable of advising the best plan of care. For nursing standards to improve, it is vitally important that the nurse is given the time to research and the trust to start off the process of change for better care. References Cullum, N., Ciliska, D. and R. Haynes, Marks (2008).