Assignment 3: Analysis / Synthesis
In this assignment you will use the template provided to complete the gap analysis, evidence synthesis, and you will begin to start documenting your recommendations.
Gap Analysis
Complete the gap analysis table.
Focus Area: What are you focused on?
Desired Future State: Where would you like to be?
Current State: Where are you now?
Identified Gap: Difference between desired state and current state
Action Plan: Activities you will undertake to bridge the gap
Evidence Synthesis
Compile the results of the individual evidence appraisal to the form to answer the EBP question. The pertinent findings for each level of evidence are synthesized, and a quality rating is assigned to each level.
Record the number of sources of evidence for each level.
Summarize the overall quality of evidence for each level. Use Appendix D to rate the quality of evidence.
Include only findings from evidence of A or B quality.
Include only statements that directly answer the EBP question.
Summarize findings within each level of evidence.
Record article number(s) from individual evidence summary in parentheses next to each statement so that the source of the finding is easy to identify.
Recommendations
Review the synthesis of findings and determine which of the following four pathways to translation represents the overall strength of the evidence:
Strong, compelling evidence, consistent results: Solid indication for a practice change.
Good and consistent evidence: Consider pilot of change or further investigation.
Good but conflicting evidence: No indication for practice change; consider further investigation for new evidence or develop a research study.
Little or no evidence: No indication for practice change; consider further investigation for new evidence, develop a research study, or discontinue the project.
Fit and Feasibility
Even when evidence is strong and of high quality, it may not be appropriate to implement a change in practice. It is crucial to examine feasibility that considers the resources available, the readiness for change, and the balance between risk and benefit. Fit refers to the compatibility of the proposed change with the organization’s mission, goals, objectives, and priorities. A change that does not fit within the organizational priorities will be less likely to receive leadership and financial support, making success difficult. Implementing processes with a low likelihood of success wastes valuable time and resources on efforts that produce negligible benefits.
Barriers and Strengths
This analysis allows you to identify barriers to implementation and potentially mitigate them using inherent strengths and resources. You may find specific challenges that will likely impact the ability to deliver on the implementation plan. Though these obstacles can get in the way, knowing about them up front is helpful so that you can engage support and create a plan to address them.
Consider whether or how the change will impact workflows and processes
Be mindful of the impact of the change downstream. For example, will changes need to be made to the electronic medical record to accommodate the change, or will this change impact the workflow of any other staff who have not been considered?
Identify Observable Outcome Measures
What indicators will you use, to measure the success of implementing the innovation or change?
Please refer to the rubric for grading criteria
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