Development and Implementation of a Model for Research, Evidence-Based Practice, Quality Improvement, and Innovation

Background: Our medical center nursing council evaluated its current evidence-based practice (EBP) model and decided to consider alternatives. Problem: No models were inclusive of major nursing activities, such as EBP and quality improvement (QI) projects and research studies. Approach: A model was developed, meeting the criteria of accessibility, ease of use, and reflective of professional practice activities: EBP and QI projects, research studies, and innovation. In the new model, I-3 Model for Advancing Quality Patient Centered Care, professional practice is represented by 3 "I's": Inquiry, Improvement, and Innovation. Outcomes: The model provides an algorithm with steps and decision points for nurses to follow based on a question from a clinical issue or problem. The model was approved by nursing-shared governance and is used for guiding relevant projects. Conclusion: The I-3 Model guides the nurse in inquiry or improvement while supporting a culture of innovation in professional practice.