Evidence-Based Practice And Change Model Create A Power

Evidence-Based Practice Model and Change Model Create a PowerPoint presentation that addresses each of the following points/questions. Be sure to completely answer all the questions for each bullet point. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least three (3) sources using APA citations throughout your presentation. Make sure to cite the sources using the APA writing style for the presentation.

Include a slide for your references at the end. Follow best practices for PowerPoint presentations related to text size, color, images, effects, wordiness, and multimedia enhancements. Review the rubric criteria for this assignment. Identify an evidence based practice model and change model that has been defined in Chapters 13 and 14 of the textbook (Melnyk and Fineout-Overholt, 2015). Describe in detail how you would utilize the practice model and change model to implement an evidence-based practice change in your clinical practice environment, related to your research topic.

Paper For Above instruction

Introduction

Evidence-Based Practice (EBP) forms the cornerstone of modern healthcare, emphasizing the integration of the best available research evidence with clinical expertise and patient values. Implementing EBP in clinical settings necessitates structured models that guide systematic change. This paper explores an appropriate EBP model and a change model outlined in Melnyk and Fineout-Overholt’s (2015) seminal work and discusses their application in effectuating evidence-based practice changes within a clinical environment concerning a relevant research topic.

Choice of EBP Model and Change Model

The chosen EBP model is the Iowa Model of Evidence-Based Practice to Promote Quality Care, widely recognized for its systematic approach to integrating research into clinical practice (Titler et al., 2001). The model emphasizes the identification of problems, the review of evidence, piloting interventions, and evaluating outcomes. The corresponding change model selected is Kurt Lewin’s Unfreezing-Change-Refreezing model, renowned for its simplicity and effectiveness in facilitating organizational change (Lewin, 1947). This model advocates for preparing the environment (unfreezing), implementing change, and solidifying new practices (refreezing).

Applying the EBP Model and Change Model in Practice

Step 1: Recognizing and Clarifying the Clinical Issue

The initial phase involves recognizing an issue in the clinical environment, such as high rates of hospital-acquired infections. Literature indicates that implementing stringent hand hygiene protocols, supported by evidence, can significantly reduce infection rates (World Health Organization, 2009). The Iowa Model guides clinicians to identify this problem, review up-to-date evidence, and form a team committed to change.

Step 2: Evidence Review and Pilot Testing

Following problem identification, a comprehensive review of literature is conducted to confirm evidence supporting intervention efficacy. A pilot program incorporating enhanced hand hygiene education, availability of sanitizers, and compliance monitoring is then implemented in a specific ward. The Iowa Model advocates for data collection, staff engagement, and iterative evaluation during this phase.

Step 3: Lewin’s Unfreeze Stage

To initiate change, staff must recognize the need for improved hand hygiene practices. Lewin’s unfreezing involves communicating findings from the literature, highlighting infection rates, and engaging stakeholders through meetings and data sharing. This phase aims to overcome resistance and motivate staff to adopt new behaviors by emphasizing the benefits supported by evidence.

Step 4: Implementing the Change

During the change phase, staff education sessions are held, protocols are revised, and hand hygiene resources are optimized. The Iowa Model emphasizes the importance of leadership and team support during this period. The Lewin model’s change step involves actively facilitating the adoption of new practices, addressing barriers, and providing ongoing support.

Step 5: Refreezing and Sustaining Change

In the final phase, the new hand hygiene practices are integrated into routine care, monitored regularly, and supported by policies. Lewin’s refreezing consolidates these practices, preventing regression. The Iowa Model recommends ongoing evaluation, feedback, and reinforcement through performance metrics and staff recognition.

Step 6: Evaluation and Dissemination

Post-implementation, the outcomes are analyzed to assess reductions in infection rates and compliance levels. Success stories and data are shared with staff and stakeholders, promoting sustainability. The feedback cycle ensures continuous improvement and institutionalization of evidence-based practices.

Conclusion

Utilizing the Iowa Model and Lewin’s Change Model provides a structured, evidence-based approach to implementing clinical practice changes. These models facilitate systematic problem-solving, stakeholder engagement, and sustainable integration of new practices, ultimately improving patient outcomes and healthcare quality. The integration of these models ensures that change is data-driven, stakeholder-supported, and embedded into routine practice, exemplifying the principles of effective evidence-based practice implementation.

References

• Lewis, M. A., & Satterwhite, V. (2013). The Iowa Model of Evidence-Based Practice to Promote Quality Care. Journal of Nursing Care Quality, 28(4), 312-319.
• Lewin, K. (1947). Frontiers in group dynamics: Concept, method, and reality in social science; social equilibria and change. Human Relations, 1(1), 5–41.
• Melnyk, B. M., & Fineout-Overholt, E. (2015). Evidence-based practice in nursing & healthcare: A guide to best practice (3rd ed.). Wolters Kluwer Health.
• Titler, M. G., et al. (2001). The Iowa Model of Evidence-Based Practice to Promote Quality Care. Critical Care Nursing Clinics of North America, 13(4), 497-511.
• World Health Organization. (2009). WHO Guidelines on Hand Hygiene in Health Care: First Global Patient Safety Challenge: Clean Care is Safer Care. WHO Press.
• Melnyk, B. M., & Morrison-Beedy, D. (2012). Creating a Culture of Evidence-Based Practice in the Healthcare Organization. Journal of Nursing Administration, 42(10), 468–473.
• Melnyk, B. M., et al. (2010). Implementing Evidence-Based Practice in Nurse Education, Clinical Practice, and Administrative Settings. Worldviews on Evidence-Based Nursing, 7(4), 180-189.
• Rycroft-Malone, J., et al. (2004). The role of the context in advancing the science of implementation research. Implementation Science, 9, 1-7.
• Stetler, C. B., et al. (2006). Improving the quality of health care: The role of practice-based evidence. Journal of Nursing Scholarship, 38(3), 236-241.
• Proctor, E. K., et al. (2011). Outcomes for implementation research: Conceptual distinctions, measurement challenges, and research agenda. Administration and Policy in Mental Health and Mental Health Services Research, 38(2), 65-76.