Conceptual Iowa Model Example
4. In addition, create a conceptual Iowa model of the project. PICOT question. (P) For post-operative patients, (I) can standardized hourly rounding by a medical team be a better deterrent (C) compared to bed alarms or other tools that are readily available within a hospital (O) and designed to reduce patient fall risk (T) during hospitalization. With narrative Conceptual Iowa Model Example
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The lowa model focuses on how research is organized, conducted and used. The lowa model is relevant in this project because it will allow knowledge and triggers of falls among post-operative patients to be analysed. The model will also allow analysis of current research regarding approaches that can reduce falls in the target population such as standardized hourly rounding & bed alarms (Newell & Burnard 2016).
The first step is to select the topic and, in this case, the topic is “falls in the post-operative patients”. Evidence indicates the significant adverse health effects and economic effects associated with falls and this indicates the urgency and the need to address the issue in the organization (Newell & Burnard 2016). Conceptual Iowa Model Example.
The second step will involve team formation. The team will develop, implement and evaluate the efficacy of the project. The team members should have the relevant knowledge about the project and all interested stakeholders should be involved. The team will, therefore, consist of the Physicians, nurses, pharmacists, physical therapist, & management. The role of the management is to provide the required resources for project implementation (Berwick, 2015).
The team can then conduct a brainstorming session to identify the evidence and literature materials to guide the identification and retrieval of the evidence (Pravikoff, et al, 2015). This project will target nursing and health databases such as Cochrane, PubMed, Web of Science & Cinahl. Conceptual Iowa Model Example
The team members will assess the quality of the evidence and have the evidence graded. In addition, the evidence will be grouped if it is quantitative, mixed-method or qualitative. The evidence will then be critically appraised using tools such a CASP in order to ensure only the quality studies are included (Pravikoff, et al, 2015).
After critiquing the evidence, the team will meet in order to determine the recommendations for practice between standardized hourly rounding and bed alarms or other tools. The evidence-based practice will be selected based on the collaborative decision of all team-members after taking into consideration the relevance, practicability, efficacy, significance, and suitability of the evidence (Berwick, 2015).
The change will then be piloted, to examine if it is feasible. If the change is practical and the outcomes have been evaluated, the change will then be implemented.
During the implementation of the evidence-based practice such as the proposed project, it is important to consider and follow the organizational policies and guidelines. The team should collaborate with the management and all organizational stakeholders and act as the change champions in order to garner support for the change implementation (Nutbeam, 2018).
Evaluation of the project is important to examine the impact of the evidence into practice. Accordingly, data regarding fall rate in post-operative patients will be collected before and after the project. A comparison of the fall rate pre-project and post-project will be done to evaluate the efficacy and impact of the recommended evidence-based practice (Nutbeam, 2018). Conceptual Iowa Model Example.
References
Berwick DM (2015). Disseminating innovations in health care. JAMA. 289(15): 1969–75
Jähne-Raden N, Marschollek M & Wolf K. (2019). INBED: A Highly Specialized System for Bed-Exit-Detection and Fall Prevention on a Geriatric Ward. Sensors (Basel). 19(5), 1017.
Mitchell M, Lavenberg J, Trotta R & Craig U. (2014). Hourly Rounding to Improve Nursing Responsiveness: A Systematic Review. J Nurs Adm. 44(9), 462–472.
Newell R &, Burnard P. (2016). Research for evidence-based practice. Oxford: Blackwell Publishing Ltd.
Nutbeam D. (2018). Evaluating health promotion: progress, problems, and solutions. Health Promot Int. 13(1): 27–44
Pravikoff, D. S., Tanner, A. B., & Pierce, S. T. (2015). The readiness of U.S. nurses for evidence-based practice. American Journal of Nursing. 105(9). 40–51.
Smith P, Barret L, Rayson K & Govro K. (2015). Effectiveness of a bed alarm system to predict falls in an acute care setting. Clinical Nursing Studies. 3(1). Conceptual Iowa Model Example