Evidence-Based Practice and Change Models in Healthcare

This report provides a comprehensive overview of evidence-based practice (EBP) and change models, crucial for healthcare professionals. It begins by defining EBP and its significance in prioritizing patient values and clinician expertise. The report then explores various EBP models, including the Johns Hopkins EBP nursing model and the Settler and Iowa models, detailing their application in clinical settings. Furthermore, it examines change models such as the change curve model, Kotter and Cohen’s model, and the transtheoretical model of health behavior change, highlighting their role in implementing changes within healthcare systems. The report emphasizes the importance of these models in delivering effective patient care, formulating solutions to clinical problems, and overcoming barriers to implementing EBP. It concludes by underscoring the need for a supportive framework to facilitate the integration of theoretical concepts with evidence-based interventions and behavioral change strategies. The report references key studies and models to support its findings, providing a valuable resource for healthcare practitioners seeking to improve their practice.

Evidence-Based Practice Model and Change Model

 A conscientious practice of problem solving with incorporation
of the available evidence in clinical practice is known as
evidence based practice.
 The practice aims at quality care of the patient through
prioritizing patient values, clinician’s expertise and coordinated
decision of the healthcare professionals.
 Evidence based practice can be applied by a clinician or a
nurse.
Introduction

Objectives
 To understand the concept
of evidence based practice
 To identify different types
EVP models and change
models
 To understand the
utilization of the models
in clinical practice

EBP model in clinical practice
 Johns Hopkins EBP nursing model
 EBP model supports implementation of best
available resources by nurses while making
nursing care plan
 The model identifies practice questions that
are raised after researching evidences such as
journals, summaries, critiques (Wilsonet al.
2015)
 The evidences are transformed into practice
through clinical approach

 The settler model of EBP includes 5 phases.
 Preparation phase identifies the context, purpose and evidence source
 Validation phase access evidence credibility along with its clinical
significance
 The decision making phase synthesize evidence an recommendation for
implementing
 The translation phase develops strategies for the implementation
 Last phase deals with evaluating the results
Settler model

Iowa model
 Determines whether the issue is of
organizational priority (Buckwalteret
al. 2017)
 The practitioner selects, evaluates,
reviews and synthesize the available
evidences
 The healthcare practitioner pilots the
chance in practice

Implementation of EVP model in clinical practice
 Delivering the effective care as per clinical
condition of patient
 Formulate any solution to a clinical problem
 Participates in decision making of selecting the
appropriate evidence
 Exploring patient’s preference
 Identification of stakeholders who will assist in
the change process
 Perform high quality research addressing a
problem
 Addressing potential barriers
 Evaluation of activities and impact that will
sustain the change and measure the resultant
outcome

Change model
 Change models are developed
for the purpose of introducing
a change in a system helping
in planning strategy to modify
goals and vision. A few
change models are discussed.

 Applicable for organizations (Prochaska et al. 2015)
 Involves either individual or group activity change
 Fundamental change takes place in presence of
strong leader change becomes complicated as more
number of person are involved
Change curve model

 Very effective model , Includes 8 steps of change
 Sense of urgency: during complacement create an
emotion feeling
 Team formation: selects skilled and knowledgeable
members to invite opinion.
 Develop vision: a vision is developed within
stipulated time.
Kotter and Cohen’s model of change

Kotter and Cohen’s model of change
contd.
 Communicating: the vision
is communicated to build
strategies to bring the change.
 Empowerment: barriers are
removed that comes along the
way of change
 Interim success: establishes
success for short term
 The last two steps include
ongoing persistence and
nourishment

 Applicable for changes in organization as well as
health behaviors
 Stages include: Pre-contemplation: when
individual does not initiate the change in next 6
months
 Contemplation: Individual tends to take any action
within 6 months
Trans-theoritical model of health behavior change