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The STAR Model of Knowledge

The STAR model of knowledge is a model for understanding the circles, nature, and characteristics of various aspects of evidence-based practice (EBP). The STAR model integrates both old and new concepts of advancing medical care. It provides a framework for organization. On the other hand, the Iowa model of evidenced-based practice promoting quality health care is a program of the state of Iowa. It entails data usage to change health care practices which led to high mortality rate.

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Questions that are raised in this case study provide us with a good overview of the current state of EBP in various medical fields. Besides, it provides current trends of incorporating EBP into health practices. It serves to better equip individuals engaged in this practice and other interested individuals with improved knowledge of how to transfer research findings into practice. There are some outstanding similarities and differences inherent in both the Iowa and the STAR models of EBP according to their approaches to health issues. The two models share some common steps of evidence-based practice. Some of them have to deal with the question of the evaluation and the implementation of recommendation processes. In the question formulation process, the issues or main concepts are population, integration, comparison, and outcome.

Evaluation of Outcome for Both Models

Steps involved in the evaluation of outcome for both models entail a systematic review of all the RCTs. There are more than one properly designed RCT. There is no randomization at the evaluation, which takes into consideration all the cases of the post-operative condition. Generally, at the evaluation stage, common steps in the EBP process serve to strengthen the evidence or the outcome of a given research. There will be a comprehensive treatment of these cases. While trying to solve the challenge presented by the post-operative orthopedic, adult, and pediatric units, the Iowa and the STAR models will present differing advancements in dissimilarity in their whole approach concepts. The first difference will stem from the nature of their conception. The Iowa model is knowledge or problem triggered, while the STAR model is triggered by discovery though systematic research process. Therefore, the former process will consider the incidents of post-operative falls based on the knowledge of the already existing findings of researches on the same area. On the other hand, the STAR model will give a discovery-based approach to these cases while taking into consideration evidences of these cases.

The Iowa model has much strength based on recent medical development and researches applicable in this study. The emphasis that this model puts on pilot testing is of great advantage. It prescribes that the health practice change with current in the health care due to among others new research findings and new medical conditions. Therefore, in this case, the recommendations are provided by medical experts and other researches from the findings of the post-operative conditions. It will increase the efficiency of the identified remedies directed towards the solution of the problem of post-operative condition in the case study. It also provides data on evidence-based approach that is vital in the synthesis and usage of scientific from randomized trials (RCTs) only. RCTs provide a benchmark for an in-depth insight and analyses of these medical clinical challenges while providing the researchers with comprehensive information for eventual recommendations to solve these problems.

ACE STAR Model Evidence-Based Practice Process

ACE STAR model of knowledge Transformation merits when applied to this situation can be drawn from the evidence summary step. The summary here provides a basis for continued update with the existing evidence.Through this continued update, the incidents of post-operative orthopedic adult and pediatric can be continually updated for better medical studies and eventual implementation of the recommendations for possible remedies to this medical problem.

It also presents another helpful contribution to the elimination of this problem through the integration process. It ensures that the already existing information for decision about clinical care, economic decision, future research, and policy. It can be applied in the solution of the clinical challenge for example by providing point of reference to the occurrence of some similar post-operative conditions seen in this case study.

One of the most glaring short comings of the STAR model of medical care is that it takes too long to be translated. It is estimated that it takes 15 years to achieve implementation on new evidence into practice (Institute of Medicine, 2001).It is so due the rigorous practice involved in the understanding of the cycle. For this to be improved there is a need to reconcile the methods and processes that tend to change from one point to another in 5 major stages of knowledge transformation. It ensures effective and improved clinical practices to help reduce clinical challenges like the post-operative orthopedics cases in the above study cases.

The Iowa model can be improved by reduction of barriers that are evident in the implementation of the evidence-based practice. In order to succeed, there is a need to improve education of Medicare to the clinical workers. It will enable individuals not only to be content of evidence-based health care, but also to develop positive attitude towards the model. Researches have shown that many people lack knowledge on the model and at the same time, they are very skeptic towards it.