EBP is defined as ‘integrating the best available research evidence with clinical expertise and the patient’s unique values and circumstances’.  In practice this means that evidence needs to be considered in the context of the person or patient’s values and preferences, and the insights gained from clinical experience. The circumstances of care will also influence any decision as this may increase or decrease care options.
When engaging with EBP it is useful to remember:
Models have been developed to assist implementation of EBP in the clinical setting at the practitioner and organisational levels.  These provide a structured approach to identifying where change is needed, and outline the steps required to bring about needed changes.
The PDSA cycle (Plan, Do, Study, Act) is a well-known model t facilitate the testing of changes in a ‘real world’ setting. The model evolved from the FOCUS-PDCA developed in the early 1990s, an approach that incorporated analysis of the evidence and context of care before embarking on change.  The Institute for Healthcare Improvement has more on application of the PDSA model in health.
Visit IHI for more about using the PDSA model
Using the PDSA model
A problem solving model used to guide clinical decision making based on the EBP approach. Intended for organisations and individuals.
Learn more about the John Hopkins Model
John Hopkins model
A flowchart to assist with clinical decision-making and problem solving. Intended for organisations and individuals.
Read more about the Iowa Model
Visit NHMRC guidance on deciding whether to adopt, adapt or start from scratch
NHMRC adopt, adapt or start again
Visit Guidelines International Network: ADAPTE Toolkit
The Canadian National Collaborating Centre for Methods and Tools (NCCMT) has guidance on assessing whether evidence is applicable to the local context (patient, population, setting, system) and whether it is likely to achieve similar results (see NCCMT)
Visit NCCMT: Assessing Applicability and Transferability of Evidence
NCCMT Evidence Applicability
Deciding whether to make a change or to take up a new approach to care will depend on what there is to gain and what the risks of doing this might be. There are useful resources to help you understand risk/benefit in clinical practice. This will in turn help you to explain this to the person you are caring for and their family based on their circumstances.
The following modules provide insights into CareSearch resources that can be useful to integrate evidence into your everyday palliative care practice.
Visit My Learning Aged Care
My Learning Aged Care
The carers module helps you to understand carer needs and to find helpful resources for them.
Visit My Learning Carers
My Larning Carers
Page created 09 May 2022