The practice problem that this writer chose was psychiatric patients that are boarding in the emergency room that do not have a therapeutic environment to start his or her recovery process. The evidence-based model that correlates with this practice problem and that can be implemented in the emergency room is the Iowa model of evidence-based practice to promote quality care (McEwen & Wills, 2014, p. 267). This writer believes that this evidence-based model is appropriate for the practice problem because it is used to provide quality care to the patients and by implementing a therapeutic environment for the psychiatric patients that are boarding in the emergency room the staff members are able to provide this specific population quality care.
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661-664). The first phase in the model is to select a topic, which is that the psychiatric patients that are boarding in the emergency room that do not have a therapeutic environment (Doody & Doody, 2011, p. 661). Next, it is important to form a team of health care professionals that are “responsible for development, implementation, and evaluation” (Doody & Doody, 2011, p. 662). In the specific population, the team would possibly include the nurses, doctors, psychiatric emergency service staff members, and other members that are involved in the patient’s care. After the team is started, the members now have to research evidence to find how a therapeutic environment can change a patient’s experience and how harmful a non-therapeutic environment is to the patient (Doody & Doody, 2011, p. 662-663). The group of staff members that came together to form the team then has to develop an evidence based practice standard and implement this evidence-based practice into the environment with the psychiatric patients that are boarding in the emergency room (Doody & Doody, 2011, p. 663). As with anything that is changed in the health care field, it is important, as a final step is to evaluate what the staff members and the patient’s opinion are of the change. This writer believes that this is the most important step in the Iowa model; it is great to implement evidence-based practice into a clinical area, however, it is even more vital to make sure that it is improving the quality of care that the patient is
661-664). The first phase in the model is to select a topic, which is that the psychiatric patients that are boarding in the emergency room that do not have a therapeutic environment (Doody & Doody, 2011, p. 661). Next, it is important to form a team of health care professionals that are “responsible for development, implementation, and evaluation” (Doody & Doody, 2011, p. 662). In the specific population, the team would possibly include the nurses, doctors, psychiatric emergency service staff members, and other members that are involved in the patient’s care. After the team is started, the members now have to research evidence to find how a therapeutic environment can change a patient’s experience and how harmful a non-therapeutic environment is to the patient (Doody & Doody, 2011, p. 662-663). The group of staff members that came together to form the team then has to develop an evidence based practice standard and implement this evidence-based practice into the environment with the psychiatric patients that are boarding in the emergency room (Doody & Doody, 2011, p. 663). As with anything that is changed in the health care field, it is important, as a final step is to evaluate what the staff members and the patient’s opinion are of the change. This writer believes that this is the most important step in the Iowa model; it is great to implement evidence-based practice into a clinical area, however, it is even more vital to make sure that it is improving the quality of care that the patient is