Implementing Evidence into Practice

Question 1

What is a “Practice Gap”?

Answer 1

The difference between a desirable or achievable state of practice and current reality

Question 2

State three broad categories which are barriers to the uptake of evidence

Answer 2

• Recommendations
• Adopter of guideline
• Organisation and Environment

Question 3

Why are recommendations sometimes a barrier to uptake evidence?

Answer 3

• Can be difficult to follow / complex

- May be incompatible with existing norms

Question 4

Why might the person adopting the guideline themselves be a barrier to uptaking the evidence?

Answer 4

• Lack of awareness of recommendation
• Doubts over credibility of source
• May be overwhelmed by too many guidelines
• Over-reliance on trusted / convenient sources

Question 5

Why might the organisation / environment be a barrier to uptaking the evidence?

Answer 5

• Limitations of time and resources
• Behaviour / action / value that people are expected to follow
• Social influence

Question 6

What is the principle behind Quality Improvement?

Answer 6

Facilitates uptake / continuing use of evidence-based policy and practice, focusing on recurrent problems within systems of care to improve performance, professional development and service-user outcomes

Question 7

Give two examples of reward incentives for Quality Improvement

Answer 7

CQUIN

QOF