Evidence-Based Practice Change Process

Evidence-Based Practice Change Process. To apply a change process using the ACE Star Model of Knowledge Transformation and a systematic review after identifying a clinical topic of concern and related nursing practice issue.


  • Identify the topic and the nursing practice issue related to this topic. (This MUST involve a nursing practice issue.)
  • Briefly describe your rationale for your topic selection. Include the scope of the issue/problem.
  • Describe the practice problem in your own words and formulate your PICOT question.
  • List and briefly describe other sources used for data and information. List any other optional scholarly source used as a supplement to the systematic review in APA format.
  • Briefly summarize the main findings (in your own words) from the systematic review and the strength of the evidence.
  • Outline one or two evidence-based solutions you will consider for the trial project.

Action Plan

  • Identify care standards, practice guidelines, or protocols that may be in place to support your intervention planning .
  • List your stakeholders (by title and not names; include yourself) and describe their roles and responsibilities in the change process.
  • What specifically is your nursing role in the change process? Other nursing roles?
  • List your stakeholders by position titles (charge nurse, pharmacist, etc.).-Why are the members chosen (stakeholders) important to your project?
  • What type of cost analysis will be needed prior to a trial?  Who needs to be involved with this?

Evidence-Based Practice Change Process: IMPLEMENTATION

  • Describe the process for gaining permission to plan and begin a trial.  Is there a specific group, committee, or nurse leader involved?
  • Describe the plan for educating the staff about the change process trial and how they will be impacted or asked to participate.
  • Outline the implementation timeline for the change process (start time/end time, what steps are to occur along the timeline).
  • List the measurable outcomes based on the PICOT.  How will these be measured?
  • What forms, if any, might be used for recording purposes during the pilot change process. Describe.
  • What resources are available to staff (include yourself) during the change pilot?
  • Will there be meetings of certain stakeholders throughout the trial?  If so, who and when will they meet?

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