The Stetler Model of Research Utilization and the Iowa Model of Evidence-based Practice are two approaches for encouraging the utilization of research findings in clinical practice. The Stetler Model outlines essential aspects in the process, such as problem identification, evidence search, and solution implementation, and focuses on the individual and organizational elements that influence research evidence adoption.
The Iowa Model, on the other hand, includes phases such as assessment, diagnosis, outcome identification, planning, implementation, and evaluation and emphasizes the multidisciplinary team’s engagement in evidence-based procedures (Chiwaula et al., 2021). Because both models provide a rigorous and systematic strategy for supporting the adoption of research findings in clinical practice, they complement one another.
The Stetler Model focuses on a rigorous approach to EBP that includes evaluation, planning, execution, assessment, and integration. The paradigm emphasizes the importance of physicians critically analyzing research findings and determining their relevance and appropriateness to their specific practice. In the given scenario, the Stetler Model would be used to critically examine existing research on surgical time-out treatments and decide how best to put the findings into practice.
On the other hand, Lowa Model has been used to emphasize the importance of collaboration in relation to teamwork during the EBP processes (Kawar et al., 2023). This has been associated with various steps that comprise reinvention, evaluation, application, assessment, integration, appraisal, and dissemination. This has also highlighted the importance of considering the context in the evidence gained and recorded in the resources involved. Concerning the scenario above, the Lowa Model can be used to engage the nursing patient with the processes that incorporate the evidence on surgical procedures that have been put in place.
The pragmatic issue might be solved by combining the two models that are complementary to one another. The Stetler Approach supports the team in ensuring that the material is evaluated and pertinent to the activity, although the Iowa Model offers a platform for collaboration and deployment.
The Iowa Model, in contrast, places a strong emphasis on the value of collaboration and teamwork in the EBP process. Assessment, appraisal, application, dissemination, evaluation, integration, and innovation are the seven phases of this process. The method also emphasizes how crucial it is to take patients, practitioners, and the availability of resources into account when deciding how to use the available data. In the preconceived ideas, the investigation of surgical time-out techniques would be implemented by involving patients, surgeons, and care professionals through the Iowa Model.
As a result, educational planning efforts, using instructional materials, and ensuring that patients and staff are kept informed may be required. There are several scenarios where data collection, analysis, application, and distribution could occur. Using data, the team may successfully integrate doctors, patients, and nurse practitioners using the Lowa Model. These companies can then use the information gathered to enhance technology influenced by the therapy outcomes noted in their records (Grove et al., 2019). The Quality Care and Outcomes Team may modify these tried-and-true procedures, and their effectiveness will be evaluated. Data collection, processing, and utilization can occur in various scenarios (CHRISTOPHER & OZTURK, 2022).
To evaluate and monitor the consequences of the modifications, the team should track the documentation of surgical time-out operations and patient outcomes. They might also conduct surveys and solicit feedback from employees and patients to assess the success of the modifications.
In about six months to a year, the practice in the problematic region is expected to improve significantly, with a higher percentage of comprehensive and correct documented postoperative time-out operations. As a result, health outcomes and safety would increase.
Various barriers have evolved related to connecting research to practices, including inadequate resources and time. The lack of EBP understanding and resistance to change has also been termed as one of the various aspects that have arisen in the recent past. The EBP for the Quality Care and Outcomes Team could play an essential role through the continuous evaluation and monitoring of the impact of the changes (López‐Medina et al., 2022).
In conclusion, the Lowa Model and the Stetler Model can be incorporated to address the problems related to inadequate documentation.
References
Chiwaula, C. H., Kanjakaya, P., Chipeta, D., Chikatipwa, A., Kalimbuka, T., Zyambo, L., … & Jere, D. L. (2021). Introducing evidence based practice in nursing care delivery, utilizing the Iowa model in intensive care unit at Kamuzu Central Hospital, Malawi. International Journal of Africa Nursing Sciences, 14, 100272.
Kawar, L. N., Aquino-Maneja, E. M., Failla, K. R., Flores, S. L., & Squier, V. R. (2023). Research, Evidence-Based Practice, and Quality Improvement Simplified. The Journal of Continuing Education in Nursing, 54(1), 40-48.
Grove, S. K., Gray, J. R., & Faan, P. R. (2019). Understanding Nursing Research: First South Asia Edition, E-Book: Building an Evidence-Based Practice. Elsevier India.
CHRISTOPHER, G. O., & OZTURK, C. (2022). LINKING EVIDENCE TO ACTION: INTEGRATION OF EVIDENCE-BASED PRACTICE IN PEDIATRIC NURSING. Theory and Research in Health Sciences.
López‐Medina, I. M., Sáchez‐García, I., García‐Fernández, F. P., & Pancorbo‐Hidalgo, P. L. (2022). Nurses and ward managers’ perceptions of leadership in the evidence‐based practice: A qualitative study. Journal of Nursing Management, 30(1), 135-143.
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