guided practice change provides clinical effectiveness with the best available research
information, which affect positive patient outcomes. “EBP is a problem-solving approach to
clinical decision making that integrates the best evidence from well-designed studies with a
clinician`s expertise along with the patient`s preference and values “ (Melnyk et al. 2012). This
paper will discuss the utilization of the Iowa Model to promote hyperlipidemia treatment in an
outpatient clinical setting.
The Evidence that constitutes for Evidence Based Practice
Polit & Beck (2008) is defining the evidence-based practice as the conscientious use of …show more content…
1), developed
at the University of Iowa Hospitals and Clinics in 1994 (Titler et al., 2001). The Iowa Model has
several components to provide an organized approach to implementing research into practice, …show more content…
The first step of the Iowa Model reflects on the magnitude of the problem, where the
topic is formulated into a PICOT question. Posing the right question, using the PICOT format is
critical, in order to begin an evidence-based inquiry. Based on the formulated PICOT question,
analyzing and synthesizing literature will help individual studies to support the clinical relevance
(Kitson, 2000). The second step is to determine if there is a relevance to the organization, is there
a priority of the problem exist, and is there any evidence to answer the formulated clinical
question. The process of changing the existing workflow requires collaboration from staff
members and a team is necessary to be formed in order to examine, support, and implement
clinically relevant findings. Evidence retrieval and grading evidence are crucial third and fourth
steps, as they support the practicality of guideline implementation and its appropriateness to the
current practice. The type and strength of literature findings should support evidence-based
practice and it is necessary to translate into the individualized organizational standards.