Examine how environmental management, like as unit-based noise control, can help to improve nursing care quality and the patient experience. Using Iowa’s Evidence-Based Practice Model to Improve Care Quality 1. Consider possible obstacles that will need to be evaluated and modified prior to instituting the guideline of noise reduction on a pilot unit in the hospital. 2. How will information regarding the practice change be disseminated most effectively? 3. Identify activities that will aid in the long-term maintenance of the practice change.