Some commentators have the EBP practice of consisting of only four steps - Ask, Acquire, Appraise, Apply. See, for example, Part 2 of Del Mar, Glasziou, & Salisbury's Evidence-Based Practice Workbook (2007). However most commentators add a fifth step of assess and/or audit.
There are two strands to this:
This involves assessing/auditing the effectiveness and efficiency of the evidence-based practice process, identifying strengths and weaknesses and ways that it might be improved the next time.
Self-reflective questions might include:
This involves evaluating the outcomes and impact of an evidence-based intervention.
Questions might include:
This final step completes the cycle of Evidence-Based Practice, as the evaluation of the change/implementation/outcomes might lead to further clinical questions.
Hoffmann, T., Bennett, S., & Del Mar, C. (2013). Evidence-based practice across the health professions (2nd ed.).
Salisbury, J., Del Mar, C., & Glasziou, P. (2007). Evidence-based practice workbook: Bridging the gap between health care research and practice (2nd ed.).
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