Step 4 asks you to integrate evidence. The evidence can be used to make new policy and procedure, guide clinical practice, and/or develop new teaching, assessment, or documentation tools. The last step is to evaluate the practice decision or make a change. Depending on the evidence found and the type of change made to practice, the evaluation may be on a small or grand scale.
Table 5-1 shows the 5 steps involved in the research process. Before research can be conducted a number of issues must be explored. All subjects must have informed consent. Their responses must be anonymous and confidential.
In performance improvement an organization analyzes and evaluates current performance, using the results to develop focused improvement actions. Remember that evidence-based practice and quality improvement go hand in hand. Combined, they are the foundation for client care and outcomes.