Evidence-based practice inquiry

Research Utilization Model

Student Name__________________________

Name of Model:

Iowa Model of Evidence-Based Practice to Promote Quality Care

Citation: (Ciliska et al., 2011, pp. 251-254).

Research Question / PICO(T)

In individuals undergoing elective total joint arthroplasty, how does preoperative placement of indwelling urinary catheters versus postoperative intermittent urinary catheterization affect urinary tract infections postoperatively?

Explanation of model and application to research question/ literature review paper

The Iowa Model of Evidence-Based Practice to Promote Quality Care (Ciliska et al., 2011, pp. 251-254) begins by formation of an evidenced based practice question. Then individuals from all departments or areas that may be impacted are gathered as a panel. The evidenced based question guides the panel’s review of the current literature. Based on those findings, recommendations are made to implement a change in practice (Ciliska et al., 2011, pp. 251-254). In gathering a panel and jointly formulating recommendations, all departments and areas are able to have a voice. This process helps develop ownership in the practice change and ensures a continuum of investment by the group in the process. Once a recommendation for change is reached, a pilot for change is initiated (Ciliska et al., 2011, pp. 251-254). Strengths and weaknesses of the recommended change are noted during the pilot. These findings are brought back to the original panel when the pilot is finished for evaluation. According to Ciliska et al. (2011), the panel reviews the findings and decides how to enact the change system wide if the pilot was successful. The panel can modify the change and send it back into another pilot if the findings were mixed. Rejection of the findings can also be a result of the pilot, which will begin the process over from the literature review and choosing a different practice change (Ciliska et al., 2011, pp. 251-254).

The research review will use the above evidence-based question in conjunction with the Iowa Model of Evidence-Based Practice to Promote Quality Care to guide the nursing practice change. The proposed panel should consist of representation from the surgical care ward, the post-anesthesia care unit, the intra-operative nurses and the orthopedic surgeons. The research included in this paper will provide the foundation for the panel to make recommendations to answer the research question and formulate an evidenced based practice change.

Reference

Ciliska, D., DiCenso, A., Melnyk, B.M., Fineout-Overholt, E., Stetler, C., Cullen, L., Larrabee, J.H., Schultz, A.A., Rycroft-Malone, J., Newhouse, R.P., & Dang, D. (2011). Models to guide evidence-based practice. In H. Surrena (Ed). Evidence-based practice in nursing & healthcare: a guide to best practice (2nd ed.). (pp. 251-254). Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins