Applying the PARiHS framework in a knowledge dissemination initiative.

This paper describes the process of facilitating knowledge dissemination using the Promoting Action on Research Implementation in Health Services (PARiHS) framework, including articulation of findings, barriers, implications, and recommendations. Advanced practice nurses (APNs) are in a unique position to facilitate the dissemination of evidence-based knowledge to front-line staff in health care organizations. At a community acute care hospital in Toronto, Ontario, the collaborative competency of an APN was used to develop partnerships with three units in order to implement interprofessional knowledge dissemination via education sessions. The goal was to increase nurses' knowledge of best practices and, consequently, improve outcomes for nephrology patients under their care. The PARiHS framework was used to facilitate the process of knowledge dissemination. The framework consists of three elements: evidence, context, and facilitation. In order for the implementation of a project to be successful, it is necessary to understand the context of the organization. Implications and recommendations for advance practice nurses will be described.