Evidence Based Practice Models

Models of Evidence-Based Practice
Five Models Summarized
The PICOT Model formulates the clinical questions. The PICOT Model has five steps, P: patient/population, I: intervention, C: current practice, O: outcome, T: time. The Iowa Model of Evidence-Based Practice to Promote Quality Care emphasis the importance of considering the entire healthcare system from the provider to the patient and it gives large systems an effective, team-centered approach to implement evidence-based practice in the clinical setting and is used for sweeping, system-wide changes in practice. The Iowa model has seven steps, the seven steps are identify a problem or new knowledge, prioritize the issues and form a team, team reviews, critiques and synthesizes the evidence
Benchmarking data by researching if other organizations have implemented the use of forced-air warming gowns and how they implemented it and how it is working in their organizations, then look at the information gathered to determine if the information will support a change in your organization. Using clinical expertise from the medical providers to help make policy and procedures changes. Patient preference: include the patient’s personal preferences in treatment. Infection control data: comparing infection rates of patients who use the forced-air warming gowns to the patients who used the gowns and warming blankets. International/national and local standards: International, national, and local standards of care provide evidence to guide practice and ensure quality of care. Quality improvement: Even mild hypothermia can lead to numerous complications, including lowered resistance to surgical wound infection, coagulopathy, and ventricular tachycardia and other life-threatening cardiac events (Benson, 2012). The inadequate treatment of postoperative pain may lead to undue suffering, complications,
Evidence that was gathered validated that a high percentage of patient that have TKA surgery had hypothermia and increased pain. The quality of the evidence gathered was from good clinical expertise and randomized controlled studies. Comparative Evaluation/decision making: evidence that could be used is that the group of patients using the warming gown had lower pain scores, used less opioids, had increased oral temperature, and improved patient satisfaction and the needs for more research into the efficacy and safety of specific types of active warming devices, and their environmental implications. Translation/application: more research is needed at this