Iowa Model of Evidence‐Based Practice: Revisions and Validation

Buckwalter, Kathleen C.; Cullen, Laura; Hanrahan, Kirsten; Kleiber, Charmaine; McCarthy, Ann Marie; Rakel, Barbara A.; Steelman, Victoria M.; Tripp–Reimer, Toni; Tucker, Sharon

doi:10.1111/wvn.12223

Cited by 173 publications

(102 citation statements)

References 13 publications

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“…The harm team used the Iowa model of evidence-based practice 8 and the 4 tenants of the Cullen and Adams evidence-based practice implementation guide 9 to embed the AIDPP (Curos 3M, St Paul, MN) into the daily nursing workflow (Fig 1).…”

Section: Methodsmentioning

confidence: 99%

Strategies for the successful implementation of disinfecting port protectors to reduce CLABSI in a large tertiary care teaching hospital

Beeler

Kerley

Davis

et al. 2019

American Journal of Infection Control

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HIGHLIGHTS • Disinfecting port protectors can be used to reduce CLABSI. • Implementation of port protectors into nursing culture can be challenging. • Evidence-based strategies for implementation can be utilized to sustain their use. Disinfecting port protectors are a supplement to the central line-associated bloodstream infection prevention bundle as an optional recommendation from the Centers for Disease Control and Prevention. Despite evidence of effectiveness, few centers have successfully reported systematic, sustained implementation of these devices. In this article, we discuss a successful implementation in a large tertiary care teaching hospital, using an evidencebased, multidisciplinary approach.

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Section: Methodsmentioning

confidence: 99%

Strategies for the successful implementation of disinfecting port protectors to reduce CLABSI in a large tertiary care teaching hospital

Beeler

Kerley

Davis

et al. 2019

American Journal of Infection Control

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“…In contrast to evidence-based medicine, which is primarily focused on the clinician-patient level, EBP models focus on integrating evidence at a systems level [ 7 ]. The Iowa Model of EBP (Iowa Model) [ 8 ] is one of the most widely used in the USA. The model was developed 25 years ago by nurses at the University of Iowa Hospital and faculty from the University of Iowa College of Nursing [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

“…The model was developed 25 years ago by nurses at the University of Iowa Hospital and faculty from the University of Iowa College of Nursing [ 9 ]. The model underwent a significant review and revision in 2017 [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Determinants of an evidence-based practice environment: an interpretive description

Duff

Cullen

Hanrahan

et al. 2020

Implement Sci Commun

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Background Despite the available research to inform nursing practice, many patients still fail to receive evidence-based care. Several evidence-based practice (EBP) models have been developed to guide nurses through the steps in the process, yet these models have not been uniformly adopted or consistently used. The original purpose of this research was to gather perspectives and experiences of nurses using the Iowa Model of EBP to help inform its introduction into other practice settings. As a more in-depth understanding was gained, the emphasis of the study shifted towards understanding the determinants of the EBP environment. Method The study was conducted in an 800-bed comprehensive academic medical centre in the USA with a 25-year history of using the Iowa Model of EBP. Semi-structured in-depth interviews were conducted with twelve nurses from various roles to ascertain their perspectives and experiences using the model. The interview transcripts were reviewed alongside relevant published literature and internal documents in a process of synthesising, theorising, and conceptualising. Data were collected during the first half of 2019. Results Four determinants of the local EBP environment were identified from the perspectives and experiences of participants: (1) the importance of a shared model to guide staff through the EBP process; (2) support for EBP in the form of education, hands-on training, and knowledge infrastructure; (3) active team facilitation by direct care nurses, nurse managers, nurse specialists, and nurse scientists; and (4) a culture and leadership that encourages EBP. Conclusion Introducing an EBP model is an essential first step for an organisation to improve consistent and reliable evidence-based care; to be most effective, this should be done in conjunction with efforts to optimise the EBP environment.

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“…5 It has been known for years that using the best evidence is of particular importance in clinical practice; however, EBPs have still not been used adequately. 6 EBP refers to the integration of welldesigned evidence-based systematic research findings into clinical practice together with personal experience, expertise and clinical decision-making processes of clinicians and preferences of patients. 7,8 EBP is a problem-solving approach used in all-round provision of healthcare services to obtain better outcomes.…”

Section: Introductionmentioning

confidence: 99%

Validity and reliability of Evidence‐Based Practice Leadership Scale and Evidence‐Based Work Environment Scale in Turkish

Türe

Demirsoy

Yıldırım

2020

Perspect Psychiatr Care

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Purpose: This study aims to evaluate the validity and reliability of the Evidence-Based Practice Leadership Scale (EBPLS) and Work Environment Scale (EBPWES) translated into Turkish so that they are used in nursing research. Design and Methods: This methodological study was conducted with nurses. Language and content validity, item analyses were used to test the validity and reliability of the scales. Findings: The confirmatory factor analysis results demonstrate that t values of each item in both scales are significant (P < .05). All model and data fit indices are higher than the acceptable level. Thus, CFA has shown that the scales with model-data fit are valid. Practice Implications: The characteristics of nurse leaders and the suitability of the working environment are crucial for the maintenance of evidence-based practices. EBPLS and EBPWES will be effective and reliable tools in our country and an effective tool for contributing to the maintenance and development of evidence-based practices. The analyses indicate that the Turkish versions of the EBPLS and the EBPWES are acceptable, valid, and reliable for Turkish nurses.

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Iowa Model of Evidence‐Based Practice: Revisions and Validation

Abstract: The Iowa Model-Revised remains an application-oriented guide for the EBP process. Intended users are point of care clinicians who ask questions and seek a systematic, EBP approach to promote excellence in health care.

Cited by 173 publications

References 13 publications

Strategies for the successful implementation of disinfecting port protectors to reduce CLABSI in a large tertiary care teaching hospital

Strategies for the successful implementation of disinfecting port protectors to reduce CLABSI in a large tertiary care teaching hospital

Determinants of an evidence-based practice environment: an interpretive description

Validity and reliability of Evidence‐Based Practice Leadership Scale and Evidence‐Based Work Environment Scale in Turkish

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