Evidence-Based Practice Proposal

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The Need for Change Many questions arise during patient care. Some are general questions about a clinical problem or a disease process.

Before Choosing your EBP questions you must identify the following:

Asses your Practice

The assessment of practice drives the formulation of a clinical question that can be answered from research, clinical judgment, and patient preferences.

Identify Need for Change

It is important to identify where the need for change has arisen. It may be related to new knowledge that needs to be

Evidence Based Practice Asking the Relevant Clinical Question

9/24/21, 3)25 PMThe Need for Change

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examined for implementation into the clinical setting. It may be related to a clinical problem which has been identified by clinicians and existing knowledge is being sought to provide solutions or improvements to the clinical problem.

Identify Change Agents The earlier that participants who will be instrumental in bringing about the change are identified and included in the process, the more likely the change is to be successful.

Identify Target Audience In this step, those who will be affected by the change are identified so the practice change can be tailored to fit the audience.

Identify Stakeholders

Knowing the individuals or groups who have a vested interest in the project and anticipating their acceptance, support, or resistance is critical to the success of the project.

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Identify Problem and Formulate a Specific Question

There are many reasons nurses may start to look for evidence to inform a decision they would wish to make: it could be to support a change of practice, to consider the best option from a range of choices or to do a cost comparison of different forms of treatment. Whatever the reason the first place to start is by Formulate an answerable question.

Why formulate a clear clinical question? If done properly it can help you to:

Locate the evidence quickly Determine what you already know or don't know about the issue Decide what you really need to know vs. "the nice to know" Helps to clarify your ideas Help you to search for the evidence effectively Help you save time