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Evidence-based practice models for organizational change: overview and practical applications.

Marjorie A Schaffer¹, Kristin E Sandau, Lee Diedrick

¹Bethel University, St. Paul, Minnesota, USA. m-schaffer@bethel.edu

Journal of Advanced Nursing

|August 14, 2012

Summary

This study evaluates six evidence-based practice models for nursing, detailing their features and usefulness to guide clinicians in selecting the best fit for their practice setting and facilitate evidence-based practice adoption.

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Area of Science:

Nursing Science
Healthcare Management

Background:

Nurses face challenges selecting appropriate evidence-based practice (EBP) models due to variety, complex terminology, and organizational culture.
A clear understanding of different EBP models is crucial for effective implementation in nursing practice.

Purpose of the Study:

To provide an overview of six frequently discussed evidence-based practice models in nursing literature.
To summarize the key features of each model.
To evaluate the usefulness of these models for facilitating EBP and guiding practice change.

Main Methods:

Identified EBP models from a predominant nursing text.
Conducted literature searches using CINAHL (1998-present) with keywords: 'evidence', 'evidence-based practice', 'models', 'nursing', 'research'.
Refined model selection and performed a second literature search for all available years to capture historical and recent use in nursing practice.

Main Results:

Described key features of six selected EBP models.
Evaluated model usefulness based on criteria for facilitating EBP and guiding practice change.
Highlighted specific models appealing to nursing educators (Johns Hopkins, EBP Star Model) and those emphasizing team decision-making (PARIHS, ARCC, Iowa).

Conclusions:

The evaluation of model usefulness aids in determining the best fit for specific practice settings.
A clear, organizationally congruent EBP model guides systematic evidence review and practice change.
Selecting an appropriate EBP model is essential for successful implementation and improving patient care outcomes.