The Evidence-Based Practice and the Iowa Model


The Iowa Model was first used 25 years ago by students at the University of Iowa. The Iowa Model guides clinical decision-making and the EBP process from both the clinician and systems perspectives (Iowa Model Collaborative, 2017). EBP is a process of analysis that brings a clear view of what happened. The Iowa Model provides accurate information for nurses to make their decisions more correct, which I think should provide more reliable help for patients.

Nowadays, medicine should make progress every day, and the Iowa model can help with it. The problem with EBP is that it usually refers to and builds on statements made in the past, while the Iowa model is based on individual results of the analysis. EBP focuses on analyzing past evidence developed by past clinical research and applying the propositions in Practice (Chien, 2019). Evidence-Based Practice aims to evaluate the process to identify weaknesses and come to the realization, which I think should also help make decisions. In my opinion, it is better to combine this model and the EBP to create a decent realization process. Implementing CBT as an effective alternative to medications is an excellent example of using the Iowa model, but nurses should also use the EBP for comparative analysis with previous cases. I think it should provide better results in helping patients.

Nowadays, medicine develops by such models as Iowa. Nurses become more professional and accurate in situations where new methods of treatment are required. Implementing the EBP is the correct route for providing expert information in the formation of clinical research. The Iowa Model helps prepare nurses because it shows today’s situation in medicine and provides an opportunity for making entirely new decisions in treatment. I believe such action as implementing CBT as an alternative to medications shows the progress of medicine. Nurses start to develop themselves by doing new research, which provides more reliable help for patients.

The Shortage of Nurses and the Iowa Model

Every day the problem of the shortage of nurses aggravates extremely fast. American Psychiatric Nurses Association warns about providing mental health to all patients because of nurses shortage.

The lowa model of change implies providing adequate health care strategies in enhancing the provision of quality health care services to improve patient-centered care (Melnyk et al., 2017). I believe that the Iowa model will make a difference in providing medical services throughout the whole country.

Today the number of nurses is decreasing, and it is a severe problem. One of Iowa’s purposes is to encourage young students to become nurses and allows retired nurses to be re-employ to provide professional help for patients. The main advantage of the Iowa model is that it permits nurses to use new methods that were developed for the treatment. Nurses make their decisions effectively regarding the upcoming problem by creating new strategies and solving health problems. In addition, the difference between the EBP and the Iowa model is based on research methods. The EBP uses the previous experience and strategies accepted in practice; clinical research involves identifying clinical programs and devices in new ways to help make definitive decisions about patient care (Tucker et al., 2021). As I think, combining these strategies should provide better treatment for individual patients, and I agree that it is better than using only the EBP; it adds novelty and interest to the work process.

To sum up, the combining of these two methodologies will give nurses space to develop medicine. Prepared nurses use both strategies to provide professional clinical help. They can use EBP to make decisions from previous analyses or create a new method by researching and identifying the problem of the individual patient. These strategies bring nurses a variety of solving problems and space for self-developing. I believe this combination should work correctly and progressively, so I agree with my classmate’s posting.


Chien L. Y. (2019). Evidence-Based Practice and Nursing Research. The journal of nursing research: JNR, 27(4), e29.

Iowa Model Collaborative. (2017). Iowa model of evidence-based practice: Revisions and validation. Worldviews on Evidence-Based Nursing, 14(3), 175-182.

Melnyk, B. M., Fineout‐Overholt, E., Giggleman, M., & Choy, K. (2017). A test of the ARCC© model improves the implementation of evidence‐based practice, healthcare culture, and patient outcomes. Worldviews on Evidence‐Based Nursing, 14(1), 5-9.

Tucker, S., McNett, M., Hanrahan, K., Hunter, S. C., Kim, B., Cullen, L., & Kitson, A. (2021). Implementation Science: Application of Evidence-Based Practice Models to Improve Healthcare Quality. Worldviews on Evidence-based Nursing.

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