The first step in developing an evidence-based practice project is to identify a clinical problem or question. This could be something you’ve noticed as an issue in your daily practice, an area your organization wants to improve, or a topic suggested by best practice guidelines. It’s important to clearly define the problem and make sure it is actually a problem that needs to be addressed rather than just an area of curiosity.

Once you have identified the clinical problem or question, the next step is to conduct a thorough literature review and search for the best available evidence. You will want to search multiple databases like PubMed, CINAHL, and the Cochrane Library. Be sure to use clinical keywords and controlled vocabulary from topics like MeSH when searching. Your initial search should be broad to get an overview followed by more focused searches to drill down on the most relevant literature. Your goal is to find the highest levels of evidence like systematic reviews and randomized controlled trials on your topic.

As you find relevant research, you will want to critically appraise the quality and validity of each study. Things to consider include sample size, potential for bias, appropriate statistical analysis, generalizability of findings, consistency with other literature on the topic, and other factors. Only high quality studies directly related to answering your question should be included. It is also important to analyze any inconsistencies between studies. You may find the need to reach out to subject matter experts during this process if you have questions.

With the highest quality evidence compiled, the next step is to synthesize the key findings. Look for common themes, consistent recommendations, major knowledge gaps, and other takeaways. This synthesis will help you determine the best evidence-based recommendations and strategies to address the identified clinical problem. Be sure to document your entire literature review and appraisal process including all sources used whether ultimately included or not.

Now you can begin developing your proposed evidence-based practice change based on your synthesis. Clearly state the recommendation, how it is supported by research evidence, and how it is expected to resolve or improve the identified clinical problem. You should also consider any potential barriers to implementation like resources, workflow changes, stakeholder buy-in etc. and have strategies to address them. Developing a timeline, assigning roles and tracking methods are also important.

The next step is obtaining necessary approvals from your organization. This likely involves getting support from stakeholders, administrators, and committees. You will need to present your evidence, project plan, and anticipated outcomes convincingly to gain approval and support needed for implementation. Ensuring proper permission for any data collection is also important.

With all approvals and preparations complete, you can then pilot and implement your evidence-based practice change. Monitoring key indicators, collecting outcome data, and evaluating for unintended consequences during implementation are crucial. Make adjustments as needed based on what is learned.

You will analyze the results and outcomes of your project. Formally assessing if the clinical problem was resolved as anticipated and the project goals were achieved is important. Disseminating the results through presentations or publications allows sharing the new knowledge with others. Sustaining the evidence-based changes long term through policies, staff education, and continuous evaluation is the final step to help ensure the best outcomes continue. This rigorous, multi-step approach when followed helps integrate the best research evidence into improved patient care and outcomes.

Developing an evidence-based practice project involves identifying a problem, searching rigorously for the best evidence, critically appraising research, synthesizing key findings, developing a detailed proposal supported by evidence, obtaining necessary approvals, piloting changes, monitoring outcomes, evaluating results, and sharing lessons learned. Following this scientific process helps address issues through strategies most likely to benefit patients based on research. It is crucial for delivering high quality, current healthcare.