New perspectives from evidence to action - patient-centered evidence transformation in evidence-based nursing: a narrative review.

BACKGROUND: Evidence transformation remains a major challenge in nursing practice, as existing approaches often focus on professional-driven implementation while insufficiently incorporating patient participation, accessibility of evidence, and contextual adaptation. A comprehensive patient-centered pathway for translating evidence into practice is needed. AIMS: This narrative review aimed to critically examine existing evidence transformation models and develop a Patient-Centered Evidence Transformation Framework to support sustainable evidence-based nursing practice. METHODS: A narrative review approach was adopted to synthesize literature on evidence transformation, implementation science, patient-centered care, and integrative nursing practice. Existing theoretical models, including the Knowledge-to-Action Model, Social Movement Model, Promoting Action on Research Implementation in Health Services Framework, Consolidated Framework for Implementation Research, and Shared Decision-Making Model, were critically analyzed. A conceptual framework was developed through theoretical integration and synthesis of patient-centered evidence transformation principles. RESULTS: Existing models provide important insights into knowledge translation, implementation processes, and patient engagement but often address isolated components rather than a continuous transformation pathway. This review proposes a six-component Patient-Centered Evidence Transformation Framework, including Evidence Creation, Patient Version of Guidelines Development, Evidence-Based Science Popularization, Patient Decision Aids, Evidence Dissemination, and Application of Evidence. The framework highlights patients as active participants throughout the evidence lifecycle and provides guidance for evidence transformation in integrative Chinese and Western nursing practice. CONCLUSION: The proposed framework integrates evidence generation, patient empowerment, dissemination, and clinical application into a unified pathway.