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Evidence-Based Practice Models To Integrate Research Findings

Evidence-Based Practice Models To Integrate Research Findings

Implementing research findings in clinical settings takes time, with nurses taking up to 17 years to implement existing research (Melnyk et al., 2012). Implementing such research necessitates that nurses be well-trained and have the time to implement and access the study. Beyond that, a focus on outcomes rather than processes is required to ensure that the nurse can combine their experience, the needs of the patient and family, and existing research to provide the best possible care to the patient and improve healing. This paper examines the Iowa model to determine its suitability for implementing evidence-based practice.

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The Iowa model effectively implements evidence-based and best practices by assisting nurses and healthcare teams in translating clinical research findings into daily routines. The Iowa Model begins with problem identification (Brown, 2014). Nurses are encouraged to look for issues that could lead to lapses in patient care. These could include financial or even clinical matters. Triggers in new knowledge may also necessitate an investigation into a facility problem. A problem’s nurse team is then assigned to determine the problem’s priority in relation to larger institutional goals. The issue’s research is then identified and synthesized to determine whether the research base is significant. If the impact is substantial, a pilot change in clinical practice is implemented (Newhouse & White, 2005). This information is then used to determine whether the research findings can be implemented within the institution.

The ability of nurses to engage in constructive problem identification and research is critical to the successful implementation of clinical findings. This necessitates the use of well-trained nurses who stay current on current research. Obstacles to implementation may include uncooperative nurses, financial constraints in the institution, or a lack of management willingness to implement evidence-based practice.

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References

Brown C. (2014). The Iowa Model of Evidence-Based Practice to Promote Quality Care: An Illustrated Example in Oncology Nursing. Clinical Journal of Oncology Nursing 18: p. 2. Doi: 10.1188/14.CJON.157-159

Melnyk B., Fineout-Overholt E., & Kaplan, L. (2012). The state of evidence-based practice in US nurses: Critical implications for nurse leaders and educators. Journal of Nursing Administration, 42, 410–417. doi:10.1097/ NNA.0b013e3182664e0a

Newhouse, R., Dearholt, S., Poe, S., Pugh, L.C., & White, K.M. (2005). Evidence-based practice: A practical approach to implementation. Journal of Nursing Administration, pp. 35, 35–40. doi:10.1097/00005110–200501000-00013

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Question 


Directions:

Consider this scenario for the Discussion: You are practicing in an acute care unit in a local hospital. You identified a practice problem you want to see changed during your recent shifts. After discussing the issue with your direct supervisor and the Director of Nursing, they have asked that you research the current literature and propose an evidence-based practice solution to the identified practice problem.

Evidence-Based Practice Models To Integrate Research Findings

Evidence-Based Practice Models To Integrate Research Findings

Initial Post:

From your work or clinical experience, identify a potential practice problem and formulate a proposal for an evidence-based practice solution that includes the following:

  • A brief description of a possible practice problem
  • Relevant evidence-based practice question
  • Locate and review at least two current, peer-reviewed research articles that address the identified clinical problem, appraise research findings, and synthesize relevant, credible findings into a summary supporting your potential practice problem and evidence-based practice solution.
  • Propose an evidence-based practice solution, including.
  • Implementation plan
  • Evaluation plan
  • Plan classmates the practice change

Responses (minimum of two):

  • Critique classmates’ evidence-based practice solutions, including:
  • Opinion if the proposed practice change was relevant and supported by the literature
  • Discussion of the feasibility of a plan to implement, evaluate, and sustain practice change
  • At least one suggestion for how to improve the proposal for an evidence-based practice solution

Please send students’ initial posts by midweek and respond to at least two other posts by the end of the week. Please check the Course Calendar for specific due dates.