Nurses as bridge builders: Advancing nursing through the diffusion of knowledge.

AIMS: In 2001, the Institute of Medicine concluded that the American healthcare system failed in translating new knowledge into practice and applying for new technological advances. The Institute of Medicine suggested that knowledge dissemination in healthcare systems may never reach clinicians or patients because the available tools and incentives do not promote rapid dissemination efforts that improve clinical outcomes. This article describes a practical strategy that can bring the benefits of medical science and technology to all healthcare systems in the US and abroad. This involves building the capacity of thousands of new nurse doctors to use social network analysis and work as bridge builders in healthcare systems. BACKGROUND: Nurses have been working in research on evidence-based practice since the time of Florence Nightingale. Since then, there have been many challenges that have limited progress in disseminating nursing knowledge from research to practice. One limitation has been the underutilization of social network analysis, an inter-disciplinary approach used to leverage social structures and the linkages between "actors." DESIGN: The article includes a literature review of social network analysis in healthcare and dissertation formats used in nursing programs. METHODS: Literature review and analysis. RESULTS: Although the use of social network analysis in healthcare dates back to 1957, research has found that reference to social network analysis was rare in the nursing literature and that there was poor knowledge diffusion about social network analysis in the nursing profession. This represents an untapped potential to improve the dissemination of new knowledge in nursing. CONCLUSIONS: The use of social network analysis can help nurses advance care delivery, create more efficient healthcare facilities, and improve clinical outcomes. Nurse bridges represent ideal users of social network analysis because nurses enjoy a high level of interaction with patients, families, hospital personnel, and providers. To successfully build nursing's capacity as bridge builders, the nursing profession will need to change the traditional dissertation format to a publication format, build a new curriculum for nurses who will work as bridges in healthcare, and create a national academic-practice campaign focused on the diffusion of new knowledge in nursing.