A PRESENTATION

ON EBP
ASSESSING
IMPLEMENTATION
POTENTIAL
Submitted to:

Submitted by:

Dr. Judith Noronha

Mrs. Timi Thomas

Assoc. Dean

I M.Phil (N)

MCON

MCON

Submitted on: 16th February, 2015

COURSE OUTLINE
FOR
PALLIATIVE CARE
IN NURSING
Submitted to:

Submitted by:

Dr. Anu Elsa Sanatombi Devi

Mrs. Timi Thomas

HOD- MSN

I M.Phil (N)

MCON

MCON

Submitted on: 16th February, 2015

EBP ASSESSING IMPLEMENTATION POTENTIAL

In some EBP models, the next step is the development and testing of the
innovation, followed by an assessment of organizational fit. Other models
recommend early steps to assess the appropriateness of the innovation within
the organizational context. In some cases, such assessment may be warranted
even before searching for and appraising evidence. We think an early
assessment of the implementation potential (or environmental readiness) of a
clinical innovation is often sensible, although there are situations with little need
for a formal assessment.
In determining the implementation potential of an innovation in a
particular setting, several issues should be considered, particularly the
transferability of the innovation, the feasibility of implementing it and its cost
benefit ratio.
Transferability: the main transferability issue is whether it makes sense to
implement the innovation in your practice setting. If some aspects of the
setting are fundamentally incongruent with the innovation in terms of its
philosophy, type of clients served, staff or administrative structure then it

might not make sense to try to adopt the innovation, even if there is evidence
of clinical effectiveness in other contexts. One possibility, however, is that
some organizational changes could be made to make the fit better.
Feasibility: feasibility questions address practical concerns about the
availability of staff and resources, the organizational climate, the need for
and availability of external assistance, and the potential for clinical
evaluation. An important issue is whether the nurses will have, or share,
control over the innovation. If nurses dont have control over a procedure,
the independent nurse of the project should be identified early so that the
EBP team will have needed interdisciplinary representatives.
Cost benefit ratio: a critical part of the decision to proceed with an EBP
project is a careful assessment of the costs and benefit of the change. The
cost benefit assessment should encompass likely costs and benefits to
various groups (eg: clients, nurses and the overall organization). If the degree
of risk in introducing an innovation is high, then potential benefits must be
high and the evidence must be sound. A cost-benefit analysis should consider
the opposite side of the coin as wee: the cost and benefit of not instituting an
innovation. The status quo bears its own risks and failure to change
especially when such change is based on firm evidence can be costly to
clients, to organizations and to the entire nursing community.
If the implementation assessment suggests that there will be problems in
testing the innovation in that particular practice setting, then the team can

either begin the process anew with a different innovation, or pursue a plan to
improve the implementation potential (eg: seeking external resources if costs
were the inhibiting factor).
REFERENCES
1. Denise F Polit. Nursing research principles and methods. 9th ed.
Lippincott Williams and Wilkins.
2. Judith Haber. Nursing research methods and critical appraisal for EBP.
7th ed. Mosbi