1. Larrabee’s Quality of Nursing Care Theory
BY Jenny Delasko

2. Objective Overview of the theory
How the theory defines the nursing paradigm
Analysis of the theory

3. Overview
Helps provide a guideline to incorporate evidence-based practice into healthcare
Created a 6 step model to implement evidence-based research :
1. Assess: Identify problem and need for change
2. Link: Identify intervention and outcomes to the problem
3. Synthesize: Reviewing literature and research
4. Design: Describe the process to implement the change, create pilot study
5. Implement and Evaluate: Monitor and continuous reinforcement of new policies
6. Integrate and Maintain: Initiate change and provide resources needed
(Larrabee & Rosswurm, 1999)

4. Nursing Paradigm
Nursing: Incorporate evidence-based changes into practice
Person: Enhance patient outcomes
Health: Improves quality of care and patient safety
Environment: Quality improvement for entire organization
(Larrabee & Rosswurm, 1999)

5. Analysis
Accuracy: Provides a precise guideline for implementing evidence- based practice in a healthcare organization
Simplicity: Easy step by step model to follow
Scope: Can involve all healthcare professionals
Acceptance: Creates a simple transition to change with proper coordination and implementation
Socio-Cultural Utility: Improves job satisfaction and improve quality of care and patient safety
(Larrabee & Rosswurm, 1999)

6. References
Larrabee, J. H., & Rosswurm, M. A. (1999). A model for change to evidence-based practice. Image- the Journal of Nursing Scholarship, 31. Retrieved from