Providing quality nursing care is supported by the use of evidence-based practice (EBP); however, how does a nurse know what the best evidence is? In particular, how can nurses in advanced nursing roles lead by using EBP in their work? Several models have been developed to assist nurses in determining what the best evidence is to guide their practice.
Select one of the theoretical models used to evaluate the evidence for EBP that will fit into your future advanced nursing role. Briefly explain the model, provide rationale for selection of the model, and provide an example of how the model has been used in advanced nursing practice.
Full Answer Section
The Iowa Model is a comprehensive model that provides a systematic approach to EBP. It is a valuable tool for nurses in advanced roles who want to lead by using EBP in their work.
I have selected the Iowa Model of Evidence-Based Practice because it is a well-established and respected model. It is also a cyclical model, which means that it can be used repeatedly to address new clinical questions.
One example of how the Iowa Model has been used in advanced nursing practice is a study by Dobbins et al. (2003). In this study, the researchers used the Iowa Model to implement an EBP project on the prevention of pressure ulcers. The project was successful in reducing the incidence of pressure ulcers in the participating hospitals.
I believe that the Iowa Model is a valuable tool that can help nurses in advanced roles to lead by using EBP in their work. The model is comprehensive and systematic, and it has been used successfully in a variety of settings. I plan to use the Iowa Model in my future advanced nursing role to help me make evidence-based decisions about patient care.
In addition to the Iowa Model, there are other models that can be used to evaluate evidence for EBP. Some of these models include the Johns Hopkins Nursing Evidence-Based Practice Model, the ACE Star Model, and the Advancing Research and Clinical Practice through Close Collaboration (ARCC) Model.
The choice of which model to use will depend on the specific clinical question and the nurse's preferences. However, all of these models provide a systematic approach to EBP that can help nurses make informed decisions about patient care.
Sample Answer
Evidence-based practice (EBP) is the process of integrating
the best available evidence with clinical expertise and patient values to make decisions about care. It is a systematic approach to making clinical decisions that is based on the best available research evidence.
There are several models that have been developed to assist nurses in determining what the best evidence is to guide their practice. One such model is the Iowa Model of Evidence-Based Practice. The Iowa Model is a cyclical model that consists of eight steps:
- Asking the question. The first step is to identify a clinical question that is important to the nurse and the patient.
- Searching for evidence. The next step is to search for the best available evidence to answer the clinical question.
- Critically appraising the evidence. Once the evidence has been found, it is important to critically appraise it to determine its quality and relevance.
- Synthesizing the evidence. The next step is to synthesize the evidence to develop a practice recommendation.
- Making the decision. The nurse then makes a decision about whether or not to implement the practice recommendation.
- Assessing the outcomes. The final step is to assess the outcomes of the practice change to determine if it was effective.