The purpose of an implementation model is to provide a structured, systematic approach for translating evidence-based research into routine clinical practice. It acts as a blueprint, guiding healthcare teams through the process of adopting a new practice, intervention, or policy. These models help to identify potential barriers and facilitators, optimize resource allocation, and ensure that a proposed change is implemented effectively and sustained over time.

Best-Fit Implementation Model for a Clinical Question

The Iowa Model of Evidence-Based Practice (EBP) would be a great fit for a clinical question and for a healthcare organization. This model is well-suited for a variety of clinical settings and is a problem-solving model that uses a team-based approach.

The Iowa Model is particularly effective because it:

• Identifies Triggers: It starts by identifying a “trigger,” which can be either a problem-focused trigger (e.g., high fall rates, patient complaints) or a knowledge-focused trigger (e.g., new research findings, a new clinical guideline). This allows the organization to address real, tangible issues.
• Forms a Team: It emphasizes forming an interdisciplinary team, which ensures that all relevant stakeholders (nurses, physicians, administrators, etc.) are involved in the process, increasing buy-in and success.
• Appraises and Synthesizes Evidence: The model guides the team to search for, critically appraise, and synthesize the best available evidence. If there isn’t enough evidence, it even allows for the possibility of conducting original research.
• Pilots the Change: Before full-scale implementation, the model recommends a pilot study. This is a crucial step that allows the team to test the new practice on a small scale, identify any unforeseen problems, and make necessary adjustments without disrupting the entire organization.
• Disseminates and Sustains: Once the pilot is successful, the model provides steps for disseminating the findings throughout the organization and integrating the change into standard practice, ensuring long-term sustainability.