Samples / NURS FPX 4025 / Assessment 2
Applying an EBP Model
NURS FPX 4025 · Assessment 2
Sample for study and reference. Ace My Assessment is an independent academic support service.
Hip arthroplasty is one of the most popular orthopedic surgeries, which is post-operative, and which makes a great difference to the recovery and quality of life of a patient. Nursing pain control has been a major concern when it comes to managing pain after a total hip arthroplasty procedure because it is a factor that influences both the mobility and patient outcomes significantly. Zhou and Wei (2024) suggest that poor management of post-operative pain complicates the patient, extends his stay in the hospital, and lowers the overall satisfaction of the patient. In this paper, the Iowa Model of Evidence-Based Practice is used to evaluate the post-operative pain management problem among patients who have undergone hip arthroplasty based on the evidence studied during Assessment 1.
Explaining the Issue
Nursing is one of the important areas of concern to the patients undergoing total hip arthroplasty surgery, particularly the post-operative pain management. Poor pain management is one of the causes of patients experiencing delayed mobilization, risk of falls and extended hospitalization. Such patients as Patient A feel moderate to severe pain, nausea, drowsiness, and changes in their mobility during the first post-operative time. These issues greatly affect patient recovery and satisfaction as well as general quality of life following surgery (Ayaz and Sherman, 2022).
Evidence-based practice offers the best research to nurses to effectively enhance strategies in pain management after the operation. The current needs of hip arthroplasty patients require the use of more complex nursing methods in contrast to traditional ones. The adoption of EBP enables nurses to use the existing, authoritative studies to systematically direct multimodal pain management interventions. Using evidence-based interventions will guarantee that patients get safe, effective, and personalized care that will allow them to recover faster (Makou et al., 2025).
EBP Model Selection and Description
Iowa Model of Evidence-Based Practice is a well-known framework that nurses apply to apply the findings of the research to the clinical practice. The model was created at the University of Iowa and offers a structured step-by-step method of solving practice issues. The Iowa Model starts with a triggering issue or problem, which should have an evidence-based solution in the clinical settings. It then takes nurses through the creation of a team, evidence search, research critique and change of practice (Cullen et al., 2022).
The Iowa Model is made up of a few steps which step by step lead nurses to application of best evidence in practice. The initial stage is the identification of a clinical problem or knowledge-based trigger, which in this case is the post-operative pain management. The subsequent measures involve creating an EBP team, searching and evaluating the available evidence, and piloting the practice change. Lastly, the model guides nurses to measure the outcomes, share the results and incorporate the successful changes into the normal nursing practices (Doleman & Twigg, 2022).
Application of EBP Model to Evidence Search
The Iowa Model was used in a systematic search to seek evidence that would answer the question about managing pain that occurs after hip arthroplasty. The stimulating problem was discovered to be the lack of pain management in post-operative patients of hip replacement, and it led to a systematic search of the databases. The keywords were used to search the PubMed, CINAHL, and Google Scholar databases such as: hip arthroplasty, post-operative pain management, nursing interventions, and enhanced recovery after surgery. The narrowing of the results was done through a selection of peer-reviewed articles published in the past five years and which were directly related to the topic of hip arthroplasty nursing care (Zhou and Wei, 2024).
Evidence Resource Analysis
A current, peer-reviewed quantitative study published in the American Journal of Translational Research used the CRAAP test to discuss the study by Zhou and Wei (2024). The article is in direct relation to post-operative pain management and the early mobilization of total hip arthroplasty patients. The ERAS-based MDT nursing model suggested in the study offers good and practical evidence on how nursing care outcomes would be improved. The article is very credible, topical, and direct towards the solution of post-operative pain in patients with hip arthroplasty (Zhou and Wei, 2024).
The case control study by Allo et al. (2023) is a credible study that investigated the nursing care management of diabetic surgical patients in the post-operative stage following hip replacement. This is a peer-reviewed study published in the medical journal of Babylon that deals with post-operative complications such as pain, loss of mobility, and wound infection. This article is current, relevant, and has been authored by skilled researchers and CRAAP test proves this. This finding justifies standardized nursing care practice in preventing post-op complications among patients of the hip arthroplasty (Allo et al., 2023).
Recently, a peer-reviewed article by Cui et al. (2025) was published in the Journal of Orthopaedic Surgery and Research investigating precision nursing interventions in elderly patients who undergo hip arthroplasty. Using the CRAAP test, the article has a high score in terms of currency, relevance, authority, and purpose because it specifically deals with nursing interventions in hip replacement recovery. The experimental approach shows that the application of individualized precision nursing is much more successful in enhancing the quality of life, improved joint performance, and psychological status after a surgery. This fact can be very useful in nursing practice with post-operative patients of the hip arthroplasty, such as Patient A (Cui et al., 2025).
Synthesis of Evidence and Implications for Practice
Taken together, the three articles chosen serve as a strong evidence of in favor of individual, multidisciplinary nursing intervention in the context of post operative patients who have undergone hip arthroplasty. As illustrated by Zhou and Wei (2024), MDT nursing will decrease pain and will decrease the length of stay in the hospital, and Allo et al. (2023) prove that the standardized nursing principles will reduce post-operative complications severely. Cui et al. (2025) also confirm that precision nursing enhances the joint activities, psychological health, and the overall quality of life after hip replacement surgery. Combined, the results demonstrate the paramount nature of evidence-based nursing practice to enhance patient outcomes in hip arthroplasty patients.
Conclusion
The paper used the Iowa Model of Evidence-Based Practice to discuss post-operative pain management in patients of hip arthroplasty such as Patient A of Sentinel U simulation. Three peer-reviewed articles were used that are credible and prove that individualized and multidisciplinary nursing interventions do make a big difference in the improvement of the outcomes of patients following hip replacement surgery. Introduction of such evidence-based strategies into clinical practice is a guarantee that nurses are offering safe, effective, and patient-based post-operative care.
References
Allo, R., Tariq, M., & Natheer, M. (2023). Effect of nursing care regarding postoperative complications among diabetic patients after hip replacement surgery. Medical Journal of Babylon, 20(2), 412–412. https://doi.org/10.4103/mjbl.mjbl_101_23
Ayaz, N. P., & Sherman, D. W. (2022). Understanding attitudes, social norms, and behaviors of a cohort of post-operative nurses related to pain and pain management. Healthcare, 10(5), e844. https://doi.org/10.3390/healthcare10050844
Cui, J., Liang, Y., Wang, Y., Guo, F., Yang, D., & Liao, Y. (2025). Impact of precision nursing intervention based on DCO model on joint function and quality of life of elderly hip arthroplasty patients. Journal of Orthopaedic Surgery and Research, 20(1). https://doi.org/10.1186/s13018-025-05820-1
Cullen, L., Hanrahan, K., Edmonds, S. W., Reisinger, H. S., & Wagner, M. (2022). Iowa implementation for sustainability framework. Implementation Science, 17(1), 1–20. https://doi.org/10.1186/s13012-021-01157-5
Doleman, G., & Twigg, D. (2022). Development, implementation, and evaluation of a Professional Practice Model: A scoping review. Journal of Nursing Management, 30(7). https://doi.org/10.1111/jonm.13820
Makou, N. M., Rasweswe, M. M., & Mooa, R. S. (2025). Voices of surgical wards nurses on barriers hindering acute post-operative pain management at Tshwane municipality, South Africa. Public Library of Science ONE, 20(2), e0316809. https://doi.org/10.1371/journal.pone.0316809