Discussion: Review the different frameworks/models that can be used to facilitate change.
Review the different frameworks/models that can be used to facilitate change. Compare two and explain which is best for your evidence-based practice proposal and why. Provide rationale.
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NUR 590 Topic 3 DQ 2: Change Frameworks/Models Sample
Nurses implement practice change to address issues that increase the gap between the achieved and expected outcomes. Frameworks/models for change-facilitation provide a methodical approach of distinct steps that EBP project leaders should follow. The Iowa model is among the dominant models used in change-facilitation in nursing practice. The model recommends change implementation through steps that start with identifying the issue, followed by stating the purpose and forming a team (Cullen et al., 2022). The next step is to assemble, appraise, and synthesize literature. The literature appraisal step underlines the emphasis on change that is based on current scientific evidence. Based on the synthesized literature, the change agent moves to the fifth step of developing, enacting, and appraising a pilot solution. The piloted solution is then implemented organization-wide (integrating and sustaining) if it is successful and the results are disseminated to relevant stakeholders and users (Cullen et al., 2022). The Advancing Research and Clinical Practice through Close Collaboration (ARCC) model is also common in EBP change implementation. Its change facilitation steps are: assessing organizational readiness, identifying barriers and facilitators, identifying EBP champions, implementing evidence into practice, and evaluating EBP outcomes (Melnyk et al., 2021). The model illustrates nurses as EBP mentors and champions. NUR 590 Topic 3 DQ 2
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Practice change succeeds in organizations that are ready for it, where barriers are minimal or insignificant, and in a culture that fosters collaboration. Based on these success factors, the ARCC model is the best for my evidence-based practice proposal. The model emphasizes organizational readiness, encourages nurses to identify supportive stakeholders, and provides a guide for change implementation based on evidence that incorporates scientific literature, patient values, and nurses’ clinical skills (Dusin et al., 2023). These factors will ensure practical and evidence-based change that achieves sustainable outcomes for patients and the organization.
NUR 590 Topic 3 DQ 2 References
Cullen, L., Hanrahan, K., Edmonds, S. W., Reisinger, H. S., & Wagner, M. (2022). Iowa implementation for sustainability framework. Implementation Science: IS, 17(1), 1. https://doi.org/10.1186/s13012-021-01157-5
Dusin, J., Melanson, A., & Mische-Lawson, L. (2023). Evidence-based practice models and frameworks in the healthcare setting: a scoping review. BMJ Open, 13(5), e071188. https://doi.org/10.1136/bmjopen-2022-071188
Melnyk, B. M., Tan, A., Hsieh, A. P., & Gallagher‐Ford, L. (2021). Evidence‐based practice culture and mentorship predict EBP implementation, nurse job satisfaction, and intent to stay: Support for the ARCC© model. Worldviews on Evidence‐Based Nursing, 18(4), 272-281. https://doi.org/10.1111/wvn.12524 NUR 590 Topic 3 DQ 2
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