1. goal of EBP: is improvement of systems and microsystems within healthcare,
with these improvements based on science
2. STEEEP principles: The Institute of Medicine (IOM) expert panel issued rec-
ommendations for urgent action to redesign healthcare so that it is safe, timely,
effective, efficient, equitable, and patient-centered
3. (S) in STEEEP: Safe-Avoid injuries to patients from the care that is intended to
help them.
4. (T) in STEEEP: Timely-Reduce waits and sometimes harmful delays for both
,those who receive and those who give care.
5. (E) in STEEEP: Effective-Provide services based on scientific knowledge to all
who could benefit, and refrain from providing services to those not likely to benefit.
6. (E) in STEEEP: Efficient-Avoid waste, including waste of equipment, supplies,
ideas, and energy.
7. (E) in STEEEP: Equitable-Provide care that does not vary in quality because
of personal characteristics such as gender, ethnicity, geographic location, and
socioeconomic status.
8. (P) in STEEEP: Patient-centered Provide care that is respectful of and respon-
sive to individual patient preferences, needs, and values, and ensure that patient
values guide all clinical decisions.
,9. ACE Star Model of Knowledge Transformation
Advancing Research and Clinical Practice through Close Collaboration
(ARCC)
Model of Evidence-Based Practice in Nursing and Healthcare
Johns Hopkins Nursing Evidence-Based Practice Model and Guidelines
Iowa Model of Evidence-Based Practice
Stetler Model of Research Utilization: FOCUS: EBP, research use, and knowl-
edge transformation processes
DESCRIPTION: Direct a systematic approach to synthesizing knowledge and
transforming research findings to improve patient outcomes and the quality of care
Address both individual practitioners and healthcare organizations Focus on in-
creasing the meaningfulness and utility of research findings in clinical decision
making
10. Promoting Action on Research Implementation in Health Services (PAR-
iHS)
Vratny and Shriver Model for Evidence-Based Practice Pettigrew and Whipp
, Model of Strategic Change
Outcomes-Focused Knowledge Translation
Determinants of Effective Implementation of Complex Innovations in Orga-
nizations
Ottawa Model of Research Use: FOCUS: Strategic and organizational change
theory to promote uptake and adoption of new knowledge
DESCRIPTION:Trace mechanisms by which individual, small group, and orga-
nizational contexts affect diffusion, uptake, and adoption of new knowledge and
innovation
Premise is that interventions, outcomes evaluations, and feedback are important
methods to promote practice change
11. Collaborative Model for Knowledge Translation between Research and
Practice Settings
Framework for Translating Evidence into Action
Knowledge Transfer and Exchange
Canadian Institutes of Health Research Knowledge Translation within the
Research Cycle Model or Knowledge Action Model
Interactive Systems Framework for Dissemination and Implementation: FO-