Dear Miriam, my MSN research was called "Nursing Research: From Paper to Practice." Of course the nursing research I looked at was breastfeeding research :-) The theory I used was Everett Rogers, Diffusion of Innovation, 1983. I really recommend reading his book or a newer one by Joel Barker (that Kay Hoover Introduced me to) "Future Edge: Discovering New Paradigms for Success," 1992. Use of research-based knowledge is an on-going process and is influenced by characteristics of the adopter, organization, and the research/innovation, itself. Resistance is the usual reaction whenever new ideas are introduced. This has been recognized for centuries! If I remember correctly Rogers says it takes about 30 years for new info to be incorporated into practice :-b I looked at nursing research articles about nursing and research-based BF knowledge. My lit review went back into the 70's. One quote "Two decades of research support the value of breastfeeding and identifying ways to increase maternal success with breastfeeding. In spite of this research support, much of the breastfeeding research remains unused by health care professionals." This was written in 1993-94. and sad to say I'm perfectly positive that it has not changed in the past few years! The BF knowledge scores that I got in 1994 were slightly less than Crowder got in 1981! Over and over, the conflicting, confusing, not valid info and poor hospital practices used daily by most HCPs caused problems for moms. Of course my research also pointed that that most perinatal nurses read ONE research article per month! Sorry to share all this bummer info. Sincerely, Pat in SNJ