Evidence-Based Practice Model and Change Model Essay

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Identify an evidence based practice model and change model that has been defined in Chapters 13 and 14 of the textbook (Melnyk and Fineout-Overholt, 2015). Describe in detail how you would utilize the practice model and change model to implement an evidence-based practice change in your clinical practice environment, related to your research topic.

Title Slide (1 slide)
Objective Slide (1 slide)
Identify an evidence-based practice model and change model that has been defined in Chapters 13 and 14 of the textbook (Melnyk and Fineout-Overholt, 2015). (2-3 slides).
Describe in detail how you would utilize the practice model and change model to implement an evidence-based practice change in your clinical practice environment, related to your research topic. (6-8 slides)
References (1 slide)
Assignment Expectations:

Length: 8-14 slides
Structure: Include a title slide, objective slide, content slides, reference slide in APA format. Title/Objective/Reference slides do not count towards the minimum slide count for this assignment.
References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of three (3) scholarly sources are required for this assignment.Evidence-Based Practice Model and Change Model Essay
Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

This table lists criteria and criteria group name in the first column. The first row lists level names and includes scores if the rubric uses a numeric scoring method.CriteriaDoes Not Meet 0%Approaches 60%Meets 70%Exceeds 100%Content Weight: 40%0 points

Article is not from a peer-reviewed journal. Analysis paper does not address assignment requirements.

24 points

Paper provides little detail and minimal analysis of the topic, lacks some of the requirements of the assignment.

28 points

Article is evaluated and provides sufficient attention to detail and analysis of the topic. Paper adequately addresses all of the requirements of the assignment.

40 points

In-depth analysis evident; outstanding clarity and explanation of concepts is demonstrated in information presented; approaches assignment with depth and breadth, without redundancy, using clear and focused details.Evidence-Based Practice Model and Change Model Essay

40 / 40Logic/Critical Thinking Weight: 25%0 points

Demonstrates little or no critical thinking for the claims and thoughts within paper; analysis is weak or illogical and is not supported by evidence.

15 points

Demonstrates some critical thinking although there is a lack of logical reasoning for the claims and thoughts within the paper; analysis may be superficial. Some evidence is not effective in revealing patterns, differences, or similarities.

17.5 points

Demonstrates critical thinking and logical reasoning for the analysis within the paper. Evidence reveals patterns, differences, or similarities in the articles.

25 points

Demonstrates exemplary use of critical thinking and logical reasoning for the analysis within the paper. Synthesizes evidence to reveal insightful patterns, differences, or similarities in the articles.

25 / 25Organization Weight: 15%0 points

Organization is confusing and interferes with reader’s ability to follow ideas. Weak or no introduction. Conclusion lacks a summary, or is missing or irrelevant.

9 points

Ideas are sometimes disorganized or irrelevant; flow is sometimes choppy. Basic introduction is presented in an uninteresting way. Conclusion contains basic summary without final concluding ideas, and/or may inappropriately introduce new information.

10.5 points

Structures ideas in a coherent, organized order that has good flow and an obvious framework. Proficient introduction that is interesting and states topic. Conclusion contains acceptable summary with credible concluding ideas and introduces no new information.Evidence-Based Practice Model and Change Model Essay

15 points

Exceptionally clear, logical, and sophisticated organization permitting smooth flow of ideas; introduction grabs interest of reader. Excellent concluding summary with succinct and precise ideas that impact reader.

Assignment: Evidence-Based Practice Proposal – Section E: Change Model
In 500-750 words (not including the title page and reference page), apply a change model to the implementation plan. Include the following:
1. Roger’s diffusion of innovation theory is a particularly good theoretical framework to apply to an EBP project. However, students may also choose to use change models, such as Duck’s change curve model or the transtheoretical model of behavioral change. Other conceptual models presented such as a utilization model (Stetler’s model) and EBP models (the Iowa model and ARCC model) can also be used as a framework for applying your evidence-based intervention in clinical practice.
2. Apply one of the above models and carry your implementation through each of the stages, phases, or steps identified in the chosen model.Evidence-Based Practice Model and Change Model Essay
3. In addition, create a conceptual model of the project. Although you will not be submitting the conceptual model you design in Topic 5 with the narrative, the conceptual model should be placed in the appendices for the final paper.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
Upon receiving feedback from the instructor, refine “Section E: Change Model” for your final submission. This will be a continuous process throughout the course for each section.


Theoretical approaches used in implementation science have three overarching aims: describing and/or guiding the process of translating research into practice (process models); understanding and/or explaining what influences implementation outcomes (determinant frameworks, classic theories, implementation theories); and evaluating implementation (evaluation frameworks).Evidence-Based Practice Model and Change Model Essay

This article proposes five categories of theoretical approaches to achieve three overarching aims. These categories are not always recognized as separate types of approaches in the literature. While there is overlap between some of the theories, models and frameworks, awareness of the differences is important to facilitate the selection of relevant approaches. Most determinant frameworks provide limited “how-to” support for carrying out implementation endeavours since the determinants usually are too generic to provide sufficient detail for guiding an implementation process. And while the relevance of addressing barriers and enablers to translating research into practice is mentioned in many process models, these models do not identify or systematically structure specific determinants associated with implementation success. Furthermore, process models recognize a temporal sequence of implementation endeavours, whereas determinant frameworks do not explicitly take a process perspective of implementation.

