The model requires that the implementation plan should begin by encouraging of the nursing staff to identify the practice questions that are either triggered through identification of a new knowledge or problem. In this plan, the model would that practice questions relating to the response to medical adherence to newly diagnosed young male with coronary heart disease be identified first. This will be essential in allocation of supporting resources to the top-most priorities. The next step that the model requires in implementation plan is formation of a team to develop, evaluate and implement the practice change. This team should be made up of stakeholders in the practice change; the team may include unit managers, interdisciplinary colleagues, and the staff nurses that identified the practice questions. Therefore, a team should be formed comprising of the aforementioned persons in order to effectively implement the plan (Reed and Lawrence, 2008).
The model further requires that the team that has been formed should select, critique, review, and synthesize all the available research evidence relating to the implementation plan (Titler et al, 2001). In an event that the evidence is not sufficient, the team can make recommendations using lower evidence levels or by conducting additional research. If the evidence is adequate, then the practice can be initiated. After ascertaining this aspect, the team involved in this implementation plan should pilot the practice change in a bid to determine the effectiveness and feasibility. If the results of the pilot projects are positive, the team should facilitate integration and roll-out of the practice through continuous monitoring of outcomes, education, and leadership support. Thereafter, the Iowa Model requires that the reports of the projects to be shared outside and within the organization through publications and presentations. The model emphasizes on this step as it is important in supporting the ...
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