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Applying A Change Model: A Case Study

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Applying a change model when a change is being proposed can help ease staff, worries and uncertainties. Changing someone familiariary can be very frustration to all staff involved. Since MCI is not easily determined by using the MMSE this writer is recommending the team evaluate the MoCA and change to this current assessment tool. Before recommending changes in health care one must consider using a change model to applying your evidence-based intervention. This paper will utilize the Iowa Model of EBP as the change model for implementing the change in cognitive assessment tools. Melany and Fineout-Overholt, (2011) stated the “Iowa model provides guidance for nurses and other clinicians in making decisions about day-to-day practices that affect …show more content…

During this step the researcher start reviewing and critique relevant literature. It was concluded that there is a need for a better cognitive tool to identify MCI. If the patient is not diagnosed correctly then treatment could be postponed until their symptoms get worse. Current medications for the treatment of Dementia do not cure the disease they have been shown to lessen or stabilize symptoms. Clinicians are hesitant to start medications on patients unless there is evidence to back the need for the drug. If clinicians do not have the right tools to assist in the diagnosis of Dementia these medications may not be prescribed soon enough. In this step the researcher will sell this problem and question to the …show more content…

It is vital when conducting EBP research that the researcher use credible sources to search for articles. By identifying the need for change the researcher can ensure there is a problem that needs father research. For this project the researcher searched CINHAL, Psych INFO, MEDLINE, and The Science Direct. The search reveled over 300 articles relevant to this problem.
Step Five
Step five of the Iowa Model is when the researcher begins to review the articles and identifying the ones that are valid and relevant to the project.
Step Six
Step six is the last step in the Iowa Model. The team will begin the plans for the pilot study. Before changing a policy or implementing a new change one must find an environment to test the problem at hand. A pilot study will be conducted at the PACE center on patients with MCI the results of the MMSE and Mocha will be compared. After the results are obtained the team will meet to discuss the implications of changing their current cognitive tool. If the team changes decides to change their cognitive assessment tool then communication will be had with all staff involved in administering the test. Training sessions will be scheduled so everyone knows how to properly administer this screening

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