How does the Iowa model transcend mere nursing care? (Select all that apply.)

Question

a. It includes formalized internal feedback loops.
b. Its triggers can have their origins practically anywhere.
c. It generates change in practice solely through research.
d. It implies a layer of policy development.
e. It addresses multiple disciplines' impacts on quality.

Answer 1

ANS: A, B, D, E
The triggers addressed within the Iowa model process can be problem focused and evolve from risk management data, process improvement data, benchmarking data, financial data, and clinical problems. The triggers can also be knowledge focused, such as new research findings, change in a national agency's or an organization's standards and guidelines, expanded philosophy of care, or questions from the institutional standards committee. Because the Iowa model is often implemented at a fairly high level of nursing or hospital administration, it scrutinizes the input of nursing and other disciplines in its process. Its output is applied as widely as possible throughout the organization, and it can affect policy within a multihospital system and even across systems. The success of EBP is determined by all involved, including health care agencies, administrators, nurses, physicians, and other health care professionals.