Developing Practice Guidelines
PROTOCOL FORMTEXT ?????Title of EBP ProjectNorthBay HealthcareNorthBay HealthcareNorthBay Medical CenterVacaValley Hospital1200 B Gale Wilson Blvd.1000 Nut Tree RoadFairfield, CA 94533Vacaville, CA 95687TELEPHONE: (707) 646-5000TELEPHONE: (707) 624-7000PROJECT TEAM:EBP Project Leader: FORMTEXT ?????Change Team Members: FORMTEXT ?????NorthBay Healthcare Preceptor: FORMTEXT ?????Faculty Advisor: FORMTEXT ?????Version Date: FORMTEXT ?????Table of ContentsINTRODUCTIONPurpose ………………………………………………….………………………. FORMTEXT ??Clinical issue to be addressed ………………..…………………………………. FORMTEXT ??BACKGROUND AND CLINICAL SIGNIFICANCE …………………...……………. FORMTEXT ??LITERATURE REVIEWPICOT question …………………….………………………….……………….. FORMTEXT ??Search strategies ……………………………………………….……………….. FORMTEXT ??Summary and critical appraisal of the evidence ……………….……………….. FORMTEXT ??PROJECT OVERVIEWSetting ………………………………….………………………………………. FORMTEXT ??Change in practice …………….…………………………….………………….. FORMTEXT ??Stakeholder analysis ………………………………………….…………………. FORMTEXT ??Implementation strategies …………………………………….………………… FORMTEXT ??Timeline ………………………………………………………………………… FORMTEXT ??DATA COLLECTION AND EVALUATIONData collection tools ………..…………………………………….…………….. FORMTEXT ??Data collection instructions ….………………………………….………………. FORMTEXT ??Data management ………………….……………………………………………. FORMTEXT ??Outcome measurements ….…………………….……………………………….. FORMTEXT ??Statistical Analyses ....………………………………………..…………………. FORMTEXT ??NURSING MANAGEMENTAssessment …………………………………………………………………….. FORMTEXT ??Intervention …….………………………………………………………………. FORMTEXT ??Evaluation ………………………………………………………………………. FORMTEXT ??Roles and Responsibilities ……………………………………………………… FORMTEXT ??Side effects/Adverse events ………………....………………………………….. FORMTEXT ??Documentation ………………………………………….………………………. FORMTEXT ??CONCLUSION AND CLINICAL IMPLICATIONS …………….……………………. FORMTEXT ??REFERENCES ……………………………………………………….………………… FORMTEXT ??ATTACHMENTS EBP Model ……………………………………………………………….……. FORMTEXT ??Levels of Evidence Model .…………………………………………………….. FORMTEXT ??Summary Tables ……………………………….………………………………. FORMTEXT ??Synthesis Table – Levels of Evidence ……………….………………………… FORMTEXT ??Synthesis Table – Outcomes …………………………..……………………….. FORMTEXT ?? ................
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