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Int J Nurs Pract. 2016 Aug;22(4):333-8. doi: 10.1111/ijn.12467.

Implementation of evidence-based health care using action research: An emancipatory approach.

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Speech Therapy and Occupational Therapy, Faculty of Medicine, University of Sao Paulo, SP, Brazil.
School of Nursing, University of Sao Paulo, Sao Paulo, SP, Brazil.


The aim of the study is to discuss the emancipatory approach to action research as an appropriate methodology for workers' meaningful implementation of evidence-based health care. Implementation of evidence-based health care using action research is well supported by the literature. There are various approaches to action research, and they are coherent with the objectives and methods elected to develop the investigation. It is not clear which approach of action research is responsible for meaningful worker engagement in changing praxis. This is a discussion paper based on our experiences and supported by literature on collective health. Health care is defined as a social praxis, dependent upon the capitalist mode of production in which health workers engage themselves in a labour process that has negative (as alienation) as well as positive (as creativity) meanings. Emancipatory changes of social praxis through implementation of evidence-based health care require that participants understand the positive and negative meanings of their work and engage health workers in a conscious and intentional collaborative educational process. Implementation of evidence-based health care through emancipatory action research is capable of overcoming alienation and changing social practice through a participatory meaningful process of knowledge translation.


action research; advanced practice nursing; evidence-based health care; knowledge translation; labour process; nursing

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