Facilitating Sustainability of an Evidence-Based Falls Protocol: A Comparative Analysis of Conceptual Frameworks

QUESTION

Select a conceptual framework or model such as the Iowa model, The Ottawa Model for Research Use, or the Joanna Briggs Institute (JBI) model, and evaluate how the model can be used to facilitate an organization to sustain a new evidence-based falls protocol. Which model would most beneficial to facilitate the hospital staff (nurses and nursing leadership) to implement and sustain using the new protocol and why? Include references. Be sure to include specific examples from each component of the model with application to implementing a new protocol. Be sure to use EBP throughout to support ideas.

ANSWER

Facilitating Sustainability of an Evidence-Based Falls Protocol: A Comparative Analysis of Conceptual Frameworks

Introduction

The implementation and sustainability of evidence-based practices in healthcare organizations are essential for improving patient outcomes. One such critical area is falls prevention. In this essay, we will evaluate how conceptual frameworks/models like the Iowa Model, the Ottawa Model for Research Use, and the Joanna Briggs Institute (JBI) model can be applied to facilitate an organization’s sustainability of a new evidence-based falls protocol. We will also determine which model would be most beneficial for hospital staff, including nurses and nursing leadership, to implement and sustain the new protocol.

1. The Iowa Model

The Iowa Model is a widely recognized framework for implementing evidence-based practice (EBP) in healthcare. Its components include problem identification, evidence appraisal, translation, implementation, and evaluation.

Application: Hospital staff can use the Iowa Model to identify falls as a significant problem through data analysis, then appraise the evidence for falls prevention interventions. For example, they can review studies on the effectiveness of bed alarms and hourly rounding in reducing falls.

Benefit: The Iowa Model encourages a systematic approach to evidence-based practice, ensuring that the falls protocol is based on the best available evidence. Nursing leadership can promote a culture of EBP, which is vital for long-term sustainability.

2. The Ottawa Model for Research Use

The Ottawa Model focuses on bridging the gap between research evidence and its application in clinical practice. It comprises seven components, including assessing practice and feedback.

Application: Hospital staff can assess current falls prevention practices and identify areas that require improvement. For instance, they can evaluate whether the new protocol aligns with current practices and gather feedback from nurses on its feasibility.

Benefit: This model emphasizes the continuous assessment of practice, which is essential for sustainability. It ensures that the falls protocol remains relevant and effective over time. Nursing leadership can use this model to engage frontline nurses in the process.

3. The Joanna Briggs Institute (JBI) Model

The JBI Model includes a comprehensive framework for evidence-based healthcare, encompassing a range of methodologies, evidence synthesis, and practice improvement components.

Application: Hospital staff can use JBI’s evidence synthesis components to regularly review and update the falls protocol. For example, they can conduct systematic reviews to identify the latest evidence on falls prevention strategies.

Benefit: The JBI Model promotes a dynamic approach to EBP, making it particularly suitable for sustaining a falls protocol. It ensures that the protocol remains evidence-based and adaptable to changing circumstances.

Which Model is Most Beneficial?

The choice of the most beneficial model depends on the organization’s specific needs and culture. However, for the implementation and sustainability of a falls prevention protocol, the **Iowa Model** may be the most practical choice. Its systematic approach, including problem identification, evidence appraisal, translation, implementation, and evaluation, aligns well with the structured nature of falls prevention protocols.

Moreover, the Iowa Model promotes the involvement of nursing leadership in creating a culture of EBP, which is crucial for long-term sustainability. This model also provides clear steps for incorporating new evidence into practice and evaluating its impact.

Conclusion

The sustainability of an evidence-based falls protocol in a healthcare organization is a multifaceted process that requires a structured approach. While the Ottawa Model and the Joanna Briggs Institute Model offer valuable components, the Iowa Model’s systematic approach, emphasis on EBP culture, and clear steps for implementation and evaluation make it the most beneficial choice for facilitating the implementation and sustainability of a new falls prevention protocol, especially for hospital staff, including nurses and nursing leadership. By employing the Iowa Model, organizations can ensure that their falls prevention practices are evidence-based and adaptable to changing circumstances, ultimately enhancing patient safety.