Evaluation

Evaluation provides essential data for decision-making
Assists users of the evidence in determining whether the intervention should be accepted, rejected or modified for use in the clinical setting (LoBiondo-Wood & Haber, 2006; Goode, 1995).

Evaluation Plan

Develop once the outcomes have been determined.
Develop simultaneously with the implementation plan.
Determine a short-term and long-term timetable with what should be measured and when. Include a rationale for why the particular data measurement and reporting time were selected.

Compare the measured outcomes with the benchmark data collected prior to the practice change implementation.
Data can also be compared simultaneously with appropriate clinical areas that have not as yet implemented the practice change. These units or areas serve well as comparisons since data collection is occurring simultaneously.
Determine whether external benchmarks exist and will prove to be beneficial for comparison. Visit AHRQ’s National Quality Measures Clearinghouse to search for quality measures already in use.

Monitor correct utilization of new practice (Table 2, Wakefield, p. 1510)
Evaluate the process including identification of any unforeseen barriers, adequacy of education, and availability of support
Monitor effects of practice changes on patient outcomes and staff for at least two consecutive quarters after implementation (Monitoring Guideline Implementation, Wakefield p.1510)
Monitor fiscal outcomes
Evaluated staff's level of knowledge about the new practice, determine ongoing educational needs and plan educational updates periodically. (Limitations & Strengths, Robinson et al.(CJON article 2000, 4[2])

Maintain visible presence for staff to be able to communicate concerns or questions (example: hotline, email site, posters, EBP planning group making rounds)
Provide ongoing support and information to staff
Provide staff with outcome data at regular intervals
Reward quality performance with incentives