Models for EBP Part 2, Week 3
Questions and Answers.
Purpose of Iowa Model - Answer Guides practitioners through a series of decision points as
they move through the evidence implementation process
NB r/t Iowa: Is there a sufficient research base? - Answer This is a big question that requires
excellent critical appraisal and clinical judgement (Evidence must be relevant to population)
NB r/t Iowa: Regarding the pilot change - Answer This is the heart of the matter: changing
practice. You need evidence to support HOW to implement the practice change
Steps of Pilot r/t Iowa model - Answer 1. Select outcomes to be achieved
2. Collect baseline data
3. Design EBP guidelines
4. Implement EBP on pilot units
5. Evaluate process and outcomes
6. Modify the practice guidelines
---Before implementation, you must pilot. This provides evidence that supports how to
implement practice change
NB: r/t conducting research w/ Iowa model - Answer When high quality evidence is lacking,
it is even more important to call upon clinical expertise, pt preferences, and mentors.
--Important to address if self/mentor have skills to perform high quality research
Key Cautions of Iowa Model - Answer -Not for individuals working alone
-You will need mentors
-The role of the pt preferences & clinical expertise is not explicit
-Conducting high quality research requires appropriate skills & resources
Purpose of the Ottawa Model (OMRU) - Answer -Guide valid research implementation -This
model is based on Innovation theory& helps guides implementation of research
OMRU Key elements - Answer -Research-informed innovation
-Potential adopters
-Practice environment
Questions and Answers.
Purpose of Iowa Model - Answer Guides practitioners through a series of decision points as
they move through the evidence implementation process
NB r/t Iowa: Is there a sufficient research base? - Answer This is a big question that requires
excellent critical appraisal and clinical judgement (Evidence must be relevant to population)
NB r/t Iowa: Regarding the pilot change - Answer This is the heart of the matter: changing
practice. You need evidence to support HOW to implement the practice change
Steps of Pilot r/t Iowa model - Answer 1. Select outcomes to be achieved
2. Collect baseline data
3. Design EBP guidelines
4. Implement EBP on pilot units
5. Evaluate process and outcomes
6. Modify the practice guidelines
---Before implementation, you must pilot. This provides evidence that supports how to
implement practice change
NB: r/t conducting research w/ Iowa model - Answer When high quality evidence is lacking,
it is even more important to call upon clinical expertise, pt preferences, and mentors.
--Important to address if self/mentor have skills to perform high quality research
Key Cautions of Iowa Model - Answer -Not for individuals working alone
-You will need mentors
-The role of the pt preferences & clinical expertise is not explicit
-Conducting high quality research requires appropriate skills & resources
Purpose of the Ottawa Model (OMRU) - Answer -Guide valid research implementation -This
model is based on Innovation theory& helps guides implementation of research
OMRU Key elements - Answer -Research-informed innovation
-Potential adopters
-Practice environment
