Applicability of the model
Step 1: Preparation
The first step of the model involves determining the need and purpose for change in an organization. The step also involves searching for appropriate evidence and reviewing the environment within which change would take place (NCCMT, 2011). In regards to this project, the need for change through educational intervention was identified through daily encounters with hypertensive patients. Due to the non-symptomatic nature of HTN, most of the patients seeking care at Lomack primary care facility do not understand the need for adhering to anti-hypertensive medications, and complying with lifestyle modifications. This is because the patients have inadequate knowledge regarding HTN self-management practices. …show more content…
The project leader also discussed the practice problem with another key stakeholder nurse practitioner (preceptor), as well as the review of existing guidelines in the management of uncontrolled HTN, which further confirmed the necessity for practice change. The PICOT question for this project was developed and was used to guide the search for evidence, which indicated that a nurse-led home-based educational intervention could be provided to improve knowledge, self-management skills, reduced BP, and self-efficacy in patients with uncontrolled HTN.
Step 2: Validation
After searching for evidence, it is necessary to critically appraise the evidence obtained to determine its applicability to practice problem. In step two of the EBP model, the evidence obtained should be assessed for its credibility and applicability and non-credible findings should be discarded in the process (Stetler, 2001). In line with this model, the project leader conducted a systematic search of literature and critically appraised the evidence following Melynk and Fineout-Overholt (2011) levels of evidence ratings.
Step 3: Comparative
Step 1: Preparation
The first step of the model involves determining the need and purpose for change in an organization. The step also involves searching for appropriate evidence and reviewing the environment within which change would take place (NCCMT, 2011). In regards to this project, the need for change through educational intervention was identified through daily encounters with hypertensive patients. Due to the non-symptomatic nature of HTN, most of the patients seeking care at Lomack primary care facility do not understand the need for adhering to anti-hypertensive medications, and complying with lifestyle modifications. This is because the patients have inadequate knowledge regarding HTN self-management practices. …show more content…
The project leader also discussed the practice problem with another key stakeholder nurse practitioner (preceptor), as well as the review of existing guidelines in the management of uncontrolled HTN, which further confirmed the necessity for practice change. The PICOT question for this project was developed and was used to guide the search for evidence, which indicated that a nurse-led home-based educational intervention could be provided to improve knowledge, self-management skills, reduced BP, and self-efficacy in patients with uncontrolled HTN.
Step 2: Validation
After searching for evidence, it is necessary to critically appraise the evidence obtained to determine its applicability to practice problem. In step two of the EBP model, the evidence obtained should be assessed for its credibility and applicability and non-credible findings should be discarded in the process (Stetler, 2001). In line with this model, the project leader conducted a systematic search of literature and critically appraised the evidence following Melynk and Fineout-Overholt (2011) levels of evidence ratings.
Step 3: Comparative