Iowa and Stetler Models of Evidence-Based Practice
This paper examines two foundational frameworks for implementing evidence-based practice (EBP) in healthcare: the Iowa Model and the Stetler Model. The Iowa Model, developed by Marita Titler, emphasizes organizational-level implementation through multidisciplinary teams and decision-point algorithms. The Stetler Model focuses on individual clinician assessment and includes six structured phases for evaluating and applying research. The paper compares their design philosophies, evaluates their respective strengths and limitations, and discusses applicability across different healthcare settings. While the Stetler Model offers detailed guidance suitable for both individual and organizational levels, the Iowa Model is concluded to be most appropriate for acute care environments in large organizations due to its systematic approach to organizational implementation and inclusion of nursing input at every stage.
- The Iowa Model of Evidence-Based Practice: Algorithm-based organizational framework with decision points
- The Stetler Model of Evidence-Based Practice: Six-phase model for individual clinician research assessment
- Comparison of the Iowa and Stetler Methods: Organizational vs. individual focus and implementation complexity
- Strengths, Limitations, and Applicability: Clinical advantages and challenges in different healthcare settings
- Which Model Is More Appropriate?: Recommendation for Iowa Model in acute care organizations
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What makes this paper effective
- Clear parallel structure that systematically presents each model before comparison, making the content easy to follow and logically organized
- Balanced evaluation of both frameworks with acknowledgment of real-world preferences (nurses often prefer the Stetler Model despite the Iowa Model's theoretical strengths)
- Concrete application example (critical care examination tool for non-verbal ICU patients) that grounds abstract concepts in clinical reality
- Evidence-backed claims supported by citations from nursing literature, demonstrating research-informed argument
Key academic technique demonstrated
The paper uses structured comparison-and-contrast methodology to evaluate two competing frameworks. Rather than simply listing features, the author identifies specific dimensions of difference (organizational vs. individual focus, simplicity vs. comprehensiveness, education components) and uses these consistently across sections. This approach allows readers to understand not just what the models are, but why practitioners might choose one over another.
Structure breakdown
The essay follows a problem-to-recommendation arc: introduction of Model 1, introduction of Model 2, detailed comparison, critical evaluation of strengths and limitations, and a concluding recommendation with supporting rationale. This progression mirrors how a practicing clinician would approach model selection—first learning the options, then comparing them systematically, then making a context-specific choice.
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 first decision concerns whether a particular problem is a priority to an organization, and the second decision considers whether the available evidence is adequate to support a change in practice. After conducting a pilot of the proposed change based on available evidence, subsequent decisions are made regarding whether to adopt it, which is followed by frequent evaluations (Schaffer, Sandau and Diedrick, 2013).
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