Evidence-Based Practice: Understanding the Process

Katherine J. Dontje MSN, APRN, BC


Topics in Advanced Practice Nursing eJournal. 2007;7(4) 

In This Article

The Final Step of the Iowa Model of Evidence-Based Practice

The final step of the Iowa Model is to implement the recommended change and evaluate the outcomes of the change in practice patterns.[6] In the example of depression screening, the NP would need to work with the organization to develop a plan to implement a screening test into routine primary care evaluation of adults over the age of 18 years. At a predefined interval, possibly 6 months to 1 year, the organization would need to evaluate this change and give feedback to the practice providers on the outcomes measures that were determined. This step is instrumental in establishing the EBP concept within the clinical setting. Feedback about the effects of the change and reevaluation of the process if the expected outcomes were not achieved is vital.[18] This process could coincide with quality improvement activities within the practice.


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