It is based on focused areas that have ‘triggered’ questions about practices and requires further research and investigation into whether there are better ways of doing some type of process or providing a solution (Titler, Kleiber, Steelman, Rakel, Budrea, Evertt & Good 2001). Changes are made from such research that shows strong evidence for making changes in clinical practices. This can include innovative approaches, provides cost-reducing measures, and evidence-based solutions which benefit both the medical field and the patients it serves.
In using the Iowa Model, some of the improvements it has provided are in enteral tube feeding (ETF), sedation management, bowel sounds assessment after abdominal surgeries, verifying the placement of the nasogastric tube, and double gloving in the surgery room (Melnyk & Fineout-Overholt 2011; Titler et al., 2001).
The model also is useful for administration, as you have noted, to encourage an open atmosphere for inquiry as well as providing funding for further testing of medical processes to ensure that the best is made available to both staff and patients. A committee is also formed to oversee the process of discovery and to authorize the change, if deemed essential through supporting data (Melnyk & Fineout-Overholt 2011). A pilot process is created whereby the new policy is implemented and then reviewed as to its success, including the need for adjustments as found during the pilot process. This ensures that a clinic, hospital or organization fits the process to its own particular identity so that it functions at an optimal level. It is well-known that many organizations in the medical field use the Iowa Model as a basis for making change, thus supporting its efficiency.
Translating research into practice (TRIP) is also a component of the process in presenting first the pilot process and recording the variables at play which give cause for ...
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