The purpose of this paper is to apply the Iowa model of behavior change to the implementation plan, discussing ways to reduce fall in the elderly with cognitive impairment in the long term facilities. Falls among elderly people are viewed a normal consequence of the aging process. The frequency of falls varies depending on the clinical setting. Fall incidence in acute care ranges from 2.3 -7 falls in every 1000 patient days. However the highest incidence of fall occurs in long-term-care institutions, like nursing homes. The falls occur whereby, about 50-73% of about 1.62million of nursing home patients experience a fall each year. Falls contribute a considerable percentage of u unintentional injury in elderly Americans, and also cause a considerable number of deaths. Therefore, it is important to find a way to reduce these falls (Harper, 2012).Evidence-Based Practice Model and Change Model Essay

The Iowa model of evidence provides an encouragement for staff nurses identify a problem and identify questions triggered by practice questions. This model helps nurses promote quality healthcare by making decisions that are central to patient care outcomes. This model can be useful for nurses to find ways of reducing fall in elderly people. This is because, once a healthcare facility views the elderly health as a priority in the organization it will form a team focused on developing, implementing and evaluating the practical change.

The team in this case will involve staff nurses who identified the practice question, advanced practice nurses and unit managers. Due to the fact that this model is evidence-based it enables nurses to use research evidence so as to ensure better patient outcomes and improve patient interactions. This will help them provide the best care possible to these patients. This is because; in the practice setting there is a challenge for nurses to provide their patients with the high quality measurable care (Loiselle, 2007). Nurses, therefore, need awareness on the introduction, development and evaluation of evidence-based practice. The Iowa model is a good starting point for this. The Iowa model consists of seven steps.Evidence-Based Practice Model and Change Model Essay

Step 2: Selection of a topic

Here, the magnitude of a problem and its priority has to be considered, and how it applies to every area of practice (Malone, 2010). In addition, how will healthcare improve with knowledge of this problem? Other factors to consider are the availability of evidence and data in solving the problem and how much the staff is committed to solving it. In the case of fall reduction, nurses have to understand that the falls are unexpected and occur without the patient’s expectation. The factors that increase the risk of fall include the use of high risk medications, intrinsic risks of vision, balance impairment or cognitive impairments. In addition, falls can be caused by extrinsic factors such as wearing of inappropriate footwear, poor lighting, and slippery and uneven places. Causes of fall include arrhythmia, focal muscular weakness, hypoglycemia, medication, orthostatic hypotension and syncope.Evidence-Based Practice Model and Change Model Essay

Step 2: Forming a team

In this stage, a team that is responsible for developing, implementing and evaluating the plan. The team should include all interested shareholders such as staff nurses and unit managers in this case. Specialist personnel in the fall will be useful at this stage to provide input and support, and give their views on the viability of a certain plan for counteracting the identified problem. Evidence based approach is best when initiated by the staff nurses themselves rather than the management. Senior nurses should help junior nurses to effect the desired change. The team draws policies, guidelines, and procedures that are written and evidence based.

Step 3: Evidence retrieval

Here, a brainstorming session is held to identify the resources that are available, and key terms that guide the evidence search. In the case of fall, the evidence can be sought from electronic databases such as Medline and Web of Science (Melnyk, 2005). Other sources include consultations with Quality Improvement and Innovation Partnership to provide guidelines for care standards that are relevant to caring for fall patients.Evidence-Based Practice Model and Change Model Essay

Step 4: Grading the evidence

In determining the evidence for the problem of fall, the selected team will need to classify collected research as either quantitative or qualitative. Qualitative data will help in understanding of the problem whereby focus is on describing and understanding of the problem. The theoretical development should be based on real experiences as experienced by the participants involved such as staff nurses and the fall patients.

Step5: Developing an evidence-based practice (EPB) standard

The team needs to set recommendations for practice based on the consistency of replicated studies. The chosen practice should center on the patient. In the case of fall, the practice should ensure that the risk of fall is reduced in these patients (Polit, 2008).Evidence-Based Practice Model and Change Model Essay

Step 6: Implementing EPB

The hospital management and the direct care providers such as nurses should directly interact to support the changes in the evidence-based plan.

Step 7: Evaluation

This stage is important because it reviews the contribution and value of evidence to reduction of fall. There is a need for comparison of data prior to the evidence to the data after using the evidence. This will show the contribution of evidence to patient care. Evidence-Based Practice Model and Change Model Essay

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