Evidence Based Practice: Demystifying the Iowa …

1 oncology nursing Society Metro Detroit Chapter Providing optimal care through promotion of professional standard, networking and development Volume XXV, Issue 2 Spring 2010. Evidence Based Practice: Demystifying the Iowa Model By Carole Bauer ANP-BC, MSN, OCN , CWOCN. Evidence Based practice (EBP) has been a term that has floated from critiquing published findings to the application of these findings around for a long time now. In fact, if you want to ensure that your into practice. This model consists of steps to assess and use research idea will be accepted as a poster or a podium, just be sure to tie the findings. It focuses on critical thinking and the use of findings. The term Evidence Based practice into it and you will have nursing leaders steps of this model are termed preparation, validation, comparative taking notice of your idea.

2 That being said, how does one begin an evaluation/decision making, translation/application, and evaluation. Evidence Based project? Is there a simple method that anyone can use (Ciliska et al, 2005). to solve problems at the bedside? Four organizational models have been proposed that assist nurses Evidence Based practice is defined as the conscientious use of in the application of Evidence Based practice. These are the Iowa current best Evidence in making decisions about patient care. It is a model, Rosswurm and Larrabee's model, the Advancing Research problem solving approach to practice that incorporates: and clinic practice through close collaboration (ARCC) and Kitson's a systematic search for and critical appraisal of the most model. These models add a key component when compared to relevant Evidence to answer a burning clinical question Funk or Stetler.

3 They consider the the impact of the organization One's own clinical expertise on EBP. Each of these models address the key component of EBP: Patient preferences and values. develop a question, search and evaluate the available Evidence , utilize (Pape, 2003, p. 186) the Evidence , evaluate the practice decision or change. Each model Thus, Evidence Based practice involves A goal of the Evidence Based practice provides a unique method for several steps. First Based on the definition, movement is to increase the speed with accomplishing these steps. (Ciliska one must examine research Evidence . In et al, 2005). the second step the information obtained which the knowledge obtained from from research is combined with clinical research is integrated into patient care. The Iowa Model uses key experience, available resources and finally triggers that can be either the patient's preference is considered problem focused or knowledge to determine the best care for the patient (Pape, 2003).

4 A goal of focused to lead the clinician in utilization of the components the Evidence Based practice movement is to increase the speed with of this model. Initially the clinician generates a question which the knowledge obtained from research is integrated into either from a problem or as a result of becoming aware of new patient care. knowledge. The second step in this model is to determine if The use of Evidence Based practice has lead to the development of Continued on page 3. several models for the application of Evidence Based practice. The Funk and Stetler models were among the first models to promote Evidence Based practice. These two models became known for promoting practice that did not depend primarily on experience What's and thus deemphasized ritual, and unsystematic clinical experiences. From the Editor.

5 2. The Funk model has three major components that include evaluating the quality of the research, looking at the characteristics Highlighting a Member.. 2. of communication and facilitation of the utilization of the research. Meeting Summaries .. 3. The Funk model considered several barriers to the utilization of From the President .. 7. Evidence and attempted to optimize the use of research in practice. The Stetler Model of research utilization and Evidence Based practice Officers and Staff.. 8. was first published in 1976. It was created to help nurses progress From the Editor Carole Bauer, MSN, OCN , CWOCN . I am so tired of winter. Even with the winter Full details of ONS congress can be found sessions, make plans to meet up with friends Olympic games on the television, I find myself on the ONS web page ( ).

6 For and colleagues, and leave messages for other disillusioned with winter so I am happy to those of us who cannot attend congress in attendees. You can even use it to connect to San have the opportunity in this article to think person, ONS now has a virtual congress. Diego locals to discover the best restaurants about spring. Spring at ONS is a time when we The Congress virtual meeting gives you and shopping the city has to offer! One can begin to think about the coming of oncology access to the valuable content and CNE from even follow Congress on Twitter! nursing month and national congress. There the conference, even if you can't make it to when you need us is the theme of this But for those of us who will not be able to year's oncology nursing month which is experience the uplifting spirit present at ONS.

7 Celebrated with the opening ceremony at congress, we can create our own history and the ONS national convention. celebrate oncology nursing month in our own manner. The ONS website includes ideas and I am disappointed that I will not be able resources that will help you to recognize the to attend this year's congress in San Diego as it the event in San Diego. Access for virtual importance of the work that oncology nurses holds the promise of being a great conference. attendees is $500. ONS also has a social do every day caring for patients with cancer. The theme of the conference, Wild About networking page where you can sign up I encourage you to go to congress if you can, oncology nursing is a great title to showcase and met old friends who are at Congress and if not, work to celebrate oncology nursing the outstanding presentations that will be called Crowdvine.

8 Through this interactive month and make a difference for patients and available this year at Congress. You are platform, you'll be able to get talk to speakers your co workers for we are there when you encouraged to get wild and be wowed! and other attendees, share information about need us oncology nurses! Highlighting a Member: Michelle Wallace, OCN . We at MDONS are proud Michelle had a goal to become a nurse and traveling with family. The membership to have a new member to since she was in the 4th grade. During dues for her book club provides scholarship our board of directors, her sophomore year in nursing school, money for graduating high school students. Michelle Wallace. her grandmother passed away from With her dancing passion she has taken oncology nursing has pancreatic cancer. There were limited ball room dance, salsa, and hustle/step line- been Michelle's passion for treatment options during that era and dancing lessons.

9 There is also a possibility of over 20 years. She views few resources within her community. joining a bowling league after the smoking oncology nursing as the This motivated her to select oncology ban takes effect in Michigan . opportunity to provide a nursing for a specialization. high level of compassion Michelle is married to husband, Alvin who and commitment for After graduation from Oakland recently retired from GM in July of 2009. He quality patient care. University, her nursing career began on enjoys now being an extra in local independent Through MDONS she can fulfill her personal 7 East, an inpatient medical oncology unit, at films. They have 3 children, Anton (23 y/o) is objectives to acquire new knowledge while St. Joseph Mercy Hospital (SJMH), Oakland. majoring in information technology with a providing networking and mentorship She remained at SJMH until 1995 with roles minor in system security.

10 He plans to enlist in opportunities with fellow oncology nurses. in oncology nursing as a care manager, the Air Force upon graduation. Anton is also charge nurse, and chemotherapy infusion an avid bowler. Aric (21 y/o) is majoring in Currently, her position is as a research nurse nurse. During this time Michelle obtained graphic design even though visually impaired clinician in the department of radiation her OCN. with the help of adaptive technology is oncology at Beaumont Hospital in Royal obtaining his goal. He enjoys music. Alyssa Oak. Since 2002, her research responsibilities In 1995 she sought opportunities in (20 y/o) is a pre- nursing student who aspires have included enrolling patients to RTOG ambulatory care at Karmanos Cancer Institute to work in the NICU and obtain an advanced studies and investigator initiated studies, as a nurse case manager in the department of practice degree.