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Posted: January 7th, 2023


The PARiHS (Promoting Action on Research Implementation in Health Services) framework provides a way to implement research into practice. It is one of many different EBP models in use today. The author of our textbook has chosen this model and more information about it can be found on pages 307-312.
The PARiHS EBP Model/Framework examines interactions between three key elements necessary for facilitation to occur (I=innovations or evidence, R=recipients or stakeholders, and C=context or setting). According to the PARiHS Model, successful implementation of research into practice is a result of facilitation. Facilitation requires the integration of the three elements identified above.
The facilitation is the type of support needed to help people change their attitudes, habits, skills and ways of thinking and working. How to change brings us to the PDCA Model which is a Quality Improvement Model/Framework that supports this facilitation element as suggested by the author. This widely used QI framework consists of the Plan, Do, Check, Act (PDCA) cycle which has 4 stages:
Plan: Determine goals for a process and needed changes to achieve them
Do: Implement the changes
Check: Evaluate the results in terms of performance
Act: Standardize and stabilize the change or begin the cycle again, depending on the results.
This assignment is designed to help you identify the PDCA Evidence-Based Practice Model and barriers and will be graded according to the Guidelines and Rubric for Models and Barriers.
Use your week two topic and discuss barriers in practice to implementing a change related to your topic and what are four evidence-based practice interventions (supported by professional sources or research studies) nurses can implement to overcome these barriers. Two peer-reviewed journal sources are required to support your identified barrier and your identified four strategies for overcoming this barrier. You may additionally use your book.
Discuss how you would use the PDCA model in your workplace clinical practice or student clinical practice and why? Support this with your peer-reviewed sources and textbook information.
Use APA format- no more than two pages in content, excluding the title and reference pages.
Take your topic from week two and discuss the PDCA model and how to implement change related to your topic based on what you have learned by critiquing articles on your topic. You can use the articles you were approved on in weeks 4 and 6, and there is also an article in the week eight discussion board that gives you examples of barriers to practice.
Discuss in practice what barriers you might have to bring about change related to your topic. Discuss how the PDCA model is used and barriers are overcome.
Below is an example of barriers that are discussed in your article from the week eight discussion board.
Institutional and/or cultural barriers include lack of knowledge, motivation, time management, physician and patient factors, and limited access to up-to-date, user-friendly technology and computer systems.
-Sample Answer-
For the purpose of this assignment, let’s assume that the topic chosen in week two is Attention Deficit Hyperactivity Disorder (ADHD).

According to the PARiHS EBP Model, successful implementation of research into practice for ADHD requires facilitation, which involves the integration of three key elements: innovations or evidence, recipients or stakeholders, and context or setting. One potential barrier to implementing change related to ADHD in practice is a lack of knowledge or understanding about the disorder among healthcare providers. This can lead to misdiagnosis or inappropriate treatment, as well as a lack of awareness about the most effective interventions for managing ADHD.

To overcome this barrier, there are several evidence-based practice interventions that nurses can implement in order to improve their knowledge and understanding of ADHD. One such intervention is education and training on the diagnosis and management of ADHD, which can be provided through in-service training, conferences, or online courses. Another intervention is the use of clinical decision support tools, such as guidelines or algorithms, which can help healthcare providers make more informed decisions about diagnosis and treatment.

In addition to education and training, nurses can also use the PDCA model in their clinical practice to implement change related to ADHD. The PDCA model consists of four stages: plan, do, check, and act. In the planning stage, nurses can determine the goals for improving the management of ADHD in their practice and identify the needed changes to achieve these goals. In the do stage, nurses can implement these changes, such as implementing new protocols or guidelines for the diagnosis and treatment of ADHD. In the check stage, nurses can evaluate the results of these changes in terms of performance and identify any areas for improvement. Finally, in the act stage, nurses can standardize and stabilize the changes that have been made, or begin the cycle again if needed.

Using the PDCA model in clinical practice can help nurses overcome barriers to implementing change related to ADHD by providing a structured approach for planning and implementing change, as well as a means for evaluating and refining these changes as needed. This can ultimately lead to improved outcomes for patients with ADHD and better overall care for this population.


Sen, Maity, & Das (2020). Turning the body into a wire: Challenges and opportunities of digital medicine. Journal of Medical Internet Research, 22(6), e16934. doi:10.2196/16934

National Council of State Boards of Nursing & American Nurses Association. (n.d.). Joint statement on delegation. Retrieved from

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