Introduction
Evidence-based practice that extends the practitioner’s ability and the freedom to combine well-researched with the clinical endowment, client preferences, ethics, and the set of culture guides is an essential facet in the healthcare sector. Here, the affiliated individuals must have a superior grasp of the EBP outcomes and how to navigate through their results to make informed decisions in the delivery of treatment and the totality of clinical services. Theoretical frameworks are essential building blocks to EBP undertakings;-describing the activity, connecting the undertakings with its internal structure, and how the practice is intended to act. In the nursing profession, theoretical models are the basis through which the application of EBP workflows revolve. This write-up aims at analyzing the effectiveness of the Iowa Model of Evidence-Based Practice to Promote Quality Care. This essay will analyze the interprofessional team formation in the evidence review, critique, synthesis, and change evaluation exuded by the Iowa Model of Evidence-Based Practice to Promote Quality Care.
History of the Iowa Model of Evidence-Based Practice to Promote Quality Care
The Iowa Model of Evidence-Based Practice to Promote Quality Care was incepted at the University of Iowa Hospitals and Clinics in the ‘90s (Dolezel This model was primarily aimed at serving as a guide for the nurses to apply it in the research processes that were intended to improve patient care. This model was initially developed as a pathway to EBP. This implies that it was initially crafted to aid in identifying issues within the practice, research solutions, and implementing the necessary changes based on the identified issues.
PICOT Question
Does the implementation of the Iowa Model for patients admitted with mobility problems (P) in the emergency and recovery (I) department compared to normal procedures (C) improve the quality of care and attention that they receive (O) at the end of their hospital stay? (T).
Applications of the Iowa Model of Evidence-Based Practice to Promote Quality Care
The IOWA Model has vast applications that make it an effective framework for EBP activities. The model is excellently placed concerning the facet of coordination of the nursing activities. By aiding the nurses and the associated healthcare providers to translate research findings into clinical practice while improving patient outcomes, the model places itself on a high level of coordination ability (LoBiondo-Wood and Haber, 2021). Iowa model can also be applied to understand the dynamics involved in various patient situations due to its high success rate. This makes it possible to make decisions that will guarantee the best healthcare and clinical applications. Therefore, this means that the preceding healthcare procedures associated with the Iowa model are made in utter adherence to patient safety (Titler et al., 2021). Carrying out a quality assessment of the healthcare exposures of patients aids in documenting the quality levels of the healthcare that the patients receive. Various EBP analyzes show that strict adherence to clinical guidelines is one approach to fostering and bolstering quality. Therefore, the Iowa model, being directly focused on the quality of care received, is an excellent front for the patients to receive optimal care quality.
Assessing the effectiveness of the Iowa Model aids in aggregating and acquiring the necessary resources that are required to run healthcare facilities. By improving the quality of care, for instance, in preventing falls through monitoring and preventive measures, the model thus proves to be cost-saving (Chiwaula et al., 2021). The model also emphasizes greatly on patient engagement. The methods used to collect data, for instance, are collaborative and multi-step, which necessitates that patients have to respond. Analyzing various quality assessments must employ strict collaboration with the patients, all facets of the Iowa Model.
Pros and Cons of the Iowa Model
Several advantages precede the Iowa Model. First, the high collaboration level of the nurses and healthcare stakeholders in elucidating the level of quality creates a meaningful rapport between the parties. This eventually leads to clear action routes to the nurses and other clinicians about making informed choices. This is in the totality of the day-to-day engagements that affect patient outcomes, but this time was basing the decisions on quality enhancement. Besides, the Iowa Model is fundamentally a pragmatic multiphase change process with feedback loops that aid in accounting for various patient outcomes (LoBiondo-Wood and Haber., 2021). The model is also highly volatile and flexible;-based on the ease of use by various multidisciplinary healthcare teams. Besides, the model is an established framework that has been effectively applied to improve patient outcomes, enhance the totality of the nursing practice and monitor healthcare costs. However, it is essential to note that opting for the Iowa Model accedes the execution of empirical evidence to clinical practice.
However, the IOWA model is also clouded by several shortcomings. First, it necessitates that all individuals must work as a group. In cases where teamwork fails, the framework is prone to fail. Besides, the model is set in dire presets of evaluation. Therefore, a poorly executed evaluation process compromises the whole process (Chiwaula et al., 2021). Any EBP process is, in this case, a multi-step process that requires categorical and procedural execution. Besides, the steps involved in the model may prove to be time-consuming and require more resources, thus inflating the cost demands.
Ethical and Legal Standards of Iowa Model
Carrying out an EBP based on this model is supposed to be done through effective and accurate data collection processes. In a case, interview transcripts are, for instance, used, there should be proper handling of the data collected and identity protection (Chiwaula et al., 2021). Ethics approval and consent for participation in any surveys under the Iowa Model are required for the model. It is also legally binding to obtain permission from the University of Iowa and written consent supplied to all participants.
Barriers to Development of the Iowa Model
Among the downsides of the Iowa Model include the breakdown of outcomes between contextual and organizational factors in the implementation of science literature. This is because most nurses lack the necessary information to convert the research findings into their practice. This has led to limited practical guidance on best optimizing the evidence-based practice environment based on the Iowa Model (Titler et al., 2021). Besides, it is possible that the research results involved in the Iowa Model can change over time due to perspective change. This is because EBPs are mostly carried out using qualitative analyses. Additionally, the Iowa Model is carried out as a group undertaking. This, therefore, means that labor shortages caused by low numbers of nurses can seriously hinder the applications of EBP-based operations.
Conclusion
Various factors prove that EBP is a multifaceted process that requires a high level of coordination. For this specific research, the Iowa Model affects the set of EBP targets. This model, as illustrated, has several strengths that fundamentally stem from its ability to form working and meaningful rapports with patients through collaboration. Thus, it is an effective framework to apply in evidence-based practice.
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.
Dolezel, J., Zelenikova, R., Finotto, S., Mecugni, D., Patelarou, A., Panczyk, M., … & Jarosova, D. (2021). Core evidence‐based practice competencies and learning outcomes for European nurses: Consensus statements. Worldviews on Evidence‐Based Nursing.
LoBiondo-Wood, G., & Haber, J. (2021). Nursing Research E-Book: Methods and Critical Appraisal for Evidence-Based Practice. Elsevier Health Sciences.
Titler, M. G., Kleiber, C., Steelman, V. J., Rakel, B. A., Budreau, G., Everett, L. Q., … & Goode, C. J. (2001). The Iowa model of evidence-based practice to promote quality care. Critical care nursing clinics of North America, 13(4), 497-509.
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