Evidence-Based Practice Implementation Discussion HW
Picking the model is the easy half. The graded half is carrying your own intervention through every stage the model names, without skipping the ones that do not flatter your project.
Editorial process
Last reviewed · August 23, 2026
Choosing a change model you can actually walk through
The brief nudges you toward Rogers and it is right to, but understand why before you accept it. Diffusion of innovation describes how an idea spreads through a social system, and its stages, knowledge, persuasion, decision, implementation and confirmation, map cleanly onto what happens when a unit adopts a new practice. Its adopter categories give you language for the colleagues who will resist. The alternatives suit different projects: Duck's change curve is about the emotional trajectory of the people affected, the transtheoretical model fits a project whose target is patient behaviour rather than staff practice, and the Iowa and ARCC models are EBP process frameworks rather than change theories at all, which makes them the wrong choice if you have already used one to structure the project. Say which of those descriptions fits what you are actually changing, because the answer decides everything downstream. Rogers also gives you a vocabulary for resistance that the others do not.
The instruction to carry the implementation through each stage is where the marks concentrate, and it is a harder requirement than it reads. Every stage must contain your project, named, with something concrete happening in it. Under knowledge, say who is told and how; under persuasion, say which opinion leaders you would recruit and why they are the ones; under decision, say who has authority to authorise the change; under implementation, give the timeline; under confirmation, say what would make the unit keep doing it after your attention moves on. Skipping a stage because it is awkward is the failure the rubric is looking for. Note the word budget too: 500 to 750 words across five stages is about 100 words a stage, so this is a compressed piece of writing and there is no room for a literature review of the model itself. Draft the stages first and compress the justification afterwards.
Likely learning objectives
- Match a change model to the nature of the change being made.
- Distinguish change theories from EBP process frameworks.
- Populate every stage of a model with concrete project detail.
- Plan sustainment as a named stage rather than an afterthought.
Assignment instructions
Read the full question
Review every instruction before using the planning guidance that follows.
In 500-750 words (not including the title page and reference page), apply a change model to the implementation plan. Include the following: 1. Rogers’ diffusion of innovation theory is a particularly good theoretical framework to apply to an EBP project. However, students may also choose to use change models, such as Duck’s change curve model or the transtheoretical model of behavioral change. Other conceptual models presented such as a utilization model (Stetler’s model) and EBP models (the Iowa model and ARCC model) can also be used as a framework for applying your evidence-based intervention in clinical practice. 2. Apply one of the above models and carry your implementation through each of the stages, phases, or steps identified in the chosen model. 3. In addition, create a conceptual model of the project. Although you will not be submitting the conceptual model you design in Topic 5 with the narrative, the conceptual model should be placed in the appendices for the final paper. Prepare this assignment according to the APA guidelines found in the APA Style Guide. An abstract is not required. You are required to submit this assignment to Turnitin. Upon receiving feedback from the instructor, refine “Section E: Change Model” for your final submission. This will be a continuous process throughout the course for each section.
What Section E has to deliver
- 01500-750 words excluding title page and reference page.
- 02One change model applied to your implementation plan.
- 03The implementation carried through each stage, phase or step of that model.
- 04A conceptual model of the project, placed in the appendices of the final paper.
- 05APA formatting, no abstract, submitted to Turnitin.
Carrying the intervention through every stage
The model and why this one
Name the chosen model and justify it against the nature of your change.
What the assessor is likely looking for
A justification tied to the project, not to the model's popularity.
Stage one: creating awareness
Say who learns about the change, through what channel, and when.
What the assessor is likely looking for
Named audiences and channels rather than 'staff education'.
Stage two: building persuasion
Identify opinion leaders and the argument that would move them.
What the assessor is likely looking for
Specific people or roles, chosen for their influence.
Stage three: the decision point
Establish who authorises adoption and what evidence they need.
What the assessor is likely looking for
Decision authority located precisely in the organisation.
Stage four: implementation
Set out the timeline, the resources and the first weeks of running the change.
What the assessor is likely looking for
A sequence with dates rather than a description of the intervention.
Stage five: confirmation and sustainment
Say what feedback keeps the change in place after the project ends.
What the assessor is likely looking for
A sustainment mechanism, not an expression of hope.
Where the change models are documented
Recommended databases
- PubMed Central
- University of Iowa Health Care
- CINAHL
- NCBI Bookshelf
Search sequence
- 1.Read a primary account of your chosen model rather than a textbook summary.
- 2.Check whether the Iowa or ARCC model is already structuring your wider project.
- 3.Search for a published application of the model in a nursing implementation study.
- 4.Look for evidence on sustainment so the final stage has something to cite.
Reference shortlist
These are authoritative starting points, not a ready-made bibliography. A qualified reviewer must confirm that each source fits the assignment and supports the claim beside which it is cited.
The Iowa Model Revised: Evidence-Based Practice to Promote Excellence in Health Care©
University of Iowa Health Care · 2017
The Iowa Model, for distinguishing an EBP process framework from a change theory.
Nursing Professional Development Evidence-Based Practice
StatPearls, NCBI Bookshelf · 2023
EBP in nursing professional development, for locating the change model within the project.
Nursing managers' perspectives on facilitators of and barriers to evidence-based practice: A cross-sectional study
Nursing Open (Wiley), via PubMed Central · 2023
Facilitators and barriers to EBP, which is the raw material for the persuasion stage.
Effects of Work Engagement and Barriers on Evidence-Based Practice Implementation for Clinical Nurses: A Cross-Sectional Study
Healthcare (MDPI), via PubMed Central · 2024
Clinician-level EBP implementation, for the sustainment argument at the final stage.
TeamSTEPPS 3.0
Agency for Healthcare Research and Quality · 2024
A worked implementation programme, useful as a model for the timeline and roles.
Before you submit Section E
Common mistakes
- Explaining the change model at length and applying it briefly.
- Choosing an EBP process framework when a change theory is what the section needs.
- Skipping the stages that do not suit the project.
- Leaving confirmation or sustainment unwritten because the project ends before it.
- Exceeding the word count by describing the model's history.
Submission checklist
- Does every stage of the model contain your project by name?
- Have you justified the model against the kind of change you are making?
- Is the sustainment stage answered with something concrete?
- Is the conceptual model built and placed in the appendices?
- Are you inside 750 words?
Use this guide to plan and review your own work. Follow your institution's rules and read Brinevia's academic-integrity policy.
Written by
Maren Caldwell
MSN, RN, CNE
Medical-surgical nursing, pharmacology and NCLEX preparation
Maren is a registered nurse with over 15 years of clinical and educational experience in medical-surgical nursing. She writes on NCLEX preparation, patient care fundamentals, pharmacology and evidence-based practice.
Reviewed by
Dr. Tessa Redmond
DNP, RN, CNE
Evidence-based practice and clinical education
Tessa is a doctorally-prepared nurse educator. She reviews Brinevia content for clinical accuracy and alignment with current evidence-based guidelines.