Which statements are true about the Iowa model of EBP? (Select all that apply.)
a. It addresses utilization of research findings at an individual level.
b. It prioritizes pressing items of interest related to quality of care.
c. Individual nurses enact an Iowa decision tree when they examine risk management data.
d. It identifies triggers capable of posing hazard or benefit.
e. It reiterates that innovators embrace change far earlier than laggards.
ANS: B, D
The Iowa model of EBP provides direction for the development of EBP in a clinical agency. This EBP model was initially developed in 1994 and revised in 2001. In a health care agency, there are triggers that initiate the need for change, and the focus should always be to make changes based on best evidence. These triggers 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 an institutional standards committee.
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