Review the steps of Evidence Based Practice process. Choose one of the two scenarios and clearly elaborate how you would make a change in practice utilizing each step of the Evidence Based Practice process.
Review the measures of rigor for publications. Find a minimum of one peer reviewed article that supports this change in practice. Discuss the measures of rigor for this article(s).
Scenario 1)
You are working as a PMHNP in an outpatient office. Over the last month you have evaluated 5 new patients that have been self-harming by cutting themselves. This seems to be a significant increase in occurrence, and you are interested in addressing this using best practice. What are the next steps?
Scenario 2)
You are a new PMHNP and starting your first job. Your first week you notice that the majority of clients are prescribed controlled substances. You also note that there is a waiting list for new clients. The organization has no specific standards to guide practice for controlled substances. The organization encourages their prescribers to “make the clients happy” to ensure positive feedback on surveys. You want to make a change in the way things are done at this organization. What are the next steps for making a change in practice?


