This module looks at the next two stages of the evidence-based practice process: apply the evidence (step four) and audit the outcome (step five).
Let's come back to the four elements of evidence-based practice, of which we know research evidence is just one part:
Adapted from: Introduction to evidence-based practice, Hoffmann, Tammy, Evidence-Based Practice Across Health Professions, Chapter 1, 1-15
Now that you understand the evidence applicable to your clinical scenario, pause for a moment and, in light of the elements of evidence-based practice, think about what you will do next.
This decision-making time is step four, Apply the evidence.
Click on each of these cards to see what sort of questions you might ask when considering these elements.
The fifth step of EBP, Audit, is about evaluating the outcome of your decision in the previous stage (Apply), as well as evaluating your own effectiveness and efficiency in the Ask, Access and Appraise steps.
In EBP, there is an emphasis on accessing current evidence. This means one of your challenges is to keep up to date with the evidence base.
You can do this by:
EBP requires a certain set of skills – asking the question, accessing the evidence, appraising the evidence in particular – which must be maintained in order to be effective.
This is a commitment which can be difficult to implement in the clinical environment. So how can this difficulty be overcome?