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Facilitating Change to Evidence-Based Practice in Nursing: The Iowa and Stetler Models
The Iowa Model of Evidence-Based Practice
Developed by Marita Titler to promote quality healthcare, the Iowa Model is a source of guidance for nurses and clinicians when making decisions that have an impact on patient outcomes. It infuses research into practice by using a multidisciplinary team approach to address a number of topics that are clinically important (Melryk and Overholt, 2011). This model is represented as an algorithm that has well-defined feedback loops as well as decision points. The very first decision has got to do with whether a particular problem is a priority to an organization and the second decision considers how adequate the evidence is to change practice. After the conduction of a pilot of change, on the basis of the available evidence, subsequent decisions are made on whether to adopt it or not, which is followed by frequent evaluations (Schaffer, Sandau and Diedrick, 2013).
The Stetler Model of Evidence-Based Practice
The Stetler Model of Evidence-Based Practice (EBP) enables practitioners assess how research findings can be applied in practice. It helps nurses use evidence to make formal changes in organizations and enhances reflective practice and critical thinking (Melryk and Overholt,...
The model integrates evidence informed practice and research use, which enhances the application of a specific research. Using this model, research use is categorized into instrumental, conceptual and symbolic use. It has six phases. The said phases include: preparation, validation, comparative evaluation, decision making, translation and application and evaluation (Melryk and Overholt, 2011).
A comparison of the Iowa and Stetler methods
In the designing and implementing of an EBP project, the Stetler Model relies on the perspectives of individual clinicians while the main focus of the Iowa model is on institutional EBP efforts (Melryk and Overholt, 2011). Education components are not specified by the Iowa model, which makes it difficult for nurses to interpret research. The Stetler Model has evaluation tools that make guideline development easier, which makes it easier for staff nurses to use. It provides an understandable guide for implementation and makes use of practitioner expertise and evidence. Although the Iowa model incorporates decision points and feedback loops, most nurses do not prefer it over the Stetler model. In terms of simplicity, the Iowa model can be termed as simple as it only involves making direct decisions as opposed to the Stetler Model, which has six phases. However, the…
References
Melryk, B. M & Overholt, E.F. (2011). Evidence-based Practice in Nursing & Healthcare: A Guide to Best Practice. Philadelphia: Lippincott Williams & Wilkins
Schaffer, M.A., Kristin E.S. & Diedrick, L. (2013). Evidence-based practice models for organizational change: overview and practical applications. Journal of Advanced Nursing. 69(5). Retrieved 15th January 2015 from http://www.marianjoylibrary.org/Nursing/journalclub/documents/Evidence_based_au.pdf
This is one of the most common forms of research and, for some research questions is clearly a strong design (Ethics in Critical Care Nursing Research, 2005). The research that was done in this article would be considered a non-experimental type. There were two types of observation that were conducted. The first type was that of focus groups and the second being the file audit, both of which are observational
The study involved giving adolescents a questionnaire to determine if they perceived their weight and appearance with accuracy; most females overestimated their weight and most males underestimated their weights. However, this was just 35% of the participants. The bulk of the participants (65%) were able to assess their body weight accurately. On the other hand, the results of the study indicate the need for interventions to help develop health
In fact the inabilty of the sociall work profession to adequaelty and discretely define EBP, specifically the main goal of this work, may in part be to blame for scholalry blunders, such as the use of evidence-based practice in a title of a work that is highly qualitative, anecdotal or even based on a single or small set of case studies. Just as Weed lists the various levels of evidence,
. Even when the child in a home where DV occurs is not physically harmed, most of the time, these children know about the violence. As a result, they may experience emotional and behavior problems (The Domestic Violence…, N.d.). A victim of DV needs to be reminded: She is not alone. She is not at fault. Help is available. In The physician's guide to domestic violence, P.R. Salber and E. Taliaferro (N.d.). about stress
Third, lack of attention to evidence-based practice can lead to inconsistent delivery of care services. Evidence-based practice relates to almost every aspect of health care at every stage of a client's relationship with the institution. For example, evidence-based practice informs the types of questions asked during the diagnostic procedures and might even impact the diagnosis itself (Bennett & Bennett, 2000). Evidence-based practice impacts the methods by which infections are prevented
Applying Evidence-Based Research in Nursing Practice What is the difference between research and evidence-based practice projects? Provide an example of EACH ONE and the reasons for the difference. Why should nurses be interested in learning about EBP? (evidence-based practice). Research and evidence-based practice are not synonymous, and the distinctions are not necessarily intuitive. Research is a generic term that holds many different meanings depending on the context in which the term