ABSTRACT
This chapter looks at the ways in which evidence-based practice can be implemented in the clinical setting. Too much reliance on intuition can work against the principles of evidence-based practice. The overuse of intuition is an important cause of poor-quality care and it can drive practice away from that which is based on evidence. Implementing evidence-based practice needs to be evaluated, both so that the effectiveness of the initiative can be determined and to facilitate the implementation in other areas. Fidelity is the degree to which the implementation of an evidence-based practice is true to that evidence-based practice. Effectiveness studies may also be designed to measure the effect of something, but they are also concerned with the implementation of any results. The Consolidated Framework for Implementation Research is designed to guide the process of implementing and evaluating of evidence-based practice. It is a ‘Determinant Model’, that is, it explains the factors that often influence attempts to put evidence into practice.
