Advanced Research for Evidence Based Practice II

Rosswurm and Larrabee Model for Evidence-based Practice Change Text-only Version

Model for Evidence-Based Practice Change

The Rosswurm and Larrabee Model for Evidence-based Practice Change is an information diagram consisting of six steps, arranged as rectangles, and connected by arrows that lead forward to another step, or by two-directional arrows that lead forward and backward to and from the next step. The six steps are:

1. Assess the need for change in practice
• Include stakeholders
• Collect internal data about current practice
• Compare external data with internal data
• Identify problem
• Link problem, interventions, and outcomes
  (Go to Step 2 or Step 3.)
2. Locate the best evidence
• Identify types and sources of evidence
• Review research concepts
• Plan the search
• Conduct the search
  (Go back to Step 1 or move on to Step 3.)
3. Critically analyze the evidence.
• Critically appraise and weigh the evidence
• Synthesize the best evidence
• Assess feasibility, benefits, and risks of new practice
  (Go back Step 1 or Step 2 or move on to Step 4.)
4. Design practice change
• Define proposed change
• Identify needed resources
• Design the evaluation of the pilot
• Design the implementation plan
  (Go to Step 5.)
5. Implement and evaluate change in practice.
• Implement pilot study
• Evaluate processes, outcomes, and costs
• Develop conclusions and recommendations
  (Go back to Step 4 or move on to Step 6.)
6. Integrate and maintain change in practice
• Communicate recommended change to stakeholders
• Integrate into standards of practice
• Monitor process and outcomes periodically
• Celebrate and disseminate results of project
  (Go to Step 1.)