Nursing Affairs Evidence-Based Practice Model to Promote Quality Care

Modified version of the Iowa Model of EBP

SHARED GOVERNANCE
Problem-Focused Triggers Knowledge-Focused Triggers
1. Risk management data 1. New research or other literature
2. Process improvement data 2. National agencies or
3. Internal/external benchmarking organization standards and
data guidelines
4. Financial data 3. Philosophies of care
5. Identification of clinical problem 4. Questions from institutional
standards committee

Is there a priority for the

organization?
Consider
NO
other triggers

YE
S
Form a team P
R
Plan the project using I2S2/PDSA OJ
E
Assemble relevant research and C
T
Critique and synthesize research for use in M
A
Is there a sufficient EBP N
material?
Conduct NO YE Develop or revise A
Research (see manual/guideline/policy
flow process)
S as appropriate G
E
Legend: Pilot Testing
M
All
1. Select outcomes to be achieved E
2. Design educational programs for pilot
EBP
Project
unit N
Management (PM)
Research
3. Create valid and reliable audit tool T
EBP/PM
Quality/Researc Is further modification needed as per pilot
B
h testing report?
YE A
Nursing
NO C
Education
S
K
Is change appropriate for adoption in B
px?
NO YE O
Apply PDSA S Institute N
change in
E

Monitor and
analyze structure,
process, and
Post-implementation outcome data
Assessment (Nurse Dissemination Environme
Manager) using PDSA nt
Staff
Cost