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1Running Head: EVIDENCE-BASED PRACTICE PROPOSAL – SECTION EEvidence-Based Practice Proposal – Section D: Solution DescriptionDana GillGrand Canyon UniversityMarch 10, 2019
2Running Head: EVIDENCE-BASED PRACTICE PROPOSAL – SECTION EEvidence-Based Practice Proposal – Section E: Change ModelImplementation Model: The Model for ImprovementThe EBP will use The Model for Improvement to implement the desired change to improve hand hygiene at BEMC. The model was developed in the 1980s and is a framework for improvement based on an iterative, trial-and-learning approach (Langley et al., 2009). The Model for Improvement allows for an intervention to be gradually modified and tailored to the uniqueness of the facility where the change is to take place (Langley et al., 2009). The IHIrecommends using The Model for Improvement in healthcare organizations where it has been used successfully to improve numerous QI initiatives, including hand hygiene (IHI, 2006). This model consists of two components: answering three fundamental questions and the plan-do-study-act (PDSA) cycle. DesignThe Model for Improvement utilized three fundamental questions: What are we trying to accomplish? How will we know that a change is an improvement? What changes can we make that will result in improvement? The design for planning, implementation, and evaluation of the evidence-based initiative was based on these questions.“What are we trying to accomplish?” This question assists with setting goals (IHI, 2018).