NUR 3643-Module 10 Course Project Assignment–Propose an Innovative Solution Using the Steps of the IOWA Model
Practice Issue
There is a lack of evidence-based practices in healthcare. This can be attributed to several causes. The first reason is the lack of knowledge regarding the best practices for patients and how to implement them in daily life. A second reason is that there are not enough resources available for doctors, nurses and other healthcare professionals to acquire this knowledge. Finally, there are concerns about how much time it takes to perform these research studies and whether or not they will ever be completed.
Research Question
Is there a better approach to putting evidence-based practices into practice in the healthcare industry? An evidence-based approach in healthcare should be implemented through a range of techniques. Based on scientific studies, evidence-based practices are those that have been shown to be beneficial. A key takeaway here is that practitioners should check the studies that support the methods they use.
Evidence Retrieval
Findings from PubMed, CINAHL, and Cochrane databases were searched for. EBP, healthcare, implementation, hurdles, and facilitators are some of the terms that were utilized. In the end, 27 pieces of content were found throughout the research process.
Evidence Appraisal
Joanna Briggs ATSR were used to evaluate the 27 studies. Quality, relevance, and usefulness were evaluated for each item in the collection. The final evaluation comprised a total of fifteen papers.
Plan for Implementation
There will be a gradual implementation of the evidence-based approach throughout time. The first step will be to conduct a needs assessment to establish the need for evidence-based practice. A practice based on strong evidence will be the next step. It’s time to put your newfound knowledge into action in the third and final phase.
Phase 1: Needs Assessment
The first phase of the implementation plan will involve a needs assessment to determine the need for evidence-based practice. This will be done by surveying healthcare providers and administrators. The survey will ask questions about the current state of evidence-based practices in healthcare and the barriers to implementing evidence-based practices.
Phase 2: Developing the Evidence-Based Practice
The second phase of the implementation plan will involve developing evidence-based practice. A team of healthcare professionals will do this. The team will review the literature and develop evidence-based practice.
Phase 3: Implementing the Evidence-Based Practice
The third phase of the implementation plan will involve implementing evidence-based practice. This will be done by training healthcare providers on evidence-based practice. The training will be done through online modules and in-person training sessions.
Phase 4: Evaluating the Evidence-Based Practice
The fourth phase of the implementation plan will involve evaluating the evidence-based practice. This will be done through surveys of healthcare providers and administrators. The surveys will ask questions about the evidence-based practice and its effectiveness.
Plan for Evaluation
The evaluation plan for the evidence-based practice will involve surveying healthcare providers and administrators. The surveys will ask questions about the evidence-based practice and its effectiveness.
Plan to Sustain Practice Change
Resources will be made available to healthcare practitioners and administrators as part of the effort to maintain practice transformation. The materials will include both online and face-to-face training. Surveys will also be used as part of the strategy to monitor evidence-based practice. The surveys will be completed three months, six months, and a year after the evidence-based practice is implemented.
NUR 3643-Module 10 Course Project Assignment–Propose an Innovative Solution Using the Steps of the IOWA Model
CINAHL, PubMed, and ProQuest were used to perform a literature search. Health care, implementation, and evidence-based practice were some of the terms utilized in the search. There were a total of 27 items found throughout the search. Fourteen of them were ruled out for a variety of reasons, including the absence of peer review, duplication, and language barriers. In all, there were nine articles to read.
There were nine publications in all that were evaluated based on the Joanna Briggs Institute Appraisal Tools for Systematic Reviews. It was necessary to meet the following: Studies that meet these criteria are eligible to apply, including those that follow the IMEBP implementation in a healthcare context, are RCTs, are QES, or are IIs. This paper includes five papers that fulfilled the inclusion requirements after an evaluation.
In order to get started, you need to figure out who the most important players are in the IMEBP. Patients, their families, and the nurses who will be responsible for executing it are just a few examples of those involved in this project. It is time to create a schedule for the project’s execution.
It’s critical to remember that implementing the IMEBP gradually is the best approach. Step three is to create a strategy for conducting the assessment. At a minimum, this strategy should include two SMART objectives, as well as a description of the data that will be gathered. The fourth stage is to come up with a strategy to keep the practice change going. Resources and important indicators should be included in this strategy, as well as a description of how to monitor progress.
At least two SMART objectives should be included in the assessment strategy. In the first six months after adoption, the number of patients who fall should be cut in half. Another aim should be achieved within 12 months: to increase the number of nurses who finish IMEBP training by 75%. Patient fall data, nurse training data, and patient satisfaction data are just some of the kinds of information that will be gathered. Data on patient falls, nurse training and patient satisfaction should be gathered on a monthly, quarterly, and annual basis, respectively, according to the following timeframe. Descriptive statistics and inferential statistics are two of the data analysis methodologies that will be used.
Resources that will be required to maintain the practice change should be included in a long-term strategy. In addition to money for the IMEBP training, administration support, and nurse buy-in, these resources include but are not limited to Additionally, a description of the key performance indicators that will be utilized to evaluate the implementation should be included in the plan. Patients’ falls and the number of nurses who have completed IMEBP training are only two variables that may be used to measure patient satisfaction.
In healthcare, the IMEBP to Promote Excellence in Healthcare is a well-established model. The progressive implementation of the IMEBP necessitates the participation of all relevant parties. Two SMART objectives and a description of the data that will be gathered should be included in the assessment plan’s goals section. There should be an explanation of how the change will be sustained, as well as a list of important indicators that will be used to monitor the effectiveness of the implementation of the sustainability plan.
Reference
Duff, J., Cullen, L., Hanrahan, K., & Steelman, V. (2020). Determinants of an evidence-based practice environment: an interpretive description. Implementation science communications, 1(1), 1-9.
Cullen, L., Hanrahan, K., Farrington, M., Anderson, R., Dimmer, E., Miner, R., … & Rod, E. (2020). Evidence-based practice change champion program improves quality care. JONA: The Journal of Nursing Administration, 50(3), 128-134.
Tucker, S. J., Gallagher-Ford, L., & Jang, E. (2020). EBP 2.0: Implementing and Sustaining Change: The Evidence-Based Practice and Research Fellowship Program. AJN The American Journal of Nursing, 120(2), 44-48.
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Question 
NUR 3643-Module 10 Course Project Assignment–Propose an Innovative Solution Using the Steps of the IOWA Model
Professional nurses must be able to identify relevant practice issues, appraise literature and integrate credible evidence into innovative, evidence-based practice solutions for positive outcomes.
Course Competency:
Propose an evidence-based solution aligned with an evidence-based practice question.
Instructions:
Content:
Applying The Iowa Model Revised: Evidence-Based Practice to Promote Excellence in Health Care, create a written proposal for these components of an evidence-based practice solution.
- The implementation plan for the proposed evidence-based practice solution includes the following:
- Description of key stakeholders
- Proposed timeline
- The evaluation plan for the proposed evidence-based practice solution, including
- At least two goals written in the SMART format
- Description of types of data necessary for evaluation
- Description of the timeline for data collection
- Description of methods for data analysis
- Plan for sustained practice change including:
- At least two resources are needed to sustain permanent change
- Description of at least two key indicators for continuous quality improvement
- Plan for reinfusion