This document describes Taiwan's experience with the train-the-trainer model for evidence-based practice based on the Joanna Briggs Institute model from Australia. It discusses how Taiwan has established four evidence-based nursing centers since 2005 that collaborate with the Joanna Briggs Institute. The centers work to promote evidence-based nursing through developing clinical guidelines, cultivating talents, and supporting clinical implementation. Specific initiatives discussed include developing over 80 clinical guidelines from 2010-2013 and establishing five evidence-based integrated care models for preventing dysfunction in aging people since 2017.

1. The train-the-trainer model 1-2 Taiwan:
Australia experience
Prof. Pei-Fan Mu RN. PhD.
National Yang-Ming University
Institute of Clinical Nursing

2. 2

3. Joanna Briggs Institute
 Research and development Centre, University of Adelaide,
South Australia.
 Over 70 entities across the world
 Promote and support the synthesis, transfer and utilization of
evidence
 Goals:
◦ Translational Science
◦ Synthesis Science
◦ Implementation Science
◦ Software for health professionals
◦ Promoting evidence-based practice
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4.  Evidence-based translation
 Strategies of evidence-based
practice
4

5. 5
Evidence-based
Paradigm
Evidence-based practice
and care

6. Taiwan JBI Evidence-based Health Care Excellent
Center (National Yang-Ming U) (2005)
Taiwan
YM-VGH
Taiwan four
EBN centers
(2010)
Yang
Ming-VGH;
YM-YM
Hospital
Cental
Taiwan
UST-
TCGHB
National
Cheng
Kung –NCKU
Hospital
Tzu Chi U
of ST-TCH
Hospital
Taiwan EBN
association
(2011)
International
collaboration
(AU)
Joanna
Briggs
Institute (AU)
Cochrane
nursing care
field
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7. (1) Promote Evidence
Based Nursing
MOHW Project
Developing Clinical
Guideline
Taipei、Taichung、
Tainan and
Hualian:
Collaboration
Center
MOHW Project :
Cultivate Talents
of Long-Term
Care Program
Long-term Care
Accreditation
Program
(2) Knowledge
Development
Knowledge Integration
•Systematic
Systematic review
(Qualitative and
Quantitative research)
Knowledge
Transformation
• Clinical Guideline
•Educational Material
Development
Knowledge Application
•Clinical Guideline
Application
•Evidence Translation
Innovative knowledge
(3) Cultivation talents
JBI Systematic
Review course
JBI Train-the-
trainer Training
Program
Evidence-based
competencies into
Higher Education of
Evidence Translation
In-Service Continuous
Education Program
(4) Clinical
Implementation
Clinical Evidence
Capability
Evidence-based
clinical skills and
clinical practice
indicators
Nursing
intervention
Nursing Quality
Control
Informationization
(5) Connect to
International
standard
New Concept of
Evidence and
Development
Trend
Evidence
Information and
Database
Participate
International
Conference and
Organizations
Participate
International
Journal Board
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Mission of Taiwan JBI Excellent Center

8. From cultivating talents to evidence translation
(3) Evidence-based Practice in curriculum
BS, MS, DNP Clinical nurses
(2) Micro-level evidence translation: Point of care
Clinical implementation JBI clinical fellowship
(1) Meet national policy: Ministry of Health Welfare
2010-2013 Clinical
guidelines development
Core competencies of
Home care nurses
EBP project of home care
2017 Dysfunction
prevention for aging people
in community
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9. Meet the national Policy
Analysis of clinical evidence-based
implementation in Taiwan
Strategies：
Australia Evidence-based, JBI
Building national evidence-based network
Keeping connection with international EBP network
Cultivate EBP trainers: university-hospital allied
Clinical implementation
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10. 1. 2010-2013 Clinical
guidelines development
2. 2017 Dysfunction
prevention for aging
people in community
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11. 1. 2010-2013 Clinical guidelines development
 Clinical Guideline Synthesis Model; CGSM (Mu,
Chan, 2010)
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12. 1.1. Promotion strategies
EBP
promotion
strategies
Empowerment:
establish
knowledge;
cultivate talents
Partnership
(collaboration)
Authorization
Evaluation
(process;
outcome)

