Subject Guides: Evidence-Based Practice Nursing Toolkit: 6. Integrate the Evidence with Institutional and Clinical Variables

Tools and Resources

Identify the level of clinical expertise, hospital resources and interdepartmental approvals that will be necessary for the practice change
Identify actual or potential barriers and discuss how to overcome
Begin discussions on what costs or capital expenditures will be necessary to implement the practice change

Following the Evidence: Planning for Sustainable Change Fineout-Overholt, E., Williamson, K. M., Gallagher-Ford, L., Melnyk, B. M., & Stillwell, S. B. (2011). Following the Evidence: Planning for Sustainable Change. Am J Nurs, 111(1), 54-60.

	Make a list of key collaborators, departments, or services that will be affected by the practice change
	Contact potential collaborators and share the proposed practice change. Be open to departmental concerns/ideas
	Develop nursing protocol for practice change
	If medical protocols or revisions of current medical protocols are necessary, consult with the appropriate physician group to begin the process