Stetler's Model of Research Utilization
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Questions and Answers

What is a common purpose of EBP nursing models?

  • To assist nurses in implementing evidence-based practice in a specific setting (correct)
  • To promote the use of anecdotal evidence in practice
  • To create a hierarchy among nurses
  • To reduce the need for research in nursing

    • What is a key aspect of Stetler's Model of Research Utilization?

  • Creating a new framework for nursing education
  • Examining the role of intuition in nursing practice
  • Helping practitioners assess how research findings can be applied in practice (correct)
  • Developing new research methods

    • What is a common step in most EBP models?

  • Implementing a new policy
  • Evaluating the effectiveness of a manager
  • Gathering best evidence (correct)
  • Conducting original research

    • What is an advantage of using EBP models?

    <p>They facilitate implementation of evidence-based practice in a specific setting</p> Signup and view all the answers

    What is a key aspect of the implementation phase of EBP models?

    <p>Implementing the practice change and evaluating its outcomes</p> Signup and view all the answers

    What is the primary goal of EBP in nursing practice?

    <p>To improve patient outcomes</p> Signup and view all the answers

    What is the primary intention of the IOWA Model of EBP?

    <p>To provide guidance for nurses in making decisions about practice</p> Signup and view all the answers

    What is the first phase of Stetler's Model of Research Utilization?

    <p>Preparation</p> Signup and view all the answers

    What is the focus of the validation phase in Stetler's Model?

    <p>Conducting a critique of each source of evidence focusing on its soundness for potential application in practice</p> Signup and view all the answers

    What is the primary goal of the comparative evaluation and decision-making phase in Stetler's Model?

    <p>To synthesize findings and determine the desirability and feasibility of applying findings to clinical practice</p> Signup and view all the answers

    What marks the beginning of a formal EBP project in the IOWA Model?

    <p>A trigger to explore possible changes to practice</p> Signup and view all the answers

    What is the final phase of Stetler's Model of Research Utilization?

    <p>Evaluation</p> Signup and view all the answers

    What type of trigger emerges from awareness of innovative research findings?

    <p>Knowledge-focused trigger</p> Signup and view all the answers

    What is the first critical decision point in the IOWA model?

    <p>Deciding whether the problem is a sufficient priority for the organization</p> Signup and view all the answers

    What happens if the answer is NO at the first critical decision point in the IOWA model?

    <p>Consider other triggers</p> Signup and view all the answers

    What is the purpose of the pilot test in the IOWA model?

    <p>To evaluate the process and outcomes</p> Signup and view all the answers

    What is the main difference between the knowledge-focused trigger and the problem-focused trigger?

    <p>The knowledge-focused trigger is based on research findings, while the problem-focused trigger is based on clinical problems</p> Signup and view all the answers

    What is the primary purpose of the Johns Hopkins Nursing EBP Model?

    <p>To implement evidence-based practice in nursing</p> Signup and view all the answers

    Study Notes

    EBP Nursing Models

    • EBP models assist nurses in implementing evidence-based practices in specific settings.

    Common Steps in EBP Models

    • Identification of a clinical problem or potential problem
    • Gathering of best evidence
    • Critical appraisal and evaluation of evidence
    • Implementation of the practice change
    • Evaluation of practice change outcomes

    Stetler's Model of Research Utilization

    • Helps practitioners assess how research findings and other relevant evidence can be applied in practice.

    • Examines how to use evidence to create formal change within organizations and individual practice.

    • Designed to promote and facilitate critical thinking about the application of research findings in practice.

    • 5 sequential phases:

      Preparation

      • Define the purpose and outcomes of the project
      • Search, sort, and select sources of research evidence
      • Consider external and internal factors that influence potential application
      • Affirm priority of the perceived problem

      Validation

      • Conduct a critique of each source of evidence focusing on its soundness for potential application in practice

      Comparative Evaluation and Decision-Making

      • Synthesize findings and determine the desirability and feasibility of applying findings from sources to clinical practice
      • Consider fit to setting, feasibility, and current practice

      Translation/ Application

      • Confirm how the findings will be used
      • Formulate the operational details of the project and implement them

      Evaluation

      • Evaluate the application from a multitude of perspectives

    Iowa Model of EBP

    • Developed in the 1990s to promote quality care through Research Utilization (RU)

    • Provides guidance for nurses in making decisions about practice

    • Begins with a trigger to explore possible changes to practice:

      Knowledge-Focused Trigger

      • Emerges from awareness of innovative research findings (e.g. new research, new guideline published)

      Problem-Focused Trigger

      • Rooted in a clinical or organizational problem (e.g. risk management data, financial data, QI data)

    • 3 critical decision points:

      1st Decision Point

      • Decide whether the problem is a sufficient priority for the organization
      • If yes, form a team; if no, consider other triggers (EBP topics/areas)

      2nd Decision Point

      • Decide whether there is a sufficient research base
      • If yes, formulate the EBP guideline, collect baseline data, conduct a pilot test, evaluate the process and outcomes, and modify the plan as indicated
      • If no, base practice change on other types of evidence

      3rd Decision Point

      • Decide whether the change is appropriate for adoption in practice
      • If yes, implement the change, evaluate process and outcomes, and disseminate results to other settings
      • If no, proceed to seek another trigger and evaluate service quality

    The Johns Hopkins Nursing EBP Model

    • Resulted from the collaborative work of leaders in nursing education and practice at Johns Hopkins Hospital and the Johns Hopkins University School of Nursing

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    Description

    Test your understanding of Stetler's Model, a framework used to facilitate Evidence-Based Practice (EBP) in 5 sequential phases. Learn how to apply this model in research utilization and evaluate its effectiveness.

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