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Evaluating the Impact of Implementing Evidence-Based Practice

Debra Bick (Editor), Ian D. Graham (Editor)
ISBN: 978-1-4051-8384-0
224 pages
May 2010, Wiley-Blackwell
Evaluating the Impact of Implementing Evidence-Based Practice (1405183845) cover image


The Evidence-Based Nursing Series is co-published with Sigma Theta Tau International (STTI). The series focuses on implementing evidence-based practice in nursing and midwifery and mirrors the remit of Worldviews on Evidence-Based Nursing, encompassing clinical practice, administration, research and public policy.

Evaluating the Impact of Implementing Evidence-Based Practice considers the importance of approaches to evaluate the implementation of evidence-based practice. 
Outcomes of evidence-based practice can be wide ranging and sometimes unexpected.  It is therefore important to evaluate the success of any implementation in terms of clinical outcomes, influence on health status, service users and health policy and long-term sustainability, as well as economic impacts.
This, the third and final book in the series, looks at how best to identify, evaluate and assess the outcomes of implementation , reflecting  a wide range of issues to consider and address when planning and measuring outcomes.
  • An informative, practical resource for an international readership
  • Providing critical evaluation of models and approaches  to measuring outcomes
  • Explores the importance of measuring successful implementation
  • Examines outcomes in terms of long-term sustainability
  • Addresses economic impacts and influence on health policy 
  • Provides practice-based examples
  • Written by a team of internationally respected authors
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Table of Contents

Contributors’ information



1 The importance of addressing outcomes of evidence-based practice (Debra Bick and Ian D. Graham)


Why are outcomes of EBP important?

The development of EBP

What is evidence?

Models and frameworks to support research use

Why is it important to measure/evaluate the impact of EBP?

Why do interventions of unproven benefit continue to be


The importance of outcomes in policy and politics



2 Measuring outcomes of evidence-based practice: Distinguishing between knowledge use and its impact (Ian D. Graham, Debra Bick, Jacqueline Tetroe, Sharon E. Straus, and Margaret B. Harrison)


Knowledge use

Measurement considerations

Measuring knowledge use

Evaluating the impact of knowledge use

Measuring outcomes of EBP and return on investment



3 Models and approaches to inform the impacts of implementation of evidence-based practice (Joyce Wilkinson, Neil Johnson, and Peter Wimpenny)


A model typology




4 An outcomes framework for knowledge translation (Diane M. Doran)


Purpose of the framework

The focus on outcomes

Practice reflection based on outcomes

Outcomes feedback

Patient preferences for care

Facilitation to support change

Related theoretical models



5 Outcomes of evidence-based practice: practice to policy perspectives (Margaret B. Harrison)



Building the case for change for EBP

Understanding the environment and current care

Measuring the impact of EBP/care

Limitations of different approaches

Choose outcomes wisely



6 Implementing and sustaining evidence in nursing care of cardiovascular disease (Anne Sales)


A brief history of the evolution of cardiology in practice

System approaches to changing delivery of cardiovascular care

Outcomes and their impact

Nursing-focused evidence-informed care for patients

with cardiovascular health problems



7 Outcomes of implementation that matter to health service users (Debra Bick and Ian D. Graham)


Enhancing the contribution of service users to health service policy and research

Defining EBP priorities and outcomes from a service user perspective

Patient-reported outcome measures

Addressing the challenges and developing the evidence base



8 Evaluating the impact of implementation on economic outcomes (Lisa Gold)



Economic evaluation of EBP

Barriers to economic evaluation—ethics and research efficiency



9 Sustaining evidence-based practice systems and measuring the impacts (Barbara Davies, Dominique Tremblay, and Nancy Edwards)


The need for and concept of “sustainability” of EBP change

Maintaining the integrity of EBP

Sustainability models

Strategies for more sustainable EBP

A suggested development process for indicators that

will be sustainable

Criteria for selecting sustainability indicators

Exemplars and issues around the sustainability of

EBP systems



10 A review of the use of outcome measures of evidence-based practice in guideline implementation studies in Nursing, Allied Health Professions, and Medicine (Christina M. Godfrey, Margaret B. Harrison, and Ian D. Graham)

Method and background on the reviews






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Author Information

Debra Bick is Professor of Evidence Based Midwifery Practice, Florence Nightingale School of Nursing and Midwifery, King's College London and Editor in Chief of Midwifery: An International Journal

Ian D. Graham is Vice President for Knowledge Translation, Canadian Institutes of Health Research; Associate Professor, School of Nursing, University of Ottawa and Affiliate Senior Social Scientist, Clinical Epidemiology Program, Ottawa Hospital Research Institute
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The Wiley Advantage

  • An informative, practical international resource
  • Addresses the importance of measuring outcomes of implementing EBP 
  • Considers different levels and types of impact (intended and unintended)
  • Explores barriers to implementation and sustainability
  • Critically evaluates models and approaches which facilitate rigorous implementation and robust evaluation of outcomes
  • Stresses the importance of measuring uptake of evidence alongside outcomes
  • Examines outcomes of importance to service users, clinicians, managers and policy makers.
  • Includes practice-based examples 
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