Discussion Post Week 4
A conceptual framework that can guide EBP change is the Iowa model. According to Hanrahan et al. (2019), Iowa Model is based on a triggers approach to initiate EBP inquiry. The triggers can either focus on solving an existing problem or aim at creating new knowledge. EBP change can be pursued by following 6 steps of the subject model. The first step of the model involves identifying a trigger that generates the need for change within the clinical setting. Such triggers may be in the organization’s processes or systems used. The next step is to assess the priority of the identified triggers. Depending on the needs of the organization and the dangers posed to patients and healthcare workers, one trigger may need immediate address than another. The third step involves the identification of stakeholders and teams that can help to solve the problem identified by the triggers. The interests of the teams and stakeholders would be addressed in line with the impending change. The fourth step involves evaluating the level and quality of evidence available to recommend change. Evaluation of evidence may include researching where possible. After evaluating the evidence and confirming its reliability, the next process is to implement the change in a pilot fashion. Pilot implementation implies the implementation of the change to run alongside the existing processes. The final step in Iowa Model is to appraise the success of the pilot change and implement it into practice.
An information technology that can be used with Iowa Model to manage and protect data is a computerized decision support system (CDSS). CDSS is an ideal information technology for implementing change since it can analyze large data sets and identify areas of weaknesses requiring change alongside relevant interventions (Kwan et al., 2020). Intelligent CDSS would autonomously identify and troubleshoot issues beyond human capabilities in the shortest time possible to make the decision-making process for change faster and free human errors.
References
Hanrahan, K., Fowler, C., & McCarthy, A. M. (2019). Iowa Model revised: Research and evidence-based practice application. Journal of pediatric nursing, 48, 121-122. https://doi.org/10.1016/j.pedn.2019.04.023
Kwan, J. L., Lo, L., Ferguson, J., Goldberg, H., Diaz-Martinez, J. P., Tomlinson, G., Grimshaw, J.M. & Shojania, K. G. (2020). Computerised clinical decision support systems and absolute improvements in care: Meta-analysis of controlled clinical trials. BMJ, 370, m3216. http://dx.doi.org/10.1136/bmj.m3216
