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action or later. Please see Debugging in WordPress for more information. (This message was added in version 6.7.0.) in /home/intelligentwr/nursingassignmentcrackers/wp-includes/functions.php on line 6114Review the different models and frameworks that can be used to facilitate change. Compare two and explain which is best for your evidence-based practice proposal<\/a> and why. Provide rationale.<\/p>\n The Star Model explains how specific forms of knowledge, such as the systematic review and the clinical practice guideline, are solutions for moving research into practice. It is a model for understanding the cycles, nature, and characteristics of knowledge that are\u00a0utilized\u00a0in various phases of\u00a0EBP\u00a0in moving evidence into clinical decision making.\u00a0The clinical scholar model\u00a0was developed and implemented to promote the spirit of inquiry, educate direct care providers, and guide a mentorship program for EBP and the conduct of research at the point of care. It\u00a0began as an interactive, outcomes-oriented educational program for nurses but has evolved into an interdisciplinary educational program for direct care providers (Melnyk, 2019).\u00a0In my evidence-based practice proposal, the Star Model would be most beneficial. This model\u00a0reviews\u00a0current practice and applies knowledge for change. For my proposal, there is a lot of research\u00a0on both patient and nurse dissatisfaction with the current\u00a0bereavement\u00a0process when a patient experiences a miscarriage in the\u00a0ED. There is not a lot of research on implementation of better practice and protocols. Therefore, the Star Model will\u00a0allow for\u00a0me to take the knowledge of the subject and develop a change.<\/p>\n <\/p>\n Melnyk, B. M., & Fineout-Overholt, E. (2019).\u00a0Evidence-based practice in nursing & healthcare: A guide to best practice<\/em>\u00a0(4th ed.). Wolters Kluwer Health.<\/p>\n Change facilitation\u00a0requires forethought and intentional planning and execution if a well-supported, sustainable change is going to be made on a larger scale – especially in healthcare. Evidence-base practice models may include theoretical models grouped into evidence-based practice\/research utilization and knowledge transformation processes, strategic organizational change theory or knowledge exchange and synthesis for application and inquiry (Melnyk & Fineout-Overholt, 2019).\u00a0However, it is becoming more widely acknowledged that a formalized approach must be considered to successfully implement these evidence-based models.<\/p>\n Eight different models have been identified as key drivers for evidence-based integration and change management. These include: 1. The Stetler Model of Evidence-Based Practice, 2. The Iowa Model of Evidence-Based Practice, 3. The Model for Evidence-Based Practice Change, 4. The Advancing Research and Clinical practice through close Collaboration (ARCC) model for implementation and sustainability of EBP, 6. The Clinical Scholar Model, 7. The Johns Hopkins Nursing Evidence-Based Practice Model, and 8. The Stevens Star Model of Knowledge Transformation (Melnyk & Fineout-Overholt, 2019).<\/p>\n Upon comparing the Stetler Model and Johns Hopkins Model, the Stetler Model has been regularly revised, and involves integrating evidence-base practice information into practical, sustainable day to day standards for patient care.\u00a0With critical thinking and utilization of both internal and external evidence to support practice change, the Stetler Model hinges on five phases, and multiple steps to identify and support use of evidence, determined by critical thinking (Melnyk & Fineout-Overholt, 2019).\u00a0A “toolkit” of sorts has been developed to implement consensus guidelines and evidence-base practice change. Upon comparison, the Johns Hopkins Model supports its use by bedside registered nurses with aim to implement research results in an evidence-based practice format.\u00a0The key objective is to make it easy for direct caregivers to make change at a grass-roots level, while positively impacting patient outcomes in a meaningful way.\u00a0A problem-solving approach to address clinical questions, the 18-step process allows for non-randomized control trial designed evaluations and quality improvement initiatives to take place(Melnyk & Fineout-Overholt, 2019)..\u00a0With mindfulness that registered nurses encounter challenges that require a fix “tomorrow”, with potential use of nonresearch evidence by use of four pathways.<\/p>\n For my PICOT with aim to reduce occurrence of CLABSIs in patients with a central line, I believe either model could be used to implement meaningful change. However, the Stetler model is better suited for a randomized control trial approach, which is the method I believe to be best suited to gain the most sound, valid and reliable results.\u00a0By way of using critical thinking and various types of evidence (internal AND external), the Stetler model allows for easy implementation of evidence gathered by way of a toolkit and use of consensus guidelines and policy change.<\/p>\n <\/p>\n Melnyk,\u00a0B.M.,\u00a0& Fineout-Overholt,\u00a0E. (2019).\u00a0Evidence-based practice in nursing\u00a0and healthcare: A guide to best practice\u00a0<\/em>(4th\u00a0ed.)