Applying the Stetler Model of Evidence-Based Practice in Inpatient Acute Care

QUESTION

Select one theoretical model of EBP:

Academic Center for Evidence-Based Practice Sar Model (ACE Star Model)

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Advancing Research and Clinical Practice through Close Collaboration (ARCC) Model

Iowa Model

Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) Model

Stetler Model of Evidence-Based Practice

Describe a problem from your nursing practice- nursing practice for this question is inpatient acute care.

Describe one model of EBP.

Apply the major concepts of the model to your scenario.

ANSWER

Applying the Stetler Model of Evidence-Based Practice in Inpatient Acute Care

Introduction

In nursing practice, evidence-based practice (EBP) plays a vital role in ensuring the delivery of high-quality care. Among the various models available, the Stetler Model of Evidence-Based Practice is a well-known framework that guides nurses in implementing evidence-based interventions. This essay explores the application of the Stetler Model in an inpatient acute care setting, addressing a specific problem and demonstrating how the model’s major concepts can be applied to improve patient outcomes.

Problem Description

In the inpatient acute care setting, a common problem is the occurrence of pressure ulcers among immobile patients. Pressure ulcers pose a significant threat to patient well-being, increase healthcare costs, and may lead to complications. Addressing this problem requires an evidence-based approach to guide interventions and prevent pressure ulcer development.

Stetler Model of Evidence-Based Practice

The Stetler Model of Evidence-Based Practice provides a systematic framework for implementing evidence-based interventions. It consists of five major phases: preparation, validation, comparative evaluation and decision-making, translation/application, and evaluation.

Application of the Stetler Model

Preparation

In this phase, the nurse identifies the problem and conducts a comprehensive review of the existing literature and available evidence related to pressure ulcer prevention. They also assess the current practices and policies in place for preventing pressure ulcers in the acute care setting.

Validation

In this phase, the nurse critically appraises the gathered evidence for its validity, reliability, and applicability to the specific context of inpatient acute care. They consult with experts, collaborate with colleagues, and seek input from patients and families to validate the evidence and determine its suitability for implementation.

Comparative Evaluation and Decision-Making

In this phase, the nurse compares the various interventions identified in the literature and evaluates their effectiveness, feasibility, and potential impact on patient outcomes. They consider factors such as patient preferences, available resources, and the support of the healthcare team in making an informed decision about the most appropriate intervention to implement.

Translation/Application

In this phase, the nurse develops an implementation plan for the chosen evidence-based intervention. They collaborate with the healthcare team to integrate the intervention into practice, ensure appropriate education and training for staff, and monitor the implementation process. The nurse also addresses any barriers or challenges that may arise during implementation.

Evaluation

In this final phase, the nurse evaluates the outcomes of the implemented intervention. They assess the effectiveness of the intervention in preventing pressure ulcers, monitor patient outcomes, and gather feedback from patients, families, and the healthcare team. The nurse considers both the positive and negative outcomes, making any necessary adjustments or improvements to optimize the intervention’s effectiveness.

Application Impact

By applying the Stetler Model to the problem of pressure ulcer prevention in inpatient acute care, nurses can improve patient outcomes and reduce the incidence of pressure ulcers. The model facilitates a systematic approach to evidence-based practice, ensuring that interventions are based on the best available evidence and tailored to the specific context. By involving patients, collaborating with the healthcare team, and addressing barriers to implementation, the model supports a patient-centered and collaborative approach to care.

Conclusion

The Stetler Model of Evidence-Based Practice provides a comprehensive framework for nurses to address clinical problems, such as pressure ulcer prevention, in the inpatient acute care setting. By following the model’s major concepts, nurses can engage in a systematic process of evidence gathering, validation, decision-making, translation, and evaluation. Applying this model enables nurses to implement evidence-based interventions effectively, ultimately improving patient outcomes and enhancing the quality of care in the inpatient acute care setting.

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