In the Iowa model, what is the focus of intervention?

a. The patient level
b. The family level
c. The institutional level
d. The conceptual level


ANS: C
The Iowa Model of Evidence-Based Practice provides direction for the development of EBP in a clinical agency. In a health care agency, triggers initiate the need for change, and the focus should always be to make changes based on best research 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, changes in national agencies or organizational standards and guidelines, an expanded philosophy of care, or questions from the institutional standards committee. The triggers are evaluated and prioritized based on the needs of the clinical agency. If a trigger is considered an agency priority, a group is formed to search for the best evidence to manage the clinical concern.

Nursing

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