Evidence-Based Practice and Change Theory in HIV/AIDS Care

This presentation focuses on the implementation of evidence-based practice (EBP) and change theory within the context of HIV/AIDS care. It introduces the ACE Star Model of knowledge transformation, emphasizing its role in integrating research evidence into clinical settings to improve patient outcomes. The presentation outlines the model's five stages: discovery, evidence summary, translation, integration, and evaluation, illustrating how nurses can use these stages to translate research into effective interventions. It highlights the significance of EBP in HIV/AIDS, emphasizing the need for evidence-based nursing interventions and the potential for improved patient satisfaction and health outcomes. The presentation concludes by predicting that the application of the ACE Star Model will enhance nursing interventions, leading to better patient care and professional satisfaction.

EVIDENCE-BASED PRACTICE
MODEL AND CHANGE THEORY
- Implementation to the topic HIV/AIDS

AIMS AND OBJECTIVES
 Evidence based practice (EBP) is an integration of some research
evidences that are best into the clinical settings.
 It helps in improving the value of the patients, facilitating clinical
decision making.
 The main objective of the presentation is to demonstrate the
process of implementation of EBP practice model and change
theory to the clinical practice environment, related to HIV/AIDS.

EVIDENCE BASED PRACTICE MODEL
AND CHANGE THEORY
•In evidence based practice, clinician is encouraged to consider a number of
dimensions while taking any decision in clinical settings and one of them is,
evidence.
• There is recognition that efforts to change practice, should always be guided by
some conceptual frameworks or models.
•Eight different models are there to facilitate the integration of EBP for change
improvement.
•Here, for the research topic, the ACE star model of knowledge transformation
will be used.

OVERVIEW OF THE MODEL
•ACE Star model focuses on the utility of knowledge in clinical
decision making.
•It clearly explains the process of overcoming the challenges of the
volume of research evidence, the integration of patient and
expertise preference into best practice, and the misfit between the
use and form of knowledge.
•This knowledge illustrates knowledge and its integration into
practice in order to produce the desired outcomes (Orta et al.,
2016).

CONTINUE…
The star model typically explains, how
some specific forms of knowledge such
as clinical practice guidelines,
systematic reviews can be included into
practice.
This model helps in understanding
the characteristics, nature and cycles
of knowledge that are mainly
utilized in different phases of EBP
The ACE star model consists
of five different points which
plays different roles in EBP.

PREMISES OF THE MODEL…
Knowledge transformation
is highly essential before
the use of research result
into the clinical settings.
Knowledge is derived
from a variety of sources
and the most generalize-
able knowledge is found
through some systematic
processes.
In case of EBP, the
knowledge is
ultimately used in
healthcare services,
delivery as well as
processes.

PROCESS OF KNOWLEDGE TRANSFORMATION
Summariz
ation and
translation
•It is transformed when it is summarized into
a single statement.
•The state of science is translated into clinical
recommendation by adding clinical expertise
and theoretical principles.
Integratio
n and
evaluation
•Knowledge is transformed through the
integration of recommendation by
individual and organizational actions.
•It is also transformed through some
different evaluation of actions.

USE OF THE MODEL
Integrating EBP
competencies
• The ACE star model is
widely adopted into clinical
as well as educational settings
so that nurses can implement
EBP.
• It drives to the core of EBP
and thus the model provides a
quick insight into archiving
the best practices • It is used for organizing as well
as interpreting evidence for
clinical application.
• The model is also used for
research on the science of EBP.

CONTINUE…
 Evidence based interventions are delivered into the real world settings.
 The United States Centre of Disease Control and Prevention (CDC) recommends
adapting evidence based nursing interventions in controlling and preventing many diseases.
 The ACE star model can be implemented for a change improvement that transfers
knowledge before the application of EBP in clinical settings which is highly effective.

UTILIZING THE MODEL IN MY
RESEARCH TOPIC-HIV/AIDS
 HIV or AIDS is a critical disease that requires appropriate
nursing intervention and use of ACE star model in this regard
can be helpful.
 Nursing intervention for this particular disease is to share a
large amount of knowledge.
 Translating the evidence based knowledge into the nursing
intervention of this disease helps in achieving patients’
satisfaction and better healthcare outcome (Slatyer, Coventry,
Twigg & Davis, 2016).

CONTINUE…
• Before initiating any nursing intervention it is
important to gather new knowledge from various
traditional research methodologies and inquiry. This
stage develops the corpus of research.
Discovery
•This is the knowledge generating stage and the nurses will
summarize the evidences gathered. In this stage, existing
information will be integrated for making decisions.
Evidence
summary
• Nurses will translate the evidences that suits cost,
time and care standards according to the symptoms
of the patients suffering from HIV/AIDS.
Translation
Integration
Evaluation This is the final stage of knowledge transformation and
this include evaluation of the effects of EBP on the
efficacy, efficiency, patient satisfaction and health status.
•This is the most important stage of providing care and
knowledge will be shared with the patients as integration
also other evidences describing the effective intervention
of HIV/AIDS will be integrated into clinical settings.

PICTORIAL REPRESENTATION OF ACE STAR
MODEL
1. Discovery
2. summary
3. Translation4. Integration
5. Evaluation