Lesson 2 Student 1 DF - Essay Example

Response to Ana Marie Pires-Serisser – Letter I (Iowa Model) Hi, Ana Marie- I agree with you that the medical field workplace has changed dramatically and that patient care is more complex and intensified. Indeed, as you pointed out, EBP has to be at the forefront of providing the best care possible, using excellent research tools, having access to medical databases, so that information can be obtained quickly to efficiently promote the latest solutions to our patients (Melnyk & Fineout-Overholt 2011).

This does include, as you said, the use of information in combination with the patient’s needs and preferences. The Iowa Model is an excellent choice for identifying problems and finding solutions. It is based on focused areas that have ‘triggered’ questions about practices and requires further research and investigation into whether there are better ways of doing some type of process or providing a solution (Titler, Kleiber, Steelman, Rakel, Budrea, Evertt & Good 2001). Changes are made from such research that shows strong evidence for making changes in clinical practices.

This can include innovative approaches, provides cost-reducing measures, and evidence-based solutions which benefit both the medical field and the patients it serves. In using the Iowa Model, some of the improvements it has provided are in enteral tube feeding (ETF), sedation management, bowel sounds assessment after abdominal surgeries, verifying the placement of the nasogastric tube, and double gloving in the surgery room (Melnyk & Fineout-Overholt 2011; Titler et al., 2001). The model also is useful for administration, as you have noted, to encourage an open atmosphere for inquiry as well as providing funding for further testing of medical processes to ensure that the best is made available to both staff and patients.

A committee is also formed to oversee the process of discovery and to authorize the change, if deemed essential through supporting data (Melnyk & Fineout-Overholt 2011). A pilot process is created whereby the new policy is implemented and then reviewed as to its success, including the need for adjustments as found during the pilot process. This ensures that a clinic, hospital or organization fits the process to its own particular identity so that it functions at an optimal level. It is well-known that many organizations in the medical field use the Iowa Model as a basis for making change, thus supporting its efficiency.

Translating research into practice (TRIP) is also a component of the process in presenting first the pilot process and recording the variables at play which give cause for refinement and adjustment of the pilot process. As patients require individualized solutions for their health issues, the same is also true of clinic, hospitals and organizations when centering research results into an actual practice environment (Titler 2008). Therefore, within the practice of using a translation research model, the nature of the innovation specifically directs the process of implementation, such as providing pain management to older adults who are hospitalized.

In another situation, pain management can also be applied to older adults in home hospice environments, which may require additional adjustments for the process. I agree, Ana Marie, that the ability then to use not only the Iowa Model but also a translator model for implementation of new evidence practices, is the most efficient way to providing best care processes.ResourcesMelnyk, B.M., & Fineout-Overholt, E. (2011). Evidence-Based Practice in Nursing & Healthcare (2nd ed.). Baltimore, MD: Wolters Kluwer Health.Titler, M.G.

, Kleiber, C., Steelman, V., Rakel, B.A., Budreau, G., Evertt, L.Q., Good, T. (2001). The Iowa model of evidence-based practice to promote quality care. Critical Care Nursing Clinics of North America, 13, 497-509. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/11778337.Titler, M.J. (2008). The Evidence for Evidence-Based Practice Implementation (Chapter 7). In R.G. Hughes (Ed.), Patient Safety and Quality: An Evidence-Based Handbook for Nurses, Vol.1. (pp.1-113). US: Agency for Healthcare Research and Quality.

Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK2659/pdf/ch7.pdf.