Background:
Our medical center nursing council evaluated its current evidence-based practice (EBP) model and decided to consider alternatives.
Problem:
No models were inclusive of major nursing activities, such as EBP and quality improvement (QI) projects and research studies.
Approach:
A model was developed, meeting the criteria of accessibility, ease of use, and reflective of professional practice activities: EBP and QI projects, research studies, and innovation. In the new model, I3 Model for Advancing Quality Patient Centered Care, professional practice is represented by 3 “I's”: Inquiry, Improvement, and Innovation.
Outcomes:
The model provides an algorithm with steps and decision points for nurses to follow based on a question from a clinical issue or problem. The model was approved by nursing-shared governance and is used for guiding relevant projects.
Conclusion:
The I3 Model guides the nurse in inquiry or improvement while supporting a culture of innovation in professional practice.
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