Building actionable knowledge from referential knowledge for evidence-based nursing practice

Article type
Authors
LEE YS1, Hong W2, Park J2, Kim E3
1The Korean Branch of Australian Cochrane Center, South Korea
2College of Medicine, Chungbuk National University, The Medical Research Information Center, South Korea
3Graduate School of Health Science Business Convergence, Chungbuk National University, South Korea
Abstract
Background: The Knowledge-Based Nursing Initiative (KBNI) model is a framework for evidence-based practice (EBP). The Aurora Health Care, Inc, Cerner Corporation, and University of Wisconsin-Milwaukee (ACW) partnership provides vital links among nursing practice, research, and electronic health information technology to ensure that nursing practice is visible in healthcare settings and to promote excellence through actionable knowledge.
Objectives: The primary goal of ACW KBNI is to accelerate the use of evidence both from nursing practice and research, through the use of electronic information technology in order to improve knowledge translation and communicating evidence at the point of care. The purpose of the study is to embed referential material into clinical documentation systems such as the ACW KBNI to make it easily accessible to practicing nurses.
Methods: Evidence as referential material was drawn from a systematic literature exploration of the available relevant published information so as to develop and implement the referential and executable knowledge for actionable knowledge in evidence-based practice at the point of care.
Results: The review of research-based evidence resulted in the identification of a total of 39 nursing process components (nursing assessment, diagnoses, interventions and outcomes) related to health promotion with adults with high blood pressure in primary healthcare settings. Use of the ACW KBNI model served as the organizing framework for the communication evidence of referential knowledge using standardized languages such as ICNP and the Omaha System, so as to inform clinical nurses with actionable knowledge at the point of care.
Conclusion: The ACW KBNI describes a process to transform evidence-based nursing knowledge into referential and executable applications in electronic healthcare record systems. The effective use of the ACW KBNI could positively impact decision-making at local, national, and international levels.