wk12- how to put evidence into practice

Question 1

steps to implement evidence into practice 4

Answer 1

1. identify an evidence-practice gap
2. identify barriers and enablers
3. select and deliver intervention most likely to positively impact barrier and enablers
4. evaluate impact of implementation process. Effectiveness, cost-effectiveness and process evaluation

Question 2

step 1- identify an evidence-practice gap. How to?

Answer 2

research methods to identify gaps (surveys/audits of medical records or practice behaviors)

using more than one research method to collect data (DEFINE who, what, when, where, how and with whom)

Question 3

step 2- identify barriers and enablers

Answer 3

barriers- factors or conditions that may prevent successful implementation of evidence

enablers- are factors that increase the likelihood of successful implementation

Question 4

example barriers

Answer 4

-attitude and behaviour
-funding
-access

Question 5

enablers examples

Answer 5

-registeration of HCW
-undergraduate training
-local environment and workplace culture
-patient demand

Question 6

step 3- intervention selection

Answer 6

address barriers and enablers and should be informed by theory and evidence

Question 7

example interventions/influences

Answer 7

-educational
-reminders
-opinion leaders
-multifaceted interventions
-practice environment
-audit and feedback

Question 8

step 4- evaluation

Answer 8

understand if the outcomes improved as a result of change and make adjustments if not

Question 9

what levels do EBP and organizations work at? 3

Answer 9

-mico-systems of clinical departments, units, wards, practices
-meso-system such as hospitals and large group practices
-macro-system of health departments, general practice governing organizations, professional societies and clinic service networks

Question 10

why is system approach important?

Answer 10

by making it apart of the organisation, EBP can be systematically supported by the polices, procedures, mission, etc of organisation

Question 11

what do organizations need to implement this into their framework

Answer 11

-three forms of data

1. evidence in response to specific clinical questions
2. guidelines and other forms of evidence guidance to inform clinical decisions
3. metrics of current practice for the purpose fo conducting audits and identifying evidence practice gaps

Question 12

importance of organizational polices

Answer 12

can influence governance structures, decisions and expectations of employees

Question 13

summary of implementing EBP

Answer 13

a systems based approach needs to be used

identify evidence based gaps and specify behaviors that need to change

identify barriers and enablers

implementation of intervention

evaluate the outcomes and process

organizations need to provide the right culture and appropriate leadership and set polices that enable HCP to have skills time and attitude to provide evidence based practice