<\/em>.\u00a0Wolters Kluwer. ISBN-13:9781496384539<\/p>\n The Iowa Model for Evidence-based practice (IMEBP) implementation has been used effectively to implement hundreds of evidence-based research projects as it provides direction through decision points for priority, resources, amount of supporting evidence, research designing, piloting then integration and sustaining (Buckwater, Cullen, Hanrahan, Kleiber, McCarthy, Rakel, Steelman, Tripp & Tycker, 2017). This model thoroughly considers the creation and lifespan of implementation of EBP which is why it can commonly be seen and used in a research setting (Buckwater et al., 2017). Compared to the Johns Hopkins Nursing Evidence-Based Practice Model (JHNEBPM), there is similarity in the process of implementing and evaluating EBP research. The JHNEBPM however is more specific in applying to the nursing perspective as well as increasing the understanding that an initial exploratory inquiry is a separate step from the PET (practice question, evidence, translation) process (Melnyk & Fineout-Overholt, 2018). This model appears more organized for clinical decision making for EBP in nursing as it can be similar to the nursing process in both clinical and research settings.<\/p>\n It is more appropriate to use the JHNEBPM as a framework to my EBP research project as the goal is to provide change in education from nursing to a population. Since the model provides more considerations for critical thinking, more health outcomes or more types of education can be produced to achieve research goals (Melnyk & Fineout-Overholt, 2018).<\/p>\n Buckwalter, K. C., Cullen, L., Hanrahan, K., Kleiber, C., McCarthy, A. M., Rakel, B., Steelman, V., Tripp, R. T., & Tucker, S. (2017). Iowa Model of Evidence-Based Practice: Revisions and Validation.\u00a0Worldviews on Evidence-Based Nursing<\/em>,\u00a014<\/em>(3), 175\u2013182. https:\/\/doi-org.lopes.idm.oclc.org\/10.1111\/wvn.12223<\/a><\/p>\n Melnyk, B. M., & Fineout-Overholt, E. (2018).\u00a0Evidence-Based practice in nursing and healthcare<\/em>\u00a0(4th ed.). p. 434-437. Wolters Kluwer Health.<\/p>\n Two models that facilitate change and are supported by evidence-based practice are Kotter\u2019s Change Management Model and Kurt Lewin\u2019s Change Model. Kotter\u2019s Change Management Model is a standard theory used worldwide that consists of eight stages that focus on the employee\u2019s responses when it comes to change (Kotter, 2019). These eight stages include increasing urgency, building the team, communicating, getting the vision correct, moving things, incorporating change, not giving up, and focusing on short-term goals. Using Kotter\u2019s method allows an organization to achieve successful quantitative and qualitative results while focusing on cost-efficient approaches towards health opportunities, demand for change, and barriers. Kurt Lewin’s Change Model is a standard method that has proven effective management models for change. Lewin\u2019s model has three phases: unfreezing, changing, and refreezing (Hussain et al., 2018). The model aids organizations in better comprehending organizational and structural change. The two different approaches provide valuable insights into how effective change management occurs. When used together, they tend to balance each other out when it comes to the weaknesses of each method one by one. In the evidence-based proposal, Kotter\u2019s model is a better method when focusing on organizational detail.<\/p>\n Hussain, S. T., Lei, S., Akram, T., Haider, M. J., Hussain, S. H., & Ali, M. (2018). Kurt Lewin\u2019s Change model: a Critical Review of the Role of Leadership and Employee Involvement in Organizational Change.\u00a0Journal of Innovation & Knowledge<\/em>,\u00a03<\/em>(3), 123\u2013127. https:\/\/doi.org\/10.1016\/j.jik.2016.07.002<\/a><\/p>\nA Sample Answer For the Assignment: NUR 590 Topic 3 DQ 2 Review the different models and frameworks that can be used to facilitate change<\/strong><\/h2>\n
Title: NUR 590 Topic 3 DQ 2 Review the different models and frameworks that can be used to facilitate change<\/strong><\/h2>\n
Resource: NUR 590 Topic 3 DQ 2 Review the different models and frameworks that can be used to facilitate change<\/h2>\n
A Sample Answer 2 For the Assignment: NUR 590 Topic 3 DQ 2 Review the different models and frameworks that can be used to facilitate change<\/strong><\/h2>\n
Title: NUR 590 Topic 3 DQ 2 Review the different models and frameworks that can be used to facilitate change<\/strong><\/h2>\n
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A Sample Answer 3 For the Assignment: NUR 590 Topic 3 DQ 2 Review the different models and frameworks that can be used to facilitate change<\/strong><\/h2>\n
Title: NUR 590 Topic 3 DQ 2 Review the different models and frameworks that can be used to facilitate change<\/strong><\/h2>\n
References: NUR 590 Topic 3 DQ 2 Review the different models and frameworks that can be used to facilitate change<\/h2>\n
A Sample Answer 4 For the Assignment: NUR 590 Topic 3 DQ 2 Review the different models and frameworks that can be used to facilitate change<\/strong><\/h2>\n
Title: NUR 590 Topic 3 DQ 2 Review the different models and frameworks that can be used to facilitate change<\/strong><\/h2>\n