Evidence-Based Practice Case Study.

EBP case study

You are consulting with the education and practice development team in a large tertiary care

hospital serving a region comprising mostly rural communities. The team is responsible for

strengthening the implementation of EBP based on outcomes. Over the next 2 years, it must set

performance objectives to (1) strengthen screening for pain, depression, and adverse health

behaviors (smoking, excess alcohol intake, and body mass index [BMI] greater than 30) at intake for

all adult admissions; (2) implement comprehensive geriatric assessment for all those over age 65

hospitalized for more than 7 days or readmitted within less than 3 days following discharge; and (3)

promote care-team performance.

The hospital has 200 adult admissions each week and has implemented an electronic health

record. Guideline dissemination generally occurs through educational venues or via the electronic

policy and procedure manual. The method of documentation for narrative notes is documentation

by exception using subjective, objective, assessment, and plan (SOAP) and the hospital has made

extensive use of checklists to complement the documentation system.

Discussion Questions