How to utilize/exploit existing implementation models of evidence-based nursing?
The impact of EBN on nursing and patient outcomes is evident. Many organisations have developed practices and utilized models to increase the effectiveness and efficiency of interventions while reducing costs and safety risks. There is a lot of evidenced-based information and different implementation models can be used to support its deployment. Many new models for EBN implementation are currently being developed, a significant number of them have been developed in the United States.
MODELS AND FRAMEWORKS FOR IMPLEMENTING EVIDENCE- BASED PRACTICE: LINKING EVIDENCE TO ACTION
Below are listed some common models of the evidence-based practice process:
- Advancing research and clinical practice through close collaboration (ARRC) model
- Diffusion of innovations theory
- Framework for adopting of evidence based innovation
- Iowa model of research in practice
- Johns Hopkins nursing EBP model
- Ottawa model of research use
- Promoting action on research implementation in health services (PARIHS) model
- Stetler model of research utilization
In recent years, nurse scientists have developed several EBP models to help demystify the process of translating research into clinical practice. Although the models include varying levels of detail, they share the following basic phases of the EBP process.
- Ask: Identify a clinical problem.
- Search: Review relevant literature.
- Appraise: Critically appraise evidence.
- Implement: Evaluate the need for practice change and potential implementation.
- Evaluate: Evaluate outcomes.
Organizations must adopt the EBP model that best fits their context of care, aligns with improvement goals, addresses priority clinical problems, and guides a systematic and evaluative approach to collaborative practice change.
When implementing EBN into clinical practice, the use of EBN implementation models is recommended. In implementation, it is important to apply models to local practices.