Are Changes Necessary?

You are here

Has your data or staff indicated that you need to make one or more adaptations to the original design of the practice?

If your staff are complaining that the new program isn't working for specific populations or in a specific level of care, they may be right. If your the measures you are using to assess your implementation process aren't where they should be, and your staff think it is because the EBP isn't a great fit, you have the choice to adapt or abandon this practice.

Have a discussion with the developer of the practice before you try any adaptation.

S/he may have insight from unpublished studies or from other organizations.

If there is no reason not to try your adaptation, approach the changes as though they are a change project. You know that your aim is to adapt the practice so that it works better so pilot test the adaptation and measure whether it is better in the way that you anticipated.