Iowa Model of Evidence-Based Practice

Develop a 3 page scholarly paper in which you describe the diagnosis you researched for the previous assessment, and then identify and analyze credible evidence that could be used as the basis for applying EBP to the issue.

The goal of using evidence-based research findings is to enhance safety and quality of patient care and ensure optimal outcomes are achieved. It is not uncommon to hear a nurse say, "why change it as we've always done it this way." However, this is no longer acceptable in today's practice environment. The profession of nursing has evolved, and the expectation is that the professional nurse has a scientific foundation to support the care that is provided. As the profession of nursing continues to evolve and engage in health care transformation, baccalaureate-prepared nurses are expanding taking on leadership roles that include incorporating EBPs. To be able to do this, the nurse needs to understand the criteria and makes a resource credible, as this is crucial when deciding if the research is valid and reliable for implementation into health care settings. The nurse will need to incorporate the use of evidence-based practice models. EBP models are designed to assist the nurse in developing a plan to gather evidence to answer a practice problem or question. It is a systematic approach to direct the user to incorporate scholarly findings into current practice. These EBP models lead the nurse through the decision-making process of evaluating the literature to determine the best practice evidence for the practice issue or question.

It would be an excellent choice to complete the Vila Health Determining the Credibility of Evidence activity prior to developing the report. The activity is a media simulation that offers an opportunity to review a scenario and work on determining the credibility of presented evidence. These skills will be necessary to complete Assessment 2 successfully. This media simulation is one potential source of context on which to base your assessment submission. This will take just a few minutes of your time and is not graded.

Instruction: The purpose of this analysis is to better understand what constitutes credibility of journal articles as well as websites. The role of the baccalaureate-prepared nurse in incorporating evidence-based research continues to growth in clinical practice. As quality improvement (QI) measures to reduce safety risks continue to be emphasized, the need for evidence-based models and evidence-based templates is growing. This type of systematic approach to incorporating evidence-based findings allows nurses to make clinical and operational decisions based upon the best available evidence. When the most up-to-date evidence-based findings are utilized, patient-centered care improves outcomes and enhances the patient experience.

Below is a quick review table of several well-known Evidence-Based Practice Models used to guide exploration:

Iowa Model of Evidence-Based Practice

Stetler Model

Ottawa Model

PARiHS (Promoting Action on Research Implementation in Health Services) Model

ACE (Academic Center for Evidence-Based Practice) Star Model

ARCC (Advancing Research and Clinical Practice Through Close Collaboration) Mode

John Hopkins Model

KTA (Knowledge-to-Action) Model

For this assessment:

● Explain the criteria that should be used when determining the credibility of journal articles as well as websites.

● Support your explanations with references to the literature or research articles that describe criteria that should be used to determine credibility.

○ Your identification and determination of credibility should be done within the context of your chosen diagnosis for this assessment. Your initial identification of resources should be of resources that will best help address the presented diagnosis you selected. Since you are locating resources to help provide evidence-based care for the diagnosis/health care issue you identified in the first assessment, you may want to begin your literature and evidence search from the databases that were identified.

Be sure to address the following in this assessment, which correspond to the grading criteria in the scoring guide. Please study the scoring guide carefully so that you will know what is needed for a distinguished score.

● Describe a chosen diagnosis that could benefit from an evidence-based approach.

● Explain criteria that should be considered when determining credibility of resources such as journal articles and websites.

● Analyze the credibility and relevance of evidence and resources within the context of a chosen diagnosis.

○ This is where you are selecting the specific resources to help address the diagnosis you selected for the first assessment.

● Identify the Evidence-Based Practice model and explain the importance of incorporating credible evidence into the EBP model used to address a chosen diagnosis. Review the literature below and choose the appropriate model for your diagnosis.

Full Answer Section

       
    • Websites:
      • Institutional affiliation: Verify if the website is affiliated with a reputable institution (e.g., government agencies, academic institutions, professional organizations).  
      • Author credentials: Check for information about the authors' qualifications and expertise.
      • Objectivity: Assess the website's objectivity and potential for bias. Avoid websites with a commercial agenda or those that promote specific products or services.
  • Content Credibility:

    • Accuracy and reliability: Verify the accuracy and reliability of the information presented. Check for consistency with established medical knowledge and evidence from other credible sources.
    • Currency: Ensure the information is up-to-date and reflects the latest research findings.
    • Clarity and comprehensiveness: The information should be presented in a clear, concise, and understandable manner.
    • Evidence base: The information should be supported by evidence from well-conducted research studies, such as randomized controlled trials, meta-analyses, and systematic reviews.
  • Technical Quality:

    • Professional presentation: The website or journal should be professionally presented with clear formatting, proper grammar, and minimal errors.
    • Easy navigation: The website should be easy to navigate and user-friendly.
    • Proper citation: The website or article should properly cite all sources and references.

3. Analyzing Credible Evidence for Acute Pancreatitis

  • PubMed: A premier biomedical literature database maintained by the U.S. National Library of Medicine. PubMed provides access to millions of citations for biomedical literature, including journal articles, books, and other resources. PubMed is known for its high-quality content and rigorous indexing, making it an excellent resource for finding evidence related to acute pancreatitis.  
  • CINAHL (Cumulative Index to Nursing and Allied Health Literature): A specialized database covering a wide range of nursing and allied health literature. It includes journal articles, books, evidence-based care sheets, and other resources relevant to nursing practice. CINAHL is particularly valuable for finding evidence related to nursing interventions, patient outcomes, and best practices in patient care.  
  • Cochrane Library: A collection of databases that contain high-quality evidence to guide health care decisions. It includes Cochrane Reviews, which are systematic reviews of primary research that assess the effectiveness of health care interventions. Cochrane Reviews provide a high level of evidence to support clinical decision-making.  
  • NICE (National Institute for Health and Care Excellence) Guidelines: NICE provides evidence-based guidelines on a wide range of health topics, including acute pancreatitis. These guidelines are developed by experts and are considered to be a valuable resource for clinical decision-making.  
  • World Health Organization (WHO) Guidelines: WHO provides evidence-based recommendations on the prevention and management of various diseases, including acute pancreatitis.  

4. The Iowa Model of Evidence-Based Practice and Credible Evidence

The Iowa Model of Evidence-Based Practice provides a structured framework for integrating research findings into clinical practice.

This model emphasizes the importance of identifying a clinical problem, gathering evidence, appraising the evidence, and translating the evidence into practice.   

Sample Answer

       

The Role of Credible Evidence in Managing Acute Pancreatitis: An EBP Approach

1. Introduction

Acute pancreatitis is a serious inflammatory condition of the pancreas, characterized by sudden onset of severe abdominal pain, nausea, vomiting, and elevated pancreatic enzymes. While the etiology can be diverse, including gallstones and alcohol abuse, effective management relies on a multidisciplinary approach and the integration of evidence-based practices. This paper will discuss the criteria for evaluating the credibility of journal articles and websites relevant to acute pancreatitis, analyze credible resources, and explore the significance of the Iowa Model of Evidence-Based Practice in guiding clinical decision-making for this condition.  

2. Criteria for Determining Credibility of Resources

When evaluating the credibility of resources, nurses must consider several key factors:

  • Source Credibility:

    • Journal Articles:
      • Peer-reviewed journals: Ensure the article has undergone rigorous peer review by experts in the field.
      • Impact factor: Consider the journal's impact factor, which reflects the average number of citations received per article published in that journal.  
      • Author credentials: Evaluate the authors' expertise and affiliations (e.g., academic institutions, research centers).