Professional Documents
Culture Documents
Step-5 Assess
Step-5 Assess
Step-4 Apply
The Process of application of EBP includes the following steps
1- Forecasting the EBP plan
Develop a mental framework
Write a summary what will be done and how it will be done
Cleating the goals
Getting administrative clearance
Formulating a team
Develop a written summary of what you want to accomplish.
Brainstorm with colleagues regarding the environment you want to create.
Establish a motivating image for change
Create specific goals
Focus on short-term, attainable goals.
Establish only two to three goals at a time.
Gain administrative support
Contact administrators responsible for clinical practice.
Create a presentation that reflects the need
Establish a leadership team
Identify key personnel with a passion for EBP.
Conduct small focus group meetings.
2- promote engagement
Assess and Eliminate Barriers for EBP-
Engaging the staff and stakeholders
Prioritize clinical issues
Evaluate the infrastructure
Develop Experts in the Evidence-Based Practice Process
2- EBP integration
Build excitement for EBP -Demonstrate the link between proposed EBP changes and desired
patient outcomes.
Creating excitement for EBP
Creating implementation teams
Disseminating the evidence
Develop tools
Do the Pilot the evidence-based change
Evaluating the pilot
Creating a timeline.
Applying the EBP
EBP Implementation
Assess the specific area of clinical practice to get a baseline measure of current status
Prepare the scope of practice change to be implemented: Imagine the changed practice
after the time
Prepare a simple audit plan to measure progress, assess patient outcomes and monitor
compliance
Plan the duration of a test phase.
As part of the test phase, calculate the costs involved in the proposed change in practice.
Agree how the practice change will be communicated to all involved in implementation.
Provide education to healthcare professionals on the rationale for the change in practice
and how it will be achieved.
On completion of the test phase, view the results of your audit.
DECISION: Do audit results imply a change in practice? If YES, continue.
Distribute audit results to ward or unit colleagues.
Amend policies and procedures to account for the practice change.
Distribute email bulletins, flyers, etc., to publicise the practice change.
Step-5
After EBP is implemented the last step in the EBP cycle is assessing outcomes, disseminating
results and making further changes based on problem faced, peer reviews or availability of new
evidence
to practice as necessary or as prompted by new evidence.
Outcome can be measured by assessing the quality of life, improvement of care, improvement in
health or reduction in complications.
Outcome measures may be psychosocial (quality of life, improved patient perception of
care, reduction in depressive and anxiety symptoms), physiologic (improved health,
reduced complications), or functional improvement
Before assessing the EBP the following questions should be asked-
Was the EBP effective?
Should it be included in everyday practice?
Should this new information and/or clinical practice procedure continue to be included in
day to day applications?