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.
Answer
In today’s healthcare climate, providing quality nursing care is crucial for promoting optimal patient outcomes. Evidence-based practice (EBP) is a foundational framework that supports the delivery of high-quality care by integrating the best available evidence, clinical expertise, and patient preferences. While EBP is widely recognized as essential, the challenge lies in identifying and utilizing the most reliable and up-to-date evidence to inform nursing practice. Nurses in advanced nursing roles have a responsibility to lead by using EBP and ensure that the care they provide is based on the best available evidence.
To address this challenge, several models have been developed to assist nurses in assessing and evaluating the evidence in EBP. One such model that aligns well with future advanced nursing roles is the Iowa Model of Evidence-Based Practice to Promote Quality Care. The Iowa Model is a widely used and well-established framework that provides a structured and systematic approach to translating research evidence into clinical practice.
The Iowa Model consists of six key steps: (1) identification of a clinical problem or area of concern, (2) collection and critical appraisal of evidence, (3) translation of evidence into practice recommendations, (4) integration of recommendations into practice, (5) evaluation of the implementation of recommendations, and (6) dissemination of findings and outcomes. This model emphasizes the importance of involving clinicians, nurse leaders, and other stakeholders throughout the process to ensure buy-in and effective implementation of evidence-based practice.
The rationale for selecting the Iowa Model for future advanced nursing roles is multi-fold. Firstly, the Iowa Model is rooted in a rigorous research process and has been extensively validated and tested in various clinical settings. This empirical evidence supports its reliability and validity, making it a robust and credible model for evidence appraisal.
Secondly, the Iowa Model promotes a collaborative and interdisciplinary approach to evidence-based practice. As advanced practice nurses often work in interdisciplinary teams and have leadership responsibilities, utilizing a model that encourages collaboration and engagement of various stakeholders is essential for achieving successful implementation and sustainability of evidence-based interventions.
An example of how the Iowa Model has been used in advanced nursing practice can be observed in the field of oncology nursing. In a study conducted by Fruth et al. (2016), the Iowa Model was used to guide the implementation of a standardized end-of-life care protocol for patients with advanced cancer. The researchers identified the clinical problem of inconsistent end-of-life care practices, which negatively impacted patient and family experiences. Using the Iowa Model, the team collected and critically appraised evidence related to end-of-life care interventions and developed practice recommendations.
The team then collaborated with interdisciplinary stakeholders, including physicians, nurses, social workers, and chaplains, to integrate the recommendations into practice. The implementation phase involved education and training for healthcare providers, as well as ongoing monitoring and evaluation to assess the impact of the standardized protocol. The findings of the study demonstrated improved patient and family experiences in end-of-life care, highlighting the effectiveness of the Iowa Model in guiding evidence implementation in advanced nursing practice.
In conclusion, nurses in advanced nursing roles play a crucial role in leading by utilizing evidence-based practice. The Iowa Model of Evidence-Based Practice to Promote Quality Care is a valuable framework that aligns well with the responsibilities of advanced practice nurses. This model provides a systematic approach to identifying, appraising, translating, integrating, evaluating, and disseminating evidence in practice. Its emphasis on collaboration and involvement of various stakeholders makes it an effective tool for implementing evidence-based interventions. Through the application of the Iowa Model, advanced practice nurses can contribute to the enhancement of nursing practice and ultimately improve patient outcomes.
