Evidence-Based Practice Model and Change Model

This presentation provides an overview of evidence-based practice models and change models in clinical practice. It explains the concept of evidence-based practice, identifies different types of models, and discusses their utilization in clinical practice. The presentation also explores the implementation of evidence-based practice models and change models in delivering effective care and addressing clinical problems. Additionally, it discusses various change models and their application in introducing change in a system. Overall, the presentation aims to provide a comprehensive understanding of evidence-based practice models and change models in clinical 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

Trans-theoritical model of health behavior
change contd.
 Preparation: the person
plans to initiate action in
next 30 days (Al-Haddad &
Kotnour, 2015)
 Action: individual has
already made the changes
less than 6 months
 Maintenance: changes were
made for more than 6 months

Implementation of change model in clinical practice
 Makes healthcare practitioners ready to adopt the
new change to implement guidelines
 Helps to overcome barriers while implementing
EBP
 Determination of the targets of interventions
(Prochaska et al. 2015)
 Enable individuals processing guideline
implementation to target groups efficiently
 Formulate theoretical framework assisting in
selecting accurate guideline of dissemination
strategies

 There is a requirement of framework that aids application of theoretical
concepts incorporating evidence based implementation and interventions.
 There are strategies that help the clinical practitioner to target behavioral
change associated factors.
 The main motto of learning the evidence based model and change model
is to uptake solutions that will be initiated to bring the change in behavior.
There has to be strong support from the entire system to support the
changes.
Conclusion

 Al-Haddad, S., &Kotnour, T. (2015).Integrating the
organizational change literature: a model for successful
change. Journal of Organizational Change
Management, 28(2), 234-262.
 Buckwalter, K. C., Cullen, L., Hanrahan, K., Kleiber, C.,
McCarthy, A. M., ...& Authored on behalf of the Iowa
Model Collaborative. (2017). Iowa model of evidence‐
based practice: Revisions and validation. Worldviews on
Evidence‐Based Nursing, 14(3), 175-182.
Reference list

 Prochaska, J. O., Redding, C. A., & Evers, K. E.
(2015).The transtheoretical model and stages of
change. Health behavior: Theory, research, and
practice, 125-148.
 Wilson, M., Ice, S., Nakashima, C. Y., Cox, L. A.,
Morse, E. C., Philip, G., &Vuong, E. (2015). Striving
for evidence-based practice innovations through a
hybrid model journal club: A pilot study. Nurse
education today, 35(5), 657-662.
Reference list
contd.