Essential of EBP

Essential of EBP

Knowledge of effecting change driven by patient outcomes in the contemporary world is of the essence. That is the case given that the emphasis of institutionalizing evidence-based practice has gathered moss in the recent years. As such, this paper aims at establishing the ways adopted by an organization to implement patient outcome-driven change. With such information, it is beyond doubt that an understanding of the implementation process will become inevitable.

Primarily, the first step adopted by the organization in the implementation of the EBP is fostering an environment that stimulates a culture of inquiry of established processes and procedures. In this environment, the health care professionals have the privilege of questioning systems openly (Agency for Healthcare Research and Quality, 2014). Such a practice is the beginning of the implementation process of the EBP since it sparks an idea on what needs to change in an organization.

The second step in the implementation of change in this organization is the investigation and analyzing of all current evidence on the issue identified in step one. The essence of this stage is to gain more insight into the problem that the organization wishes to address (Melnyk, & Fineout-Overholt, 2015).

Thirdly, assembling the team together that will support the proposed change is the next step that an organization follows in institutionalizing EBP. The aim of this action is to attain the much-needed support from stakeholders and its employees for effecting the proposal (Melnyk, & Fineout-Overholt, 2015). Without the backing, the new practice is as good as dead.

Next, the organization usually develops a comprehensive plan of how it intends to go about effecting this change. According to Grol, Wensing, Eccles, and Davis, (2013), during this stage, the organization seeks to generate a comprehensive plan that will target to incorporate all issues surrounding the problem at hand. With such a plan, the organization is sure of securing changes in many if not all facets of the problem.

After coming up with the plan, the organization seeks to pilot the changes in few areas of the institutions. An action of this kind helps them to determine the effectiveness of the plan before rolling it out to the whole organization (Agency for Healthcare Research and Quality, 2014).

Finally, if the change in the piloted areas is successful in optimizing the patient outcomes, the organization proceeds to implement in the larger organizational context. After the implementation, the institution conducts frequent evaluations to ascertain the effectiveness of the change and determine the areas for further improvement (Melnyk, & Fineout-Overholt, 2015).

Concisely, this discussion aimed at determining the implementation of the EBP in an organization. Indeed, the EBP implementation is a systematic process incorporates several steps. The process is as follows, fostering an environment that inspires an inquiry culture, gathering and reviewing the evidence, seeking for support, developing a plan, implementation, and evaluation. The implication drawn from this analysis is that the organization must be at the forefront supporting the EBP initiative in its jurisdiction. Failure to do so, however, will only contribute to the prevailing of health care problems.


Agency for Healthcare Research and Quality,. (2014). 4. How Do We Implement Best Practices in Our Organization? (continued) | Agency for Healthcare Research & Quality. Retrieved 2 March 2017, from

Gallagher-Ford, L., Fineout-Overholt, E., Melnyk, B., & Stillwell, S. (2011). Evidence-Based Practice, Step by Step: Implementing an Evidence-Based Practice Change. AJN, American Journal Of Nursing, 111(3), 54-60.

Grol, R., Wensing, M., Eccles, M., & Davis, D. (Eds.). (2013). Improving patient care: the implementation of change in health care. John Wiley & Sons.

Melnyk, B. M., & Fineout-Overholt, E. (2015). Evidence-based practice in nursing and healthcare: A guide to best practice. Philadelphia: Wolters Kluwer/Lippincott Williams et Wilkins