Implementing the Iowa Model for Asthma Prevention

This assignment details the implementation of the Iowa Model of Evidence-Based Practice (EBP) to address asthma prevention in a school setting. It focuses on a chosen topic, 'School Based Intervention in Asthma Prevention,' within Harris Health System. The assignment outlines the steps involved in the Iowa Model, including identifying the problem, prioritizing it based on cost and impact, forming an interdisciplinary team, conducting a literature review using the PICOT method, critically evaluating research articles, and ultimately implementing a pilot practice change to reduce asthma-related healthcare visits among schoolchildren.

Running head: EBP MODEL
Evidence Based Practice Model
Name of the Student
Name of the University
Author Note

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EBP MODEL
Chosen Model: The Iowa Model of Evidence-Based Practice (EBP)
Chosen Organization: Harris Health System
Chosen Topic: School Based Intervention in Asthma Prevention
Evidence-based Practice (EBP) improves the quality of patient care and assist in
controlling the escalating healthcare costs. Iowa Model is an evidence based research model
that assists the nurses and the other healthcare professionals to translate the research findings
into clinical practice and thereby improving the overall health outcome (Brown, 2014).
Figure: the Iowa model of evidence based practice to promote quality care
(Source: Brown, 2014)
The first step of the model is to identify a problem that can be resolved via EBP.
Then the problem is specifically selected from the risk management data or identification of

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EBP MODEL
the patient’s problem. In this study, the asthmatic problems that are associated with the
schoolchildren are selected for the EBP on the basis of the identification of the clinical
problems (Sleath et al., 2014). The next step is determination step where the chronicity of the
problem is determined based on its occurrence. The problems, which have higher cost, are
given higher priority. Like in this case, the anti-inflammatory medications that are used to
treat asthma are too costly for the poor and minority families (Blaakman, Cohen, Fagnano &
Halterman, 2014). Once the priority has been determined, the next step deals with proper
evaluation and implementation of the EBP change. The composition of the team will be
framed according to the need of the problem. The team must also consist of stakeholders
residing outside the healthcare or nursing unit. In this study, the team has been framed with
the registered nurses along with the schoolteachers who reside outside the bracket of the
healthcare professionals.
After the formation of the team, the next step is collection of relevant research paper
related to the desired theme of practice change. This step is also a crucial, cannot be avoided
in any occasion, and involves framing of a good question via the application of PICOT
method. The results generated from the PICOT method will be useful in conducting the
literature search. In this case study, the PICOT question is, Does effective school-based
interventions, in comparison to present practices, decrease the rate of frequent visits by the
paediatric population presenting with asthma to the healthcare clinic by more than 10%
within six months?
After gathering of the available literatures, critically analysis of the article follows in
order to determine the relevancy of the study and the intervention. Not every article published
with the relevant keywords has the desired outcome or qualifies with the required scientific
merit. In this case, the selection of the articles are based on certain inclusion and exclusion
criterion.

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EBP MODEL
Exclusion Criteria Inclusion Criteria
Reviews Asthma intervention
Reports Conducted in primary and elementary school
Conducted in location other than schools Targeted school children with asthma, parents of
the affected school children, school nurses,
school teachers and combination of these groups
Targeted different age group Studies with a focus group of 50 or more students
Articles dealing with study of the asthma drug
Articles with asthma diagnosis
Articles which study cost benefit associated with
asthma
Source: Created by author
After the critical evaluation of the articles, the team where the majority must be
nursing professionals must sit together. They must discuss and then come to a conclusion
regarding whether there are relevant research articles selected for the study has significant
information and matches all the criteria of the research. If the criterions are meet then the
pilot practice must be initiated. However, if adequate research studies are absent then
initiatives must be taken for actual research study. Here the adequate data are gathered from
the research articles, which lead to the successful implementation of the plan. Next step is the
implementation of the plan into the pilot practice change. If the intervention is found to be
successful then it must be applies to the selected organization. So the appropriate information
is utilized to control asthma in school-based interventions.

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EBP MODEL
References
Blaakman, S. W., Cohen, A., Fagnano, M., &Halterman, J. S. (2014). Asthma medication
adherence among urban teens: A qualitative analysis of barriers, facilitators and
experiences with school-based care. Journal of Asthma, 51(5), 522-529.
Brown, C. G. (2014). The Iowa Model of Evidence-Based Practice to Promote Quality Care:
An Illustrated Example in Oncology Nursing. Clinical journal of oncology
nursing, 18(2).
Sleath, B., Carpenter, D. M., Beard, A., Gillette, C., Williams, D., Tudor, G., & Ayala, G. X.
(2014).Child and caregiver-reported problems in using asthma medications and
question‐asking during pediatric asthma visits. International Journal of Pharmacy
Practice, 22(1), 69-75.