Benchmark – Evidence-Based Practice Proposal Project: Framework or Model for Change Paper

Benchmark – Evidence-Based Practice Proposal Project: Framework or Model for Change Paper

 Benchmark – Evidence-Based Practice Proposal Project: Framework or Model for Change Paper

            For effective implementation of evidence-based practice, several change models/frameworks have been proposed based on the kind of intervention being implemented. For this project, the most appropriate change framework is the Iowa model to guide the incorporation of mindfulness as an EBP intervention in lowering stress levels among nurses (Tucker et al., 2021). As such, this paper aims at elaborating on how the Iowa model will be utilized in facilitating the different steps involved in incorporating the EBP intervention into current clinical practice to promote a positive outcome.

The Iowa Model

The Iowa model was developed in 19902 at the University of Iowa Hospitals and Clinics to help guide nurses to utilize research findings in promoting the quality of patient care. The model serves as a pathway to EBP, in identifying the problem, researching the potential solutions, and implementing the change (Cullen et al., 2022). This model mainly allows clinicians to draw their focus toward knowledge and problem-focused triggers, to question whether the use of research can help solve and identified problems in the current practice. For my project, the application of the Iowa model is essential as it will help nurses identify the impact of stress on their quality of work, and use research to find out how mindfulness is effective in solving this problem and promoting the safety and quality of care provided. The model will also help provide a stepwise guide on how they incorporate the new intervention into practice.

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Steps of the IOWA model for Evidence-Based Practice

The first step in the application of the Iowa model in promoting evidence-based practice is the identification of the trigger which requires EBP change. It can be a problem-focused trigger or even a knowledge-based trigger. The second step is to evaluate the priority of the identified problem for the organization, or practice. Once the problem has been considered a priority, the following step will be to come up with a team to develop, implement and evaluate the EBP change (Cullen et al., 2020). The fourth step is to come up with an outline that will help guide research related to the desired change. In the fifth step, the research findings are synthesized and critically analyzed to identify the most effective EBP intervention to implement as the solution. The sixth step is to analyze with the selected team members whether there is substantial evidence supporting the identified solution (Camargo et al., 2018). Once the intervention has been agreed upon, the team members can then proceed to the seventh step where the change intervention is implemented. The results of the implemented EBP intervention are evaluated in the eighth step, and necessary changes are made to promote optimal outcomes.

Application of the Iowa Model

            For my project, the first step as guided by the Iowa model was to identify a problem focus trigger which in this case is work-related stress among nurses and its negative impact on the quality of care provided. In the second step, we found out that this was a priority for both the organization and practice as a result of a shared goal of promoting the quality of care provided (Coleman et al., 2018). The following step was coming up with an implementation team, composed of the nurse leader, physician, and psychiatrist among other staff members. Once the team was ready, the following step was to conduct an extensive literature review to determine how this problem has been solved before by different organizations. We analyzed the outcome and found out that promoting mindfulness among the nursing staff is effective in reducing their stress levels hence promoting the quality of care provided. Currently, we are working on implementing the change after which, we will evaluate the outcome, and decide on the necessary change to ensure that the new practice becomes part of the organization’s culture.

Conclusion

For effective development and implementation of change in promoting the quality of care provided, clinicians must consider the use of nursing models for guidance. For this project, the Iowa model was utilized to promote the incorporation of mindfulness among nurses in reducing stress and promoting the quality of care provided.

References

Camargo, F. C., Iwamoto, H. H., Galvão, C. M., Monteiro, D. A. T., Goulart, M. B., & Garcia, L. A. A. (2018). Models for the implementation of evidence-based practice in hospital based nursing: A narrative review1. Texto & Contexto-Enfermagem, 26. https://doi.org/10.1590/0104-07072017002070017

Coleman, D. E., Kamai, S., & Davis, K. F. (2018). Impact of a collaborative evidence-based practice nursing education program on clinical operations. Journal of Hospital Librarianship, 18(4), 323-330. https://doi.org/10.1080/15323269.2018.1509194

Cullen, L., Hanrahan, K., Edmonds, S. W., Reisinger, H. S., & Wagner, M. (2022). Iowa Implementation for Sustainability Framework. Implementation Science, 17(1), 1-20. https://doi.org/10.1186/s13012-021-01157-5

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. doi: 10.1097/NNA.0000000000000856

Tucker, S., McNett, M., Mazurek Melnyk, B., Hanrahan, K., Hunter, S. C., Kim, B., … & Kitson, A. (2021). Implementation Science: Application of Evidence‐Based Practice Models to Improve Healthcare Quality. Worldviews on Evidence‐Based Nursing, 18(2), 76-84. https://doi.org/10.1111/wvn.12495

Appendix

Conceptual Map: Application of Iowa Model for EBP

Evaluate the Priority of the Problem

Form EBP change Team

Identify Trigger (Problem focused trigger)

      

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Gather and analyze Research on the Identified Problem

Evaluate outcome: Positive results: Introduce the intervention into another department. Negative results: conduct further research.

Decide on Whether the evidence collected is substantial enough to support the intervention.

If Yes: Implement the Change Intervention

Identify Possible EBP intervention to solve the Problem

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Assessment Description
Applying a model or framework for change ensures that a process is in place to guide the efforts for change. In 500-750 words, discuss the model or framework you will use to implement your evidence-based practice proposal project. You will use the model or framework you select in the Topic 8 assignment, during which you will synthesize the

various aspects of your project into a final paper detailing your evidence-based practice project proposal.

Include the following:

Identify the selected model or framework for change and discuss its relevance to your project.
Discuss each of the stages in the change model/framework.
Describe how you would apply each stage of the model or theoretical framework in your proposed implementation.
Create a concept map for the conceptual model or framework you selected to illustrate how it will be applied to your project. Attach this as an appendix at the end of your paper.
Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.

You are required to cite minimum of four peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as an appendix at the end of your paper.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

MBA-MSN; MSN-Nursing Education; MSN Acute Care Nurse Practitioner-Adult-Gerontology; MSN Family Nurse Practitioner; MSN-Health Informatics; MSN-Health Care Quality and Patient Safety; MSN-Leadership in Health Care Systems; MSN-Public Health Nursing

1.2 Apply theoretical frameworks from nursing and other disciplines to make decisions regarding practice and health-related problems at the individual and population level.