A key step in and EBP project is the identification of the framework for implementation. The theoretical or conceptual framework provides a guide for the project by indicating key concepts or factors to examine. A theoretical framework informs the project. In this way, the theoretical framework informs the choice of design, intervention, and outcome measures. You will examine the various theoretical models in depth in another course. A conceptual framework is similar to a map: it guides the steps. These conceptual models were developed to facilitate the integration of EBP for practice change. They are meant to serve as a guide to help clinicians understand how the various aspects of EBP work together to improve care and outcomes. Commonalities among the models include consideration of patient preferences and behaviors, clinical state, setting, and circumstances, availability of healthcare resources, and high-quality research evidence.
The Stevens STAR model, a STAR model, ways patient preferences, research evidence, and clinical expertise.
Rosswurm and Larabie's model for EBP is a simple EBP implementation plan. It includes a pilot study and emphasizes education for practice change.
The Advancing Research and Clinical Practice through Close Collaboration (ARCC model) uses control theory to guide the user from current status through the barriers to ideal status. It emphasizes system-wide EBP.
The Iowa Model fits well with DNP projects, classified as quality improvement projects. Implementation strategies for this model include building organizational system support and connecting with clinicians, organizational leaders, and key stakeholders.
The Johns Hopkins Nursing Evidence-Based Model focuses on a process to guide the practicing nurse to use the EBP process for clinical decision-making.
The elements of the PARIHS Model reflect the complex system in which we practice and focuses on the attainment and maintenance of planned behavior changes.
The Stetler Model has 5 phases that outline the steps to implementing EBP initiatives. This model requires clinical judgment by the practitioner. It is said to include patient-centered care.
The Donabedian Model guides the users to evaluate the quality of healthcare with the goal of improvement.