NUR-357 Arizona College – Describe the key aspects of each of the four frameworks and models (Iowa, OMRU, PARIHS, and JBI).

QUESTION

Describe the key aspects of each of the four frameworks and models (Iowa, OMRU, PARIHS, and JBI). What do they share? What is particularly unique about each model?

ANSWER

A Comparative Analysis of Healthcare Frameworks and Models: Iowa, OMRU, PARIHS, and JBI

Introduction

In healthcare, frameworks and models provide a systematic approach to guide evidence-based practice and quality improvement. This essay examines four prominent frameworks and models: Iowa, OMRU, PARIHS, and JBI. It explores their key aspects, identifies shared characteristics, and highlights the unique features that distinguish each model.

 Iowa Model

The Iowa Model of Evidence-Based Practice to Promote Quality Care emphasizes the translation of research into practice. It comprises six key steps: (1) identification of the problem, (2) evidence review, (3) development of an implementation plan, (4) implementation, (5) evaluation, and (6) dissemination of results (Brown, 2014).

Shared Characteristics

Emphasizes evidence-based practice and quality improvement.

Involves a systematic approach to guide practice change.

Incorporates research evidence into decision-making.

Unique Features

Focuses on problem identification and formulation of research questions.

Highlights the importance of stakeholder involvement in decision-making and implementation.

Emphasizes the dissemination of research findings to inform practice.

 OMRU Model

The Ottawa Model of Research Use (OMRU) aims to promote the integration of research evidence into practice. It consists of four phases: (1) assessment of organizational readiness, (2) identification and appraisal of evidence, (3) adaptation and integration of evidence, and (4) evaluation and sustainability (Logan & Graham, 1998).

Shared Characteristics

Emphasizes the utilization of research evidence in decision-making.

Recognizes the importance of organizational factors in promoting evidence-based practice.

Incorporates a systematic approach to facilitate evidence integration.

Unique Features

Emphasizes the assessment of organizational readiness to change.

Provides guidance on adapting and tailoring evidence to fit local contexts.

Highlights the importance of ongoing evaluation and sustainability of evidence-based practices.

PARIHS Framework

The Promoting Action on Research Implementation in Health Services (PARIHS) Framework focuses on the implementation of evidence in complex healthcare settings. It comprises three core elements: evidence, context, and facilitation. The interaction between these elements determines successful implementation (Ward et al., 2017).

Shared Characteristics

Recognizes the importance of evidence, context, and facilitation in implementation.

Highlights the complexity of healthcare settings and the need for tailored approaches.

Emphasizes the active role of facilitators in supporting implementation.

Unique Features

Provides a comprehensive understanding of the interaction between evidence, context, and facilitation.

Considers the dynamic nature of context and the need for ongoing assessment and adaptation.

Encourages the active involvement of stakeholders in the implementation process.

JBI Model

The Joanna Briggs Institute (JBI) Model emphasizes a comprehensive approach to evidence-based healthcare, incorporating evidence synthesis, transfer, and utilization. It consists of three components: evidence synthesis, evidence transfer, and evidence utilization (JBI Model of Evidence-based Health Care (EBHC) | JBI, n.d.).

Shared Characteristics

Promotes evidence-based practice and knowledge translation.

Provides a structured approach to evidence synthesis and utilization.

Encourages collaboration among researchers, practitioners, and policymakers.

Unique Features

Emphasizes the systematic synthesis of research evidence through rigorous methodologies.

Addresses multiple levels of evidence transfer, including dissemination, interpretation, and implementation.

Provides resources and tools for evidence-based practice, such as clinical guidelines and decision support systems.

Conclusion

The Iowa, OMRU, PARIHS, and JBI frameworks and models share the common goal of promoting evidence-based practice and improving healthcare outcomes. They incorporate systematic approaches and recognize the importance of context and stakeholder involvement. However, each model has its unique features. The Iowa Model focuses on problem identification and dissemination, OMRU emphasizes organizational readiness and adaptation, PARIHS explores the interaction of evidence, context, and facilitation, and JBI provides a comprehensive approach to evidence synthesis and transfer. Understanding the key aspects and unique features of these models assists healthcare practitioners in selecting the most appropriate framework to guide evidence-based practice and quality improvement initiatives.

References

Brown, C. G. (2014). The Iowa Model of Evidence-Based Practice to Promote Quality Care: An Illustrated Example in Oncology Nursing. Clinical Journal of Oncology Nursing, 18(2), 157–159. https://doi.org/10.1188/14.cjon.157-159

JBI model of evidence-based health care (EBHC) | JBI. (n.d.). https://jbi.global/jbi-model-of-EBHC

Logan, J., & Graham, I. D. (1998). Toward a Comprehensive Interdisciplinary Model of Health Care Research Use. Science Communication, 20(2), 227–246. https://doi.org/10.1177/1075547098020002004

Ward, M. M., Baloh, J., Zhu, X., & Stewart, G. L. (2017). Promoting Action on Research Implementation in Health Services framework applied to TeamSTEPPS implementation in small rural hospitals. Health Care Management Review, 42(1), 2–13. https://doi.org/10.1097/hmr.0000000000000086

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