{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T09:58:48Z","timestamp":1773050328542,"version":"3.50.1"},"reference-count":25,"publisher":"Public Library of Science (PLoS)","issue":"3","license":[{"start":{"date-parts":[[2023,3,31]],"date-time":"2023-03-31T00:00:00Z","timestamp":1680220800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:p>Nurses are increasingly focused on a practice based on scientific knowledge. However, it is important to distinguish high-quality evidence that can be applied in practice from studies of low or dubious scientific quality. Therefore, nurses must base their practice on structural support that allows for the definition of personalized and context-specific interventions. The objectives of this study are to identify the main barriers and facilitators to the evidence-based nursing approach and to implement an Evidence-Based Practice model (EBP) in clinical practice settings. We seek to contribute to evidence-based nursing by promoting professional skills in nurses, using \"The Knowledge-to-Action Framework\" (KTA). The research focuses on a participatory action research methodology based on the cyclical process of the KTA framework, contemplating the creation of knowledge and the implementation of existing solutions or new solutions through an action cycle. The participants will be nurses and parents\/caregivers) from a pediatric service in Northern Portugal. The study will be conducted in 3 phases: phase 1 will identify the priority issues by exploring the barriers and facilitators of EBP from the nurses\u2019 perspective and assessing the parents\u2019\/caregivers\u2019 satisfaction with nursing care. Phase 2 will be divided into (a) the planning and (b) the implementation of the KTA model, where we aim to build and validate (a) a training plan and (b) the implementation of the KTA model. Phase 3 is for the evaluation of the model implementation and sustaining knowledge. It is recognized that there is a large gap between knowledge production and the subsequent implementation of interventions based on the best available evidence. However, this reality is complex and involves several levels of decision and intervention that oscillate from the individual responsibility of each nurse to the organizational dimension.<\/jats:p>","DOI":"10.1371\/journal.pone.0283656","type":"journal-article","created":{"date-parts":[[2023,3,31]],"date-time":"2023-03-31T17:46:12Z","timestamp":1680284772000},"page":"e0283656","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":14,"title":["Use of \u201cThe Knowledge-to-Action Framework\u201d for the implementation of evidence-based nursing in child and family care: Study protocol"],"prefix":"10.1371","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1827-9479","authenticated-orcid":true,"given":"C\u00e2nia P.","family":"Torres","sequence":"first","affiliation":[]},{"given":"Francisco J.","family":"Mendes","sequence":"additional","affiliation":[]},{"given":"Maria","family":"Barbieri-Figueiredo","sequence":"additional","affiliation":[]}],"member":"340","published-online":{"date-parts":[[2023,3,31]]},"reference":[{"issue":"6","key":"pone.0283656.ref001","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1111\/wvn.12070","article-title":"Evidence-based Practice Versus Evidence-informed Practice: A Debate That Could Stall Forward Momentum in Improving Healthcare Quality, Safety, Patient Outcomes, and Costs","volume":"11","author":"BM Melnyk","year":"2014","journal-title":"Worldviews on Evidence-Based Nursing"},{"issue":"1","key":"pone.0283656.ref002","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1111\/wvn.12021","article-title":"The Establishment of Evidence-Based Practice Competencies for Practicing Registered Nurses and Advanced Practice Nurses in Real-World Clinical Settings: Proficiencies to Improve Healthcare Quality, Reliability, Patient Outcomes, and Costs","volume":"11","author":"BM Melnyk","year":"2014","journal-title":"Worldviews on Evidence-Based Nursing"},{"issue":"9","key":"pone.0283656.ref003","doi-asserted-by":"crossref","first-page":"410","DOI":"10.1097\/NNA.0b013e3182664e0a","article-title":"The State of Evidence-Based Practice in US Nurses.","volume":"42","author":"Bernadette Mazurek Melnyk","year":"2012","journal-title":"JONA: The Journal of Nursing Administration [Internet]"},{"key":"pone.0283656.ref004","article-title":"Professional empowerment among portuguese nursing staff: A correlational study","author":"A Cardoso Teixeira","year":"2021","journal-title":"Journal of nursing management [Internet]."},{"key":"pone.0283656.ref005","first-page":"55","article-title":"Promoting evidence-based practice: training health professionals for the evidence synthesis","author":"DFB Cardoso","year":"2021","journal-title":"Revista da Escola de Enfermagem da USP"},{"key":"pone.0283656.ref006","unstructured":"Science-driven innovations for combating maternal and perinatal ill-health: Transfer of knowledge 2010 [Internet]. [cited 2022 Jan 28]. Available from: https:\/\/www.who.int\/reproductivehealth\/topics\/best_practices\/Great_Project_2010.pdf?ua=1"},{"issue":"4","key":"pone.0283656.ref007","first-page":"1","article-title":"Modelos Para A Implementa\u00e7\u00e3o Da Pr\u00e1tica Baseada Em Evid\u00eancias Na Enfermagem Hospitalar: Revis\u00e3o Narrativa [Models for Implementing Evidence-Based Practice in Hospital Nursing: Narrative Review].","volume":"26","author":"FC Camargo","year":"2017","journal-title":"Texto & Contexto Enfermagem [Internet]"},{"key":"pone.0283656.ref008","unstructured":"Estrutura do conhecimento para a a\u00e7\u00e3o [Structure of knowledge for action]. [Internet]. RNAO.ca. [cited 30 jan 22]. Available from: https:\/\/rnao.ca\/leading-change-toolkit\/knowledge-to-action"},{"issue":"2","key":"pone.0283656.ref009","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1002\/chp.21271","article-title":"Navigating Knowledge to Action: A Conceptual Map for Facilitating Translation of Population Health Risk Planning Tools Into Practice","volume":"35","author":"L Peirson","year":"2015","journal-title":"Journal of Continuing Education in the Health Professions"},{"issue":"3","key":"pone.0283656.ref010","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1177\/1074840720935462","article-title":"An Educational Intervention Incorporating Digital Storytelling to Implement Family Nursing Practice in Acute Care Settings","volume":"26","author":"P Beierwaltes","year":"2020","journal-title":"Journal of Family Nursing"},{"issue":"18","key":"pone.0283656.ref011","doi-asserted-by":"crossref","first-page":"E839","DOI":"10.1503\/cmaj.090449","article-title":"AGREE II: advancing guideline development, reporting and evaluation in health care","volume":"182","author":"MC Brouwers","year":"2010","journal-title":"Canadian Medical Association Journal [Internet]"},{"key":"pone.0283656.ref012","doi-asserted-by":"crossref","DOI":"10.1002\/9781118413555","volume-title":"Knowledge Translation in Health Care","author":"SE Straus","year":"2013"},{"key":"pone.0283656.ref013","unstructured":"Toolkit: Implementation of Best Practice Guidelines, Second Edition [Internet]. rnao.ca. Available from: https:\/\/rnao.ca\/bpg\/resources\/toolkit-implementation-best-practice-guidelines-second-edition"},{"issue":"2","key":"pone.0283656.ref014","first-page":"167","article-title":"Invisible Nursing Research. Nursing Science Quarterly","volume":"28","author":"J. Fawcett","year":"2015","journal-title":"Nurs Sci Quart [Internet]"},{"issue":"4","key":"pone.0283656.ref015","article-title":"Contribui\u00e7\u00f5es do pensamento de Michel Maffesoli para pesquisa em enfermagem e sa\u00fade [Contributions of Michel Maffesoli\u2019s thought to nursing and health research].","volume":"26","author":"RG Nitschke","year":"2017","journal-title":"Texto & Contexto\u2014Enfermagem. [Internet]"},{"key":"pone.0283656.ref016","doi-asserted-by":"crossref","first-page":"91","DOI":"10.12707\/RIV17047","article-title":"Nursing students\u2019 health profile: epidemiological diagnosis based on the PRECEDE-PROCEED model","author":"F Ferreira","year":"2017","journal-title":"Revista de Enfermagem Refer\u00eancia"},{"key":"pone.0283656.ref017","author":"International Collaboration for Participatory Research [Internet]","year":"2022","journal-title":"International Collaboration for Participatory Research"},{"issue":"1","key":"pone.0283656.ref018","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1002\/chp.47","article-title":"Lost in knowledge translation: time for a map?","volume":"26","author":"ID Graham","year":"2006","journal-title":"The Journal of continuing education in the health professions [Internet]"},{"key":"pone.0283656.ref019","unstructured":"Pereira RPG, Cardoso M, Martins M, Martins T, Figueiredo MDC, Carneiro A. Valida\u00e7\u00e3o da vers\u00e3o portuguesa do question\u00e1rio de atitudes e barreiras em rela\u00e7\u00e3o \u00e0 pr\u00e1tica baseada na evid\u00eancia [Validation of the Portuguese version of the questionnaire on attitudes and barriers to evidence-based practice]. undefined [Internet]. 2015 [cited 2022 Jul 13]; Available from: https:\/\/www.semanticscholar.org\/paper\/Valida%C3%A7%C3%A3o-da vers%C3%A3o-portuguesa-do-question%C3%A1rio-de-e-Pereira-Cardoso\/cbc519322b51e67a2e2c69d184cff47c21783441"},{"key":"pone.0283656.ref020","unstructured":"Gouveia, MCLV., Sveinbjarnardottir, EK., Rodrigues, MJ., Duarte, JC. & Henriques, MAP. (2019). Question\u00e1rio de Perce\u00e7\u00e3o do Suporte familiar\u2013QPSF-Vers\u00e3o em Portugu\u00eas Europeu da tradu\u00e7\u00e3o, adapta\u00e7\u00e3o cultural e valida\u00e7\u00e3o psicom\u00e9trica do ICE-FPSQ [Family Support Perception Questionnaire\u2013QPSF-European Portuguese version of the translation, cultural adaptation and psychometric validation of the ICE-FPSQ]."},{"key":"pone.0283656.ref021","unstructured":"Tool. uhrahertsacuk [Internet]. 2007 [cited 2022 Jul 13]; Available from: https:\/\/uhra.herts.ac.uk\/handle\/2299\/6529"},{"key":"pone.0283656.ref022","first-page":"89","article-title":"Translating Research\u2014Innovations in Knowledge Transfer and Continuity of Care","author":"ID Graham","year":"2022","journal-title":"Canadian Journal of Nursing Research Archive [Internet]"},{"issue":"1","key":"pone.0283656.ref023","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1002\/chp.47","article-title":"Lost in knowledge translation: time for a map?","volume":"26","author":"ID Graham","year":"2006","journal-title":"The Journal of continuing education in the health professions [Internet]"},{"issue":"7","key":"pone.0283656.ref024","doi-asserted-by":"crossref","first-page":"55","DOI":"10.12707\/RIII11146","article-title":"Atitudes e barreiras \u00e0 pr\u00e1tica de enfermagem baseada na evid\u00eancia em contexto comunit\u00e1rio [Attitudes and barriers to evidence-based nursing practice in a community contexto]","volume":"3","author":"R. 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