The last step of EBP is to evaluate your own performance and where you might improve. Depending on the context in which changes are made you are also likely to be interested whether the changes implemented have improved care.
In EBP, self-reflection is part of
evaluation.  You are asked to reflect on how well you perform steps 1-4
(Ask, Acquire, Appraise, Apply).
In relation to a specific patient and change you might ask yourself: Would it have made a difference if my question were more specific or if I had changed my approach to searching for
More generally, criteria suggested by Straus  provide a detailed self-evaluation
framework to assess how well you are doing across the five EBP steps. You could also use the CareSearch self-evaluation form to check your progress with EBP.
Download the form - Evaluation of my use of EBP (169kb pdf)
implementing practice change you might also want to establish whether the
intended effect has been achieved. Generally, this would be compared to no
change or usual care (pre-intervention outcomes). It is also important that you
identify any information required to sustain changes or to monitor any unintended
consequences of the changes. Evaluation of outcomes will help you to do this.
practice/health practitioner level EBP evaluation might take the form of a pre-
post-study embedded within a PDSA cycle. In this case you could look at outcome
measures from the patient, practitioner, or organisational level before and
after the changes were implemented. The aim is to ask whether the desired
outcome has been achieved.
measures and approaches that might be employed at each level include: 
For complex program and system level changes involving more stakeholders a more
structured and detailed format for evaluation is likely to be adopted. This is
covered in Evidence
Page created 28 March 2022