Development and Implementation of a Model for Research, Evidence-Based Practice, Quality Improvement, and Innovation
- PMID: 31290777
- DOI: 10.1097/NCQ.0000000000000422
Development and Implementation of a Model for Research, Evidence-Based Practice, Quality Improvement, and Innovation
Abstract
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.
References
-
- American Nurses Association. Nursing: Scope and Standards of Practice. 3rd ed. Silver Spring, MD: American Nurses Association; 2015.
-
- Carter EJ, Mastro K, Vose C, Rivera R, Larson EL. Clarifying the conundrum: evidence-based practice, quality improvement, or research? J Nurs Admin. 2017;47(5):266–270.
-
- American Nurses Credentialing Center. Magnet Recognition Program® Magnet Model. https://www.nursingworld.org/organizational-programs/magnet/magnet-model/ Accessed February 19, 2019.
-
- Talsma A, McLaughlin M, Bathish M, Sirihorachai R, Kuttner R. The quality, implementation, and evaluation model: a clinical practice model for sustainable interventions. West J Nurs Res. 2014:36(7):929–946.
-
- Halm MA, Alway A, Bunn S, et al. Intersecting evidence-based practice with a lean improvement model. J Nurs Care Qual. 2018;33(4):309–315.