Iowa Model Revised: Research and Evidence-based Practice Application

Hanrahan, Kirsten; Fowler, Cassandra; McCarthy, Ann Marie

doi:10.1016/j.pedn.2019.04.023

Cited by 3 publications

(3 citation statements)

References 12 publications

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“…The Iowa Model Revised was used as the framework for this project. The Iowa Model Revised contains an algorithm that guides users through the steps to promote evidence-based health care and translates findings in literature into clinical practice 10…”

Section: Methodsmentioning

confidence: 99%

The Need for Manual Skills in an Automated World to Obtain Timely Blood Pressures in Trauma Patients

Farner-Cordell

Bitton

Eeten

et al. 2021

Journal of Nursing Care Quality

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Background: Obtaining the first blood pressure (BP) during adult trauma team activations was often delayed. A review of patient charts revealed that the average time to first documented BP was 6.6 minutes when using an automatic BP cuff. Purpose: The purpose was to determine whether taking the initial BP using a manual cuff decreases the time it takes to obtain the first BP. Method: The Iowa Model Revised was used as the framework for this project. Intervention: An algorithm was developed, and staff were educated and validated on their ability to obtain manual BPs. A 2-month practice change pilot was launched on adult full and partial trauma team activations. Results: It was determined that taking a BP manually during adult trauma resuscitations was more efficient, allowing for earlier determination of patient status. Conclusion: Obtaining the initial BP manually was 54% more timely and led to an evidence-based practice change.

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Section: Methodsmentioning

confidence: 99%

The Need for Manual Skills in an Automated World to Obtain Timely Blood Pressures in Trauma Patients

Farner-Cordell

Bitton

Eeten

et al. 2021

Journal of Nursing Care Quality

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“…It was developed at the University of Iowa Hospitals and Clinic in the 1990s and was most recently revised in 2015. The Iowa Model Revised has been successfully utilized and adopted in the health care setting (Buckwalter et al, 2017;Hanrahan et al, 2019;White & Spruce, 2015). It is an application-oriented guide through the EBP process.…”

Section: Theoretical Frameworkmentioning

confidence: 99%

Inferior Vena Cava Filters: Aligning Practice With Evidence to Improve Patient Outcomes

Barajas

Bush

Cadogan

et al. 2022

Journal of Radiology Nursing

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“…The Trach Trail was developed with the Iowa Model of Evidence-Based Practice. 33,34 The model provides a framework for identifying problems, investigating solutions, and implementing interventions. The 7 steps of the Iowa model include selecting a topic, forming a team, retrieving evidence, grading evidence, developing an evidence-based practice standard, implementing the evidence-based practice, and evaluating outcomes.…”

Section: Creation Of the Trach Trail Program And Teammentioning

confidence: 99%

The Trach Trail: A Systems‐Based Pathway to Improve Quality of Tracheostomy Care and Interdisciplinary Collaboration

Cherney

Pandian

Ninan

et al. 2020

Otolaryngol.--head neck surg.

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Objective To implement a standardized tracheostomy pathway that reduces length of stay through tracheostomy education, coordinated care protocols, and tracking patient outcomes. Methods The project design involved retrospective analysis of a baseline state, followed by a multimodal intervention (Trach Trail) and prospective comparison against synchronous controls. Patients undergoing tracheostomy from 2015 to 2016 (n = 60) were analyzed for demographics and outcomes. Trach Trail, a standardized care pathway, was developed with the Iowa Model of Evidence-Based Practice. Trach Trail implementation entailed monthly tracheostomy champion training at 8-hour duration and staff nurse didactics, written materials, and experiential learning. Trach Trail enrollment occurred from 2018 to 2019. Data on demographics, length of stay, and care outcomes were collected from patients in the Trach Trail group (n = 21) and a synchronous tracheostomy control group (n = 117). Results Fifty-five nurses completed Trach Trail training, providing care for 21 patients placed on the Trach Trail and for synchronous control patients with tracheostomy who received routine tracheostomy care. Patients on the Trach Trail and controls had similar demographic characteristics, diagnoses, and indications for tracheostomy. In the Trach Trail group, intensive care unit length of stay was significantly reduced as compared with the control group, decreasing from a mean 21 days to 10 ( P < .05). The incidence of adverse events was unchanged. Discussion Introduction of the Trach Trail was associated with a reduction in length of stay in the intensive care unit. Realizing broader patient-centered improvement likely requires engaging respiratory therapists, speech language pathologists, and social workers to maximize patient/caregiver engagement. Implications for Practice Standardized tracheostomy care with interdisciplinary collaboration may reduce length of stay and improve patient outcomes.

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Iowa Model Revised: Research and Evidence-based Practice Application

Cited by 3 publications

References 12 publications

The Need for Manual Skills in an Automated World to Obtain Timely Blood Pressures in Trauma Patients

The Need for Manual Skills in an Automated World to Obtain Timely Blood Pressures in Trauma Patients

Inferior Vena Cava Filters: Aligning Practice With Evidence to Improve Patient Outcomes

The Trach Trail: A Systems‐Based Pathway to Improve Quality of Tracheostomy Care and Interdisciplinary Collaboration

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