13. 1.2. Cultivate JBI train-the-trainer (2010-2013)
Cultivate talents
(train-the-trainer)
JBI Comprehensive
systematic review
program
Five models of CSR
JBI CSR Certification
Complete a CSR
Develop clinical guideline
JBI CSR train-the-trainer Five models of CSR
JBI CSR train-the-trainer
Teaching and learning
strategies
EBP implementation: Course
design
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14. 1.3. Outcomes
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2 CSR course x 4 centers x 3yrs=24 course (250 trainer)
2 train-the-trainer course (30 train-the-trainer)
80 Clinical guidelines
40 EBP teaching materials

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19. 2. 2017 Dysfunction prevention for aging people in community
From action to movement:
Person-centered
Cultivate the Train-the-trainer
Expert
Trainer
Assistant
Develop EBP models from
four Centers
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Self-
empowerment
Mutual
help in
Family
Community
togetherness

20. 2.1. Joann Briggs Institute Evidence-based Caring Model
◦ Evidence-based integrated care
models
◦ Train-the-trainer: From Preparation
to Action
◦ Evidence translation
 Contextualization of clinical guidelines
 3 kinds of trainers’ capacities
 Teaching materials
 Developing aging health promotion models
◦ Evidence utilization
 Barriers
 Strategies
 Evaluation
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21. 2.2. Establishing five evidence-based integrated care models
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Integrated models Inter-discipline Community
1. Health
promotion of
fragile aging
Physical
activity
Nutrition
Social
participate
2. Improve cognitive
function of
Dementia patient
Reminiscence
group
intervention
Gardening
intervention
3. Swallow care
of Dementia
patient
Swallow
training
Oral care
4. Delay
dysfunction for
fragile aging
Physical
activity
Nutrition
Oral Care
5. Prevention of
Dementia
Cognitive
activities
Prevention of
fall

22. 2.3. Evidence-based Integrated Care Model (EBICM)
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Step 1. CSR: Searching
and Integrated clinical
guidelines and SR
Step 2. Contextualization
of Clinical Guidelines
• Multiple disciplines
• Focus group
Step 3. Developed teaching
and learning materials
(Evidence-based utilization)
• Expert, Trainer, Assistant
• 12 weeks modelsStep 4. Train-the-
trainer (Evidence-
based Utilization)
• Expert, Trainer, Assistant
Step 5. Planning in action
(Evidence-based
translation):
• Access patients, Identify
barriers, Strategies, Evaluation
Step 6. Evidence-
based
implementation

23. Action Plan
 Core members committee
 Shared and action in movement
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24. 24
Physical activity
Nutrition Oral care
Social Participant
Evidence-based integrated caring model 1.
Health promotion of fragile aging (YM-VGH)

25. Step 1. CSR: Searching and integrated clinical guidelines
and SR
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JBI
Database
Clinical guideline
Evidence Summary
Systematic review

26. Step 2. Contextualization of Clinical Guidelines
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27. Step 3. Developed teaching and learning materials
(Evidence-based utilization)
1. General information
2. Health information
3. Charlson comorbidity Index
4. Mini-Cog
5. ADLs
6. IADLs
7. Nutrition assessment (MUST)
8. Oral Health assessment
9. Social participation
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28. Step 4. Train-the-trainer
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29. Step 5. Planning in action (Evidence-based translation)
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30. Propose a 12 weeks integrated care model
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31. Innovation of building a healthy community
From train-the-trainer
We become the experts in self-care
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Self-
empowerment
Mutual
help in
Family
Community
togetherness

32. Thanks for your attention ！ ！
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