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Updated: Jan 22, 2026

The Innovation Arena: A Method for Comparing Innovative Problem-Solving Across Groups
Published on: May 13, 2022
Development and Implementation of a Model for Research, Evidence-Based Practice, Quality Improvement, and Innovation
Mary Hagle1, Darcy Dwyer, Lynn Gettrust
1Nursing Education and Research (Dr Hagle and Ms Tennies), Rehabilitation and Extended Community Care (Drs Dwyer and Lusk), Acute Care Outpatient (Dr Gettrust), and Acute Care Inpatient-4C (Ms Peterson), Clement J. Zablocki VA Medical Center, Milwaukee, Wisconsin.
Background:
Our medical center nursing council evaluated its current evidence-based practice (EBP) model and decided to consider alternatives.
Problem:
No models were inclusive of major nursing activities, such as EBP and quality improvement (QI) projects and research studies.
Approach:
A model was developed, meeting the criteria of accessibility, ease of use, and reflective of professional practice activities: EBP and QI projects, research studies, and innovation. In the new model, I Model for Advancing Quality Patient Centered Care, professional practice is represented by 3 "I's": Inquiry, Improvement, and Innovation.
Outcomes:
The model provides an algorithm with steps and decision points for nurses to follow based on a question from a clinical issue or problem. The model was approved by nursing-shared governance and is used for guiding relevant projects.
Conclusion:
The I Model guides the nurse in inquiry or improvement while supporting a culture of innovation in professional practice.
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