Evidence-Based Practice Models and Applications

It is important to note that there a wide range of evidence-based models, which can be utilized in a nursing setting, and each of them brings a unique array of benefits alongside its shortcomings. In the case of the Iowa model, it is stated that it “can help nurses and other healthcare providers translate research findings into clinical practice while improving outcomes for patients” (Brown, 2016, p. 157). One should be aware that the Iowa model is comprised of several major steps, where the first one is focused on evidence-based practice or EBP, which warrants change. These triggers or initiators can be categorized as knowledge-focused or problem-focused, and this step’s goal is to identify these triggers.

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The second step is a prioritization issue, which addresses whether or not an organization needs the change. The third step is a formation of a team in order to integrate the change into a feasible EBP followed by a critique of studies and research to determine its sufficiency, and the last step is implementation. For example, the Iowa model can be implemented by identifying the presence of the issues and their prioritization to an organization. The research feasibility and validity need to be evaluated, which is handled by a team of professional nurses in order to properly implement the processes of using forced-air warming gowns are pain reducers and patient outcome improvers.

In contrast, the multidisciplinary, evidence-based practice model is mostly focused on forming teams comprised of professionals from a wide range of areas of expertise and backgrounds in order to build a multifaceted perspective on the issue. This ensures that highly important intricate details of the underlying problem are addressed and spotted without a need for outside interference (Nieswiadomy & Bailey, 2017). In regards to the case, the given approach can be implemented by forming teams involving nursing specialists and medical professionals in order to conduct a proper assessment of the measure (Benson et al., 2012). Care bundles are an EBP approach in nursing, which involves a structured and organized way of delivering a set of care-focused evidence-based practices ranging from two to six (Nieswiadomy & Bailey, 2017). The goal is to improve patient outcomes with a delivery of a set of care bundles simultaneously rather than consecutively. For instance, the care bundle among total knee arthroplasty postoperative patients can be comprised of forced-air warming gowns and pain killers.

The Stetler Model of research utilization is a six-step process, which includes preparation, validation, comparative evaluation, decision making, translation and application, and evaluation (Nieswiadomy & Bailey, 2017). In other words, the process is similar to Iowa’s process, but the difference lies in the fact that the Stetler model emphasizes decision-making and critical thinking to a greater extent. In regards to the article, the Stetler model can be implemented by preparing and validating the effectiveness of forced-air warming gowns with a subsequent comparison with standard gowns. The decision needs to be made on the basis of objective patient outcome changes, which are translated and applied into practice and later evaluated.

In conclusion, it should be noted that the Stetler model is the recommended approach since the case does not need multidisciplinary teams or care bundles, and the Iowa model involves more steps than the Stetler model, which is excessive for such a non-complex issue. In other words, the framework aims to connect the current research and patient outcomes through a procedural integration of the findings into clinical practice.

References

Benson, E. E., McMillan, D. E., & Ong, B. (2012). The effects of active warming on patient temperature and pain after total knee arthroplasty. American Journal of Nursing, 112(5), 26–33. Web.

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Brown, C. G. (2016). The Iowa model of evidence-based practice to promote quality care: An illustrated example in oncology nursing. Clinical Journal of Oncology Nursing, 18(2), 157–159. Web.

Nieswiadomy, R. M., & Bailey, C. (2017). Foundations of nursing research. Sage.

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