Topic 4-Evidence-Based Practice Proposal – Section D: Change Model

Topic 4-Evidence-Based Practice Proposal – Section D: Change Model

Roger’s diffusion of innovation theory is a particularly good theoretical framework to apply to an EBP project. However, students may also choose to use change models, such as Duck’s change curve model or the transtheoretical model of behavioral change. Other conceptual models, such as a utilization model (Stetler’s model) and EBP models (the Iowa model and ARCC model) can also be used as a framework for applying your evidence-based proposal in clinical practice. Apply one of the above models and carry your implementation through each of the stages, phases, or steps identified in the chosen model.

In 500-750 words (not including the title page and references page), discuss applying one of the change models to the implementation plan:

1. Identify the selected model or theoretical framework and discuss its relevance to your project.
2. Discuss each of the stages in the change model/framework.
3. Describe how you would apply each stage in your proposed implementation.

In addition, create a conceptual model of the project. Although you will not be submitting the conceptual model you design in Topic 4 with the narrative, you will include the conceptual model in the appendices for the final paper.

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA 7 Style Gude. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

ORDER A PLAGIARISM-FREE PAPER HERE !!

Solution

Introduction

Applying a theoretical framework is central to the implementation of an evidence-based practice project. This paper will therefore discuss the Iowa model and its relevance in the implementation of trauma-informed care interventions in the healthcare department. The paper will also explore the different stages in the implementation of the Iowa model and how such stages would be applied in implementing the trauma-informed care interventions project.

Identification of Selected Model and Relevance to Project

For the implementation of trauma-informed care interventions in the healthcare department, an ideal change management model would be the Iowa model.  The Iowa Model was developed by the University of Iowa hospitals and clinics in the 1990s. The model, therefore, serves as a guide for nurses to apply research findings in the improvement of patient care (Buckwalter et al., 2017). Therefore, the Iowa model will be relevant in the implementation of trauma-informed care interventions in the health care department because it’s an application-oriented guide for the evidence-based practice process.

Stages in the Change Model /Framework

The first step in the implementation of the Iowa model for EBP includes identifying the triggers to justify a change. Such triggers can include problems in a practice setting or new knowledge that has been developed in practice settings (Hanrahan et al., 2019). The second step in the implementation of the Iowa model involves determining if a problem at hand is a priority for a given department, organization, unit, or practice setting. The third step in applying the Iowa model is the formation of a team that will develop, evaluate and implement the proposed changes.  Such a team should therefore be comprised of representatives in and out of a given department. This provides a chance for interdisciplinary stakeholders to effectively implement and evaluate the proposed changes (Buckwalter et al., 2017). The fourth step of the Iowa change model is to collect and analyze research that will be related to the desired change in practice. This will therefore include the formulation of adequate research questions through the PICOT format and conducting a thorough literature search. The next step in the Iowa model is critiquing and synthesizing the research collected in a literature search to determine if the proposed changes are scientifically supported (Duff et al., 2020). The sixth step in the Iowa model is to make decisions related to whether there is sufficient research to support the implementation of a specific practice change. The seventh step of the Iowa model is to implement the proposed changes through a pilot program. A pilot program, therefore, allows room for evaluation.  The eighth and final step in utilizing the Iowa model to implement changes entails the evaluation of results to determine if the proposed changes are feasible and whether such changes will result in improved outcomes in a given practice setting.  The main question asked in this final step is whether the proposed change will be appropriate to be fully adopted within an organization, department, or practice setting (Buckwalter et al., 2017).

Application of the Iowa Model to Implement Trauma-Informed Care Interventions in the Healthcare Department

Applying the Iowa model, the first step to introduce trauma-informed care interventions in the healthcare department would be to identify the triggers for the EBP change. The triggers for the EBP change in the health department would therefore be problem-focused triggers. This is because traditional approaches of treatment of trauma among children, such as eye movement desensitization and reprocessing and prolonged exposure, have been found not to be effective among children (Maynard et al., 2019). The second step would be to determine if the introduction of trauma-informed care interventions was a priority for the health department. After determining that the change is a priority, the next step would be to form a team to implement trauma-informed care interventions in the healthcare department. Such a team would be made up of public health nurses and other interdisciplinary stakeholders, including pediatricians and school nurses, among others. The next step would be to gather and analyze scholarly research data related to trauma-informed care interventions through the PICOT question of ‘In children who have gone through a traumatic event (P), the use of trauma-informed care (I) is more effective than the use of specific therapies such as eye movement desensitization(C) in promoting the holistic wellbeing of children (O) over a period of six months (T)?’The research discovered would then be critiqued and synthesized to support the proposed change of the use of trauma-informed care interventions among children. The presence of sufficient research supporting the implementation of trauma-informed care interventions would lead to the next step of implementing such a change through a pilot program. The Pilot program would then be evaluated, and its effect on improving outcomes among children with trauma in the healthcare department noted. If positive changes are noted in the pilot program, the full adoption of trauma-informed care interventions in the health department would follow.

Conclusion

In summary, for the implementation of trauma-informed care interventions in the healthcare department, an ideal change management model would be the Iowa model. The Iowa model would be relevant in the implementation of trauma-informed care interventions in the health care department because it’s an application-oriented guide for the evidence-based practice process.

References

Buckwalter, K. C., Cullen, L., Hanrahan, K., Kleiber, C., McCarthy, A. M., Rakel, B., Steelman,

V., Tripp-Reimer, T., Tucker, S., & Iowa Model Collaborative, (2017). Iowa Model of Evidence-Based Practice: Revisions and Validation. Worldviews on evidence-based nursing, 14(3), 175–182. https://doi.org/10.1111/wvn.12223.

Duff, J., Cullen, L., Hanrahan, K. et al. (2020). Determinants of an evidence-based practice

environment: an interpretive description. Implement Sci Commun 1, 85 https://doi.org/10.1186/s43058-020-00070-0.

Hanrahan, K. Fowler, C., & Mccarthy, A. (2019). Iowa Model Revised: Research and Evidence-

based Practice Application. Journal of Pediatric Nursing. 48.10.1016/j.pedn.2019.04.023.

Maynard, B. R., Farina, A., Dell, N. A., & Kelly, M. S. (2019). Effects of trauma‐informed

approaches in schools: A systematic review. Campbell Systematic Reviews, 15(1-2). https://doi.org/10.1002/cl2.1018.