Response 4

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Nov 24, 2024

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Response 4 Hello Collins! Thank you for sharing your detailed post on the Iowa Model and its application in implementing a fall prevention program in long-term care facilities. I agree that evidence-based clinical practice changes are crucial to improving patient outcomes, and the Iowa Model provides a useful framework for implementing such changes. Identifying the problem and assembling a team of stakeholders is essential for successful implementation of any change project, and you have done an excellent job in outlining the key stakeholders for the fall prevention program. The use of evidence-based interventions and assessment of the quality of evidence is also crucial in ensuring that the program is effective in reducing falls in long-term care facilities (Cameron et al., 2018). I appreciate how you have included the evaluation of the practice change and dissemination of outcomes to stakeholders, as these steps are often overlooked in the implementation process. It is vital to measure the effectiveness of the program and share the results to encourage the adoption of evidence-based interventions in other long-term care facilities. Overall, your post provides a comprehensive example of how the Iowa Model can be used to guide practice changes and improve patient outcomes in long-term care facilities. Thank you for sharing your insights! References Cameron, I. D., Dyer, S. M., Panagoda, C. E., Murray, G. R., Hill, K. D., Cumming, R. G., Kerse, N., & Chen, J. S. (2018). Interventions for preventing falls in older people in care facilities and hospitals. Cochrane Database of Systematic Reviews, 2018(9), CD005465. https://doi.org/10.1002/14651858.CD005465.pub4 Peer #2

Thank you for sharing your thoughts on the importance of turning research into practice and the use of the Iowa Model to guide healthcare professionals in improving patient care and healthcare quality. I agree that it is crucial for healthcare professionals to become critical consumers of research evidence and translate it into direct application for patient care. Your example of the long duration of patient call light is an essential issue that affects patient care and can lead to adverse outcomes. It is commendable that you have identified this problem and suggested possible solutions, such as having enough staff based on patient-need ratio and good communication and teamwork among staff. These are excellent ideas for improving customer service and quality of care, and the implementation of such changes could significantly improve patient outcomes. The Iowa Model provides a useful framework for implementing practice changes, and the steps you have outlined, such as identifying the problem, forming teams, collecting evidence, and implementing changes, are essential for successful implementation (Buckwalter et al., 2017). The use of pilot testing and peer appraisal can also help refine the process and ensure that changes are effective in improving patient care. Overall, your post provides valuable insights into the importance of research in improving patient care and the use of the Iowa Model to guide healthcare professionals in implementing practice changes. Thank you for sharing your thoughts and ideas on this topic! References Buckwalter, K. C., Cullen, L., Hanrahan, K., Kleiber, C., McCarthy, A. M., Rakel, B., Steelman, V., Tripp-Reimer, T., & Tucker, S. (2017). Iowa model of evidence-based practice: Revisions and validation. Worldviews on Evidence-Based Nursing, 14(3), 175–182. https://doi.org/10.1111/wvn.12223

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