Skip to main content
Article thumbnail
Location of Repository

The role of advanced practice nurses in knowledge brokering as a means of promoting evidence-based practice among clinical nurses

By Kate Gerrish, Mike Nolan, Marilyn Kirshbaum, Ann McDonnell, Angela Tod and Louise Guillaume


Aim: To identify approaches used by advanced practice nurses to promote evidence-based practice among clinical nurses. \ud \ud \ud Background: Barriers encountered at individual and organizational levels hinder clinical nurses in their ability to deliver evidence-based practice. Advanced practice nurses are well placed to promote evidence-based practice through interactions with clinical nurses. However, little is understood about how advanced practice nurses might realise this potential.\ud \ud \ud Method: A multiple instrumental case study of 23 advanced practice nurses from hospital and primary care settings across seven Strategic Health Authorities in England was undertaken in 2006. Data collection comprised interviews and observation of advanced practice nurses and interviews with clinical nurses and other healthcare professionals. Data were analysed using the Framework approach. \ud \ud \ud Findings: Advanced practice nurses acted as knowledge brokers in promoting evidence-based practice among clinical nurses. Knowledge management and promoting the uptake of knowledge were key components of knowledge brokering. Knowledge management involved generating different types of evidence, accumulating evidence in order to act as a repository for clinical nurses, synthesising different forms of evidence, translating evidence by evaluating, interpreting and distilling it for different audiences and disseminating evidence by formal and informal means. Advanced practice nurses promoted the uptake of evidence by developing the knowledge and skills of clinical nurses through role modeling, teaching, clinical problem-solving and facilitating change. \ud \ud \ud Conclusion: Advanced practice nurses’ knowledge brokering role is complex and multi-faceted. It extends beyond the knowledge management, linkage and capacity building identified in the literature to include active processes of problem solving and facilitating change

Topics: RT
Publisher: Wiley
Year: 2011
OAI identifier:

Suggested articles


  1. (2009). (2001b) Research information in nurses' clinical decision-making: what is useful? doi
  2. (2004). A
  3. (2003). Canadian Health Services Research Foundation
  4. (2005). Clinical nurse educators as agents for change: increasing research utilization. doi
  5. (2005). Gawlinski A doi
  6. (2008). Report submitted to the Department of Health Policy Research Programme. Sheffield Hallam University: Sheffield (retrieved 24/04/2010 from
  7. (2008). Research Centre (retrieved 24/04/2010 from,_Approaches_and_Applications_-_May_2006.pdf Spenceley
  8. (2001). Research information in nurses' clinical decision-making: what is useful? doi

To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.