Stetler, ARCC, and Iowa Models of Evidence-Based Practice (EBP)

Change Implementation Models
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Stetler Model of Evidence-Based Practice (EBP)
Model Assumptions
The Stetler Model assumes that internal factors, such as health providers utilizing EBP and the administrative regulations, and external factors, including protocols and research results, guide the implementation of EBPs (Indra, 2018).
Evidence of Suitability to the Project Intervention
The model emphasizes the individual practitioner and how one can handle a particular situation. However, it can be also be used in teams in the clinical setting. Notably, this model has been tested in neurological and psychiatric settings (Indra, 2018).
Scope of the Project
Hobson et al. (2016) state that telemedicine can improve patients’ quality of care with Amyotrophic Lateral Sclerosis (ALS) due to its cost-effectiveness, accessibility, and comprehensiveness of multidisciplinary approach even in the outpatient setting. Glenda (2019) proved the Stetler Model can be used in telehealth, which resulted in an improved quality of care through better patient education.
A Guide to Implementation
The Stetler Model has five phases. Phase I focuses on overall preparation. Phase II requires the authentication of the researched data. Phase III refers to data analysis by comparing the past and current evidence while considering the internal and external factors. Phase IV allows for modifications before the implementation, and Phase V assesses the factors the inflicted the most remarkable positive change to the practice (Indra, 2018).
Conceptual Model
Concepts related to Problem Solution
As discussed previously, the problem solution includes weight monitoring, subjective reporting, and the Revised Amyotrophic Lateral Sclerosis Rating Scale (ALSFRS-r). These shall provide remote access to ALS management through cellphone applications and the web via video conferences (Hobson et al., 2018). Like the planned solution, Humpfer (2019) integrated the Stetler model in asthmatic patients' remote self-management, which proved to be efficient.
Processes and Interactions
Helleman et al. (2020) investigated the use of telemedicine to care for ALS patients. It is useful but with certain limitations, such as the need to train the caregiver, proper coordination with the health providers, and an objective assessment at home. The Stetler Model can eliminate the barriers by providing a facilitator who shall aid the caregivers via interactive problem solving and supportive contact (Lindsay et al., 2015).
Advancing Research and Clinical Practice Through Close Collaboration (ARCC) Model
Model Assumptions
It assumes that it is necessary to train EBP mentors to improve the nurses’ research and practice perspectives. Thus, resulting in a better EBP implementation (Kim et al., 2017).
Evidence of Suitability to the Project
Intervention
The ARCC Model emphasizes the holistic approach that is in line with the University of Chicago Hospital's mission and vision, the ALS facility of choice, which aims to provide quality care via a multidisciplinary approach. Telemedicine in ALS management is relatively new, and there are only a few studies that support this method. The ARCC Model helps the health providers eliminate the barriers through a thorough evaluation of their EBP beliefs and skills. It fosters cultural readiness that can serve as a barrier to the study's implementation (Wallen et al., 2010).
Scope of the Project
A sustainable change is vital in the adoption of telemedicine in ALS management. The ARCC Model provides EBP mentors that can guide the unit assigned to the ALS department, who initiate culture shift. It can help the nurses maintain their roles as distant health providers (Wallen et al., 2010).
A Guide to Implementation
Initially, the principal strengths and barriers are identified. The culture follows this within the organization and the members' readiness in adopting EBP, in this case, telemedicine. Next are the training and utilization of EBP mentors (Marshall, 2014).
Conceptual Model
Concepts related to Problem Solution
The ARCC Model provides possible long-term effects by shaping the providers, who will educate the caregivers and the patients. Improved perception and cultural understanding are also associated with improved patient outcomes (Marshall, 2014).
Processes and Interactions
The mentors shall p...