Impact on Nursing Models and Frameworks
Early in the EBP movement, nurse scientists developed models to organize our thinking about EBP. A number of EBP models were developed by nurses to understand various aspects of EBP. These frameworks guide the design and implementation of approaches intended to strengthen evidence-based decision making. Forty-seven prominent EBP models can be identified in the literature. Once analyzed, these models can be grouped into four thematic areas: (1) EBP, Research utilization, and Knowledge Transformation Processes; (2) Strategic/Organizational Change Theory to Promote uptake and Adoption of New Knowledge; and (3) Knowledge Exchange and Synthesis for Application and Inquiry (Mitchell, Fisher, Hastings, Silverman, & Wallen, 2010) Listed among models in Category 1 is the ACE star Model of Knowledge Transformation (Stevens, 2004); this model is the exemplar for the present discussion of the impact of EBP on nursing models and frameworks.