Date of Award

Spring 2025

Document Type

Project

Degree Name

Doctor of Nursing Practice (DNP)

Department

Nursing

Advisor

Dr. Kirk Hummer

First Committee Member

Dr. Joy Shoemaker

Second Committee Member

Dr. Regina Prusinski

Third Committee Member

Dr. Teresa Wood

Keywords

evidence-based, Iowa Model, practice changes, implementation

Subject Categories

Medicine and Health Sciences

Abstract

Implementing evidenced-based practice (EBP) changes at large healthcare organizations is often a lengthy and difficult process, and sustainability is even harder. Many organizations continue to implement changes in EBP without using a standard approach or an evidenced-base practice model. One large healthcare organization in the Midwest is implementing a Professional Development and Advancement Program (also known as clinical ladder) for the direct care nurses across the health system. This is a proposed project and the program will be implemented using the Iowa Model for evidence-based practice change as a framework for guiding the implementation. The implementation team will use the Iowa Model to guide the selection of interventions for use during the implementation of the program. The structured approach using the Iowa Model will increase the applications to the professional development and advancement program during the first enrollment period as measured by the percent of applicants in the eligible pool of nurses. The approach using the Iowa Model has implications for future evidence-based practice changes at the healthcare system. Each use of the model provides that standard approach and will therefore make the adoption of EBP less difficult, more efficient and increase the likelihood that the change will be sustained.

Acknowledgement 1

1

Acknowledgement 2

1

Licensing Permission

Copyright, all rights reserved. Fair Use

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