ScenarioAs staff nurses and leaders in various patient care areas, you are members of your institution’s EBP for Quality Care and Outcomes Team. The Risk Management Committee uses chart reviews and other review mechanisms to collect data about designated patient care, practice issues, patient safety, adherence to institutional policy and procedure, and outcomes. The Committee reports data and trends to your team. Their recent report trended inadequate/incomplete documentation of surgical time-out procedures (i.e., preoperative review among patient and surgical team to verify right patient, right surgery, right location, etc.). Writing PromptsWhat are the differences between the Stetler Model of Research Utilization to Facilitate EBP and The Iowa Model of Evidence-based Practice to Promote Quality Care? Do they seem to oppose or complement each other?Think about the scenario above. How did you use the data to decide the problem/trigger?What decisions and outcomes do you anticipate?How did you use each model? What institutional stakeholders will be involved? What were your thoughts at various decision points?What were your conclusion decisions about use of the evidence in practice?Within your practice system, how will you communicate and disseminate the evidence and your review process?Who will be responsible for applying/implementing your recommendations? What outcomes do you plan to measure and monitor?What do you think that practice in the problem area will look like in six months? In one year?What barriers will you encounter to connect research to practice? What are your roles to address those barriers?

Name ______________________________________________Using the Montreal Protocol as an Example of How Scientific Knowledge Can Inform PolicyFrom "Science and Diplomacy: Montreal Protocol on Substances that Deplete the Ozone Layer" by K. MadhavaSarma and Stephen O. Andersen"The Montreal Protocol on Substances that Deplete the Ozone Layer is the most successful environmental agreement ever, and the Antarctic Treaty was a research platform for the science that was instrumental in protecting the ozone layer. The Montreal Protocol is the only international agreement with participation of all 196 countries of the world, and it is the only environmental agreement to be on track to achieve all of its goals. The foundation of its success is science and technology, including the science discovered in Antarctica. Collaboration has been established between scientists, governments, NGOs, media, and UN organizations: science leading to understanding, understanding leading to policy, policy leading to implementation, and implementation leading to global environmental protection. If there were no Montreal Protocol, stratospheric ozone would have decreased by two-thirds, ultimately resulting in death and disability from tens of millions of cases of skin cancer, cataracts, and suppression of the human immune system, and would have irreparably damaged agriculture and ecosystems, which would have resulted in even more misery."Watch the video "The Antarctic Ozone Hole: From Discovery to Recovery, A Scientific Journey: To understand the process of how science was able to successfully inform policy, read the article "Science and Diplomacy: Montreal Protocol on Substances that Deplete the Ozone Layer"After watching the video and reading the Science and Diplomacy article, complete the worksheet on the Montreal Protocol below. Your answers must be recorded in the worksheet and submitted to appropriate folder on D2L Assignments.Science and Diplomacy: Montreal Protocol on Substances that Deplete the Ozone LayerRead the article “Science and Diplomacy: Montreal Protocol on Substances that Deplete the Ozone Layer” that can be found on our course Content for this week and also at http://www.atsummit50.org/media/book-17.pdf .DatePerson/PeopleImportant Discovery1970Paul Crutzen1973James Lovelock1971Harold Johnston1971James McDonald1974Molina & RowlandDateInternational AccordTerms of Accord1985Vienna Convention1987Montreal Protocol1990London Meeting of Montreal Protocol Parties1992Copenhagen Adjustment and AmendmentWas the Montreal Protocol a success?What was the impact of the Montreal Protocol on industry?Using the Montreal Protocol as an example, evaluate how scientific knowledge informs policies and regulations.What outdoor air pollution challenges exist in your region? Explore one of the EPA websites that lets you browse information on the air you breathe: www.airnow.gov , www.epa.gov/aircompare , or www.epa.gov/air/emissions/where.htm AND https://waqi.info/How does your region's air quality compare to the rest of the world? What factors influence the quality of your region's air? Propose three steps for reducing air pollution in the world. What benefits might your region enjoy after taking such steps?