Iowa Model of Evidence-Based Practice: Revisions and Validation

Area of Science:

• Healthcare Management
• Nursing Research
• Implementation Science

Background:

• The Iowa Model is a foundational framework for evidence-based practice (EBP) implementation in healthcare.
• Evolving healthcare landscapes, including implementation science and patient engagement, necessitated a re-evaluation of the model.

Purpose of the Study:

• To revise and validate the Iowa Model based on user feedback and current healthcare trends.
• To enhance the model's applicability and effectiveness in diverse clinical settings.

Main Methods:

• A systematic review of literature and user feedback collection via electronic surveys and work groups.
• Critical assessment and synthesis of gathered information by the Iowa Model Collaborative.
• Evaluation of the revised model by participants at the 22nd National EBP Conference.

Main Results:

• Over 400 participants reported using the Iowa Model, identifying key areas for improvement.
• User feedback highlighted challenges in topic priority, critique, piloting, and instituting change.
• The revised model was validated as a practical EBP tool by conference attendees.

Conclusions:

• The revised Iowa Model integrates practice changes within healthcare systems.
• Key revisions include expanded focus on piloting, implementation, patient engagement, and sustaining change.
• The Iowa Model-Revised serves as an application-oriented guide for clinicians seeking systematic EBP approaches.