Evidence Implementation Project Topic

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Trainer/Facilitators Name: *

Clinical Fellowship Program Commencement Date *

YYYY

Training Entity Name: *

Training Entity Country *

Your Given Name *

Your Family Name: *

FACILITATORS Email: *

Your Healthcare Organisation Name: *

Your City/Country of residence: *

Your Profession: *

Your Topic Title: *

Is this an existing audit topic selected from the PACES list? Note: If you are registering for the JBI Evidence-based Clinical Fellowship Training Program AFTER 6 weeks prior to the program commencement date, you can only select a topic from the PACES list. *

Yes

Evidence Implementation Project Topic

Please outline the clinical setting, topic of interest, healthcare aims and outcomes you are hoping to achieve through your evidence-based implementation project? This should be an area in which you conduct a baseline clinical audit, implementation of evidence based strategies, and then follow-up clinical audit aimed at assessing outcomes. Eg. What is best practice in regards to non-pharmacological management of people with dementia in residential care facilities? *

In order for the JBI team to prepare an Evidence Summary for your specific topic, please provide further detailed information on the following:

HEALTH PROFESSIONS: Please provide further detailed information on which group/groups of health professionals are involved in the practice. Be specific about specialty if it is relevant. Who is the healthcare group of interest i.e. nursing, allied health, medicine, multidisciplinary groups? *

PATIENTS: Describe the group of patients (if applicable) that the practice impacts. Include the most important characteristics. What is the patient group of interest i.e. cancer, older adults, pