Evidence-Based Practice Proposal: Change Model

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Evidence-Based Practice Proposal – Section D: Change Model.

Roger\’s diffusion of innovation theory is a particularly good theoretical framework to apply to an EBP project. However, students may also choose to use change models, such as Duck\’s change curve model or the transtheoretical model of behavioral change. Other conceptual models, such as a utilization model (Stetler\’s model) and EBP models (the Iowa model and ARCC model) can also be used as a framework for applying your evidence-based proposal in clinical practice. Apply one of the above models and carry your implementation through each of the stages, phases, or steps identified in the chosen model.Evidence-Based Practice Proposal – Section D: Change Model.


In 500-750 words (not including the title page and references page), discuss applying one of the change models to the implementation plan:

Identify the selected model or theoretical framework and discuss its relevance to your project.
Discuss each of the stages in the change model/framework.
Describe how you would apply each stage in your proposed implementation.
In addition, create a conceptual model of the project. Although you will not be submitting the conceptual model you design in Topic 4 with the narrative, you will include the conceptual model in the appendices for the final paper.Evidence-Based Practice Proposal – Section D: Change Model.

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA 7th edition Style Guide, located in the Student Success Center. An abstract is not required.Evidence-Based Practice Proposal – Section D: Change Model.

Evidence-Based Practice Proposal – Section D: Change Model

Iowa Model of Evidence-Based Practice and Its Relevance to the Proposed Project

The Iowa EBP model is selected for the proposed EBP project.The model can help nurses and other healthcare practitioners convert research findings into clinical practice, thus boosting overall patient satisfaction and outcomes. This model is suitable for the proposed project since it emphasizes multidisciplinary collaboration among healthcare staff, change within an organization, and feedback from the implementation team (Buckwalter et al., 2017). Thus, this change model emphasizes the significance of integrating the entire healthcare system in the decision-making process.Evidence-Based Practice Proposal – Section D: Change Model.

The Stages in the Iowa Model

The model has seven stages that support the implementation of EBP in clinical practices. The first step of this change model involves the selection of a topic. Various factors are considered when selecting an EBP project(Iowa Model Collaborative, 2017). Some of these factors are the priority and magnitude of the clinical issue. Additionally, the implementation team considers applying the identified matterto all areas of the clinical practice. Its role in improving the quality of care will also be considered. The availability and accessibility of the data and evidence gathered in the problem will also be considered. Another critical factor to consider is the multidisciplinary nature of the issue. Finally, the commitment of healthcare staff will be considered.Evidence-Based Practice Proposal – Section D: Change Model.

Forming a team is the second stage of the Iowa Model. Team members are responsible for developing, implementing, and evaluating the proposed EBP project(Iowa Model Collaborative et al., 2017). The EBP project will determine the stakeholders who will be members of the implementation team. Specialist staff team members will assist the process of changing a particular area of clinical practice. These practitioners can provide the necessary input and support to enhance the implementation of the proposed EBP. EBP is likely to be successful if it is implemented byfrontline practitioners rather than organizational leadership.Evidence-Based Practice Proposal – Section D: Change Model. Additionally, the support of the staff is significant. Senior staff should support junior staff to effect the proposed change. Furthermore, management has a significant role in implementing the proposed EBP in a healthcare organization. The team will not have the authority to change clinical practices without managerial involvement and the necessary resources(White& Spruce,2015). Therefore, direct care providers should interact with the organization’s management, including nurse leaders, to enhance the proposed change’s success. The implementation of EBP at a particular care unit necessitates the team members to write evidence-based procedures, policies,and guidelines. Evidence-Based Practice Proposal – Section D: Change Model.

The third stage of this model involves the retrieval of the necessary evidence. The implementation team should hold a brainstorming session during the first two stages to determine the necessary sources and practical terms to guide them during the evidence search(Sharkawy& Abd El Hady, 2019). Electronic databases, including Cinahl, Cochrane, Medline,and Blackwell Synergy, should be utilized to retrieve the required information using key search terms

Grading the evidence is the fourth step of this change model. The strength of the body of evidence and individual search qualities form the basis of grading the evidence. The team members classify research as either qualitative or quantitative.Evidence-Based Practice Proposal – Section D: Change Model. The team gathers qualitative data to understand a particular phenomenon from a subjective perspective. On the contrary, the collection of quantitative data is guided by testing hypotheses and deduction. Merits of both data collection techniques are considered during the grading process. Although qualitative data enhance the team members’ understanding, information gathered through this technique has a high possibility of being biased. On the other hand, data collected through quantitative methods are unbiased and provides an objective picture of a particular phenomenon. However, data collected through this technique is less detailed; making team members miss some critical information.Evidence-Based Practice Proposal – Section D: Change Model.

The fifth step involves the development of an EBP standard. The standards will be set after criticizing the gathered literature(Sharkawy & Abd El Hady, 2019). Qualified literature is recommended for clinical practice. The sixth stage involves the implementation of EPB. The implementation process is guided by evidence-based procedures, policies, and guidelines. Additionally, key stakeholders, including the organization’s leaders, and the direct care providers, interact during the implementation process. Evaluation is the last stage of this change model. It involves assessing the value that the EBP has added to the clinical practice.Evidence-Based Practice Proposal – Section D: Change Model.

Application of the Stages of the Model to theImplementation of the proposed EBP

The seven stages of the model apply to the implementation of the proposed change in the healthcare organization. In the first step, selecting a topic will guide healthcare practitioners in selecting a clinical issue that needs to be addressed. In this case, clinicians will identify hypertensive among African Americans as the healthcare issue that needs to be addressed.Evidence-Based Practice Proposal – Section D: Change Model. The second stage will be applied in forming the implementation team from various key stakeholders, including nurse leaders and care providers. The third stage of the model will be applied in retrieving evidence that supports the use of Home-based blood pressure telemonitoring to improve blood pressure control among hypertensive African Americans. The fourth step will be applied to grade the gathered evidence.Evidence-Based Practice Proposal – Section D: Change Model. Furthermore, the implementation team will apply the fifth step of this change model to developan EBP standard. The implementation of the proposed project will be based on set standards. The sixth step will be applied during the implementation of Home-based blood pressure telemonitoring to improve blood pressure controlamong hypertensive African Americans. Finally, the evaluation step will be applied in assessing the effectiveness of Home-based blood pressure telemonitoring in improving blood pressure control among the selected patient population.Evidence-Based Practice Proposal – Section D: Change Model.