Models and Barriers The PARiHS (Promoting Action on Research Implementation in Health Services)


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.

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  • 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.


Nursing Standards

Nursing and Midwifery Board of Australia. (2018). Code of conduct for midwives.

Clinical Guidelines

Guideline Adaption Committee. (2016). Clinical practice guidelines and principles of care for people with dementia. NHMRC Partnership Centre for Dealing with Cognitive and Related Function Decline in Older People.

Living Guideline

Stroke Foundation. (2022). Australian and New Zealand living clinical guidelines for stroke management – chapter 1 of 8: Pre-hospital care.

Evidence-based practice

BMJ Best Practice

Goldfarb, S., & Josephson, M. (2020). Cystic fibrosis. BMJ Best Practice.

Schub, T., & Cabrera, G. (2018). Bites: Head lice [Evidence-based care sheet]. Cinahl Information Systems.

Beyea, S. C., & Slattery, M. J. (2006). Evidence-based practice in nursing: A guide to successful implementation.

JBI: Evidence summary

Swe, K. K. (2022). Blood glucose levels: Self-monitoring [Evidence summary]. JBI EBP Database.

JBI: Best practice information sheet

Bellman, S. (2022). Experiences of living with juvenile idiopathic arthritis [Best practice information sheet]. JBI EBP Database, 24(1), 1-4.

Cochrane Database of Systematic Reviews

Srijithesh, P. R., Aghoram, R., Goel, A., & Dhanya, J. (2019). Positional therapy for obstructive sleep apnoea. Cochrane Database of Systematic Reviews.

Drug Information

Codeine. (2023, January). In Australian medicines handbook. Retrieved February 2, 2023, from

Colorado State University. (2011). Why assign WID tasks?


Dartmouth Writing Program. (2005). Writing in the social sciences.

Rutherford, M. (2008). Standardized nursing language: What does it mean for nursing practice? [Abstract]. Online Journal of Issues in Nursing, 13(1).

Wagner, D. (n.d.). Why writing matters in nursing.

Writing in nursing: Examples. (n.d.).

Perth Children’s Hospital. (2022, April). Appendicitis [Emergency Department Guidelines]. Child and Adolescent Health Service.

Department of Health. (n.d.). Who is being active in Western Australia?

Donaldson, L. (Ed.). (2017, May 1). Healthier, fairer, safer: The global health journey 2007-2017. World Health Organisation.

NCBI Bookshelf

Rodriguez Ziccardi, M., Goyal, G., & Maani, C. V. (2020, August 10). Atrial flutter. In Statpearls. StatPearls Publishing.

Royal Perth Hospital. (2016). Procedural management: Pre and post (24-48 hours) NPS. Canvas.



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