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DNP in Practice

You want to put your skills to good use, but deciding on the best approach may feel a bit daunting.

The resources below can assist with deciding which model to use.

Johns Hopkins Nursing Evidence-Based Practice Model

  • Johns Hopkins Medicine LogoProblem-solving approach to clinical decision-making

  • Designed specifically to meet the needs of the practicing nurse

  • Uses a three-step process called PET: practice question, evidence, and translation

Iowa Model

  • Developed at the University of Iowa Hospitals and Clinics in the 1990s

  • Univ of Iowa Hospitals and Clinics LogoServes as a guide for nurses to use research findings to help improve patient care

  • Developed as a pathway or method to Evidence-Based Practice

    • A method to guide the steps to help identify issues, research solutions and implement changes

    • Application-oriented guide for the EBP process

  • Using the Iowa Model

Stetler Model

  • Looks at Evidence-Based Practice from a different angle

  • Starts from the idea that evidence for a particular change  in practice is available

  • Suggests a five-step plan to adapt this new evidence to a particular clinical setting

TeamSTEPPS logoTeamSTEPPS Model

  • Curriculum available through the AHRQ website

  • Implementation requires pre-training

  • Offers an app with communication tools and checklists

  • Focuses on improving patient safety by developing a culture of safety and teamwork skills

  • Developed by Department of Defense's Patient Safety Program in collaboration with the Agency for Healthcare Research and Quality

Star Model

  • Offers a 5-point process for integrating evidence into practice in order to improve care.

    • Discovery, Summary, Translation, Integration, Evaluation

Rosswurm and Larrabee Model

  • Mostly likely one of the first to use the phrase " Evidence-Based Practice " in nursing

    • Gave a new name to ideas that had circulating for years.

Self-Help Model

  • 5 stage model that describes a process comprised of factors that decrease self-help and quality of life (QOL) and increase learning a self-help response and thus greater QOL
  • Informed intervention protocols for women in early treatment for breast cancer
    • Model and interventions have also been used in treating lupus, chronic pain, prostate cancer and other conditions
  • Middle range theory used since the 1980s