Using Evidence Based Practice to Change Practice

Using Evidence-Based Practice to Change Practice
Student’s Name
University Affiliation
Using Evidence-Based Practice to Change Practice
Plan for Implementing Research into Clinical Practice
Due to the slow diffusion of healthcare research into the clinical practice, the need arises to bridge the gaps that exist between practice and research. The paper, therefore, seeks to come up with an analyzed plan to implement the research on the perceptions and experiences of obese women of primary care providers and health care (Grove, Burns, & Gray, 2014). The plan to implement the findings will be based on the results of the research and involves three main implementation steps that include:
Enlighten the patients on the health issues relate to high BMI levels.
Having primary caregivers that motivate the women to lose weight.
Avoiding insensitivity to the patients.
Stetler Model Review
The Stetler Model is used in EBP to help health practitioners use the evidence from research in their daily practice. As such, they can have informed the planning of their programs. The Stetler Model provides the links between evidence-informed practice and research findings. The first phase of the model involves preparation by identifying the purpose, the context, as well as the sources of the research evidence. The second phase involves validation of the findings and proving that the sources used are credible. The third phase of the model involves comparative evaluation for effective decision making (Straka, Brandt, & Brytus, 2013).

As such, the practitioners assess the recommendations in line with the applicability. The fourth phase involves the application of the findings for change. Finally, the model requires an evaluation of the whole change process.
Iowa Model Review
The Iowa Model of EBP shows the importance of having the entire healthcare system in mind while handling patients. The first step requires that the practitioner identifies a trigger that is problem-based to initiate the need for change. The second step involves reviewing the related literature and providing the necessary critiques. The third step in the model requires that the practitioners identify the research evidence supporting clinical practice. The final step of the Iowa model entails implementing the change and monitoring the subsequent outcomes.
Research Implementation
The research in the perceptions and experiences of the obese women with the primary care providers and health care can be implemented into clinical practice using the Iowa model. As such, the first step involves identifying the problem-based trigger which in this case is the concern that more women are not seeking treatment and have misguided perceptions. The next step in the Iowa model requires literature reviews. According to WHO, most of the obese women fail to seek medical attention due to several factors such as misinformed perceptions that being able to perform duties is a sign of general well-being (Straka, Brandt, & Brytus, 2013). The women also fail to seek treatment due to the insensitivities that are among caregivers.
The next step in the Iowa model is to identify the evidence supporting the clinical practice. In this case, the research came up with several findings. First, women do not often relate being large with being unhealthy. As such, primary caregivers should not aim at sensitizing all their patients regarding the issues on BMI and its relation to health. As such, handling the women patients will require that they are diagnosed with diseases that are related to high BMI levels despite the patient being able to perform their daily activities.
Second, among the obese women who knew that their conditions could be detrimental to their health, most of them had the perception that they could not lose weight (Buxton and Snethen, 2013). As such, the clinical practice should change and accommodate programs that the obese women could enroll to and get motivated to lose their weight until they hit their targets (Rew, 2011). To ensure that the women do not give up in their practice to lose weight, the primary care providers should aim at creating a positive relationship with their clients to ensure that they continually seek treatment. Finally, most women needed people to talk to about their weight and also receive professional feedback that will aid in their treatment.
The final step of the Iowa Model that will help in the implementation of the research entails implementing the change and monitoring the changes in the healthcare system. As such, the plan will require that the primary caregivers talk to their patients about their weight with optimism and compassion. As a result, the cases of insensitive treatments will reduce and the women will not have a reason to quit treatment or seek for a different care provider. Also, the care providers should show respect to the obese women and at the same time cultivate high levels of trust to ensure that they remain encouraged to pull through their treatment period. Additionally, instead of the health practitioners believing the perception, they should seek to enlighten the obese women for other diseases that may not be manifest in their daily routine but equally hazardous. As such, women who are motivated to lose weight will have clear goals to prevent the development of the ailments that could arise from high BMIs.
Graphical Organizer
See attached pdf
References
Buxton, B. K., & Snethen, J. (2013). Obese women’s perceptions and experiences of healthcare and primary care providers: A phenomenological study. Nursing research, 62(4), 252-259.
Grove, S. K., Burns, N., & Gray, J. R. (2014). Understanding nursing research: Building an evidence-based practice. Elsevier Health Sciences.
Rew, L. (2011). The systematic review of literature: Synthesizing evidence for practice. Journal for Specialists in Pediatric Nursing, 16(1), 64–69.
Straka, K. L., Brandt, P., & Brytus, J. (2013). Brief report: Creating a culture of evidence-based practice and nursing research in a pediatric hospital. Journal of Pediatric Nursing, 28(4), 374–378.