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IOWA Model of Evidence-Based Practice. Identify the trigger where an EBP change is warranted. This can be either a knowledge-focus trigger or a problem-focus trigger. Determine if the problem at hand is a priority for the organization, practice, department, or unit.
Since publication in 2017, the Iowa Model Revised has been one of Worldviews on Evidence-Based Nursing's top downloaded articles. As such, it has demonstrated wide popularity, withstood the test of time, and most importantly has proven useful for making and sustaining EBP change.
The purpose of the Iowa Model is to serve both as a heuristic device and as a framework for articulating knowledge for nursing administration research, practice, and education.
It comprises of the five steps namely: identify the problem or triggers; select, appraise, critique and synthesize relevant research; design, plan and pilot evidence-based change in practice; integrate and sustain change and disseminate the results as shown in Fig.
A problem-focused trigger could be a clinical problem, or a risk management issue; knowledge triggers might be new research findings or a new practice guideline. In the Iowa model, it is important for the NP to consider if the issue identified is a priority problem for the organization.
The first step in the Iowa Model of EBP is to identify either a problem-focused trigger or a knowledge-focused trigger that will initiate the need for change. A problem-focused trigger could be a clinical problem, or a risk management issue; knowledge triggers might be new research findings or a new practice guideline.
An example of the Iowa ModelIs there sufficient evidence to change practice?Are the findings consistent across studies?Are the type and quality of findings sufficient?Is there clinical relevance?Are these findings appropriate for your patient population?Is the clinical change feasible?More items...?
Assumptions implicit in the model include the following: (a) Working as a group or team is an important part of applying evidence in practice; (b) evaluation is an essential part of EBP; and (c) EBP is a process, not an event, that requires multiple steps to align clinician behavior and system support for delivery of