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EVIDENCE BASED PRACTICE: FINAL PROPOSAL11p. 1). A planning team is formed and that team collects and synthesizes the evidence. If enough credible evidence is found to support the proposed change, a trial run or pilot of the new practice change is planned and carried out. As with all other change models, the outcomes are then evaluated and the information disseminated. The Iowa Model specifically assists health care providers; most especially nurses translate research findings into clinical practice. Application of this model is likely to improve patient outcomes (Bauer, 2010). This model was chosen due to itsuse of a multidisciplinary approach and feedback loops; both are critical for the proposed change.Utilizing the steps of the Iowa Model, the first step is to identify the trigger. In this case, the burning question is: do children affected by violence who receive multidisciplinary treatmenthave more positive outcomes in adulthood than those without, and can a team make a difference for these affected children in a small community? Next a team should be formed, including emergency department as well as women’s services department nurses, physicians, a social worker, some community liaisons from law enforcement and the court system, a children’s advocate or CASA volunteer, and perhaps the CNO or CEO of the facility or members of the administrative board. Next, the research of the available evidence, studies, and articles happens and the question is asked – is there enough to support this proposed project? Implementation and follow-upAfter review by the team and because there is sufficient evidence, the team makes implementation plans including feedback from the community, hospital board, and the team. Theimplementation can include a pilot program in one small hospital or community, then if successful, can be applied to other hospitals within the same network; as is likely with the proposed facility owned by Centura Health/Catholic Health Initiatives.
EVIDENCE BASED PRACTICE: FINAL PROPOSAL12This facility is an excellent choice for a pilot program, grant writers would be solicited to find state and federal funds as the team will likely direct so as not to have the facility absorbing the entire cost (Centura Health, 2009).The timeline for this project is twelve to eighteen months from proposal, team development, research, approval, to grant writing. Likely another twelve to eighteen months for construction or remodeling, community presentation, training for providers, marketing in the community schools, medical offices, churches, and child advocacy center, and ability to evaluate progress and needs would be necessary.Necessary resources and changes include registered nurses to volunteer for the training, a physician willing to be the consulting director, community volunteers from the legal and child advocacy center, remodeling of a section of the emergency department to accommodate the clinical and examination rooms, an appropriate bathroom and shower, a private interview room, and a waiting room for family members and law enforcement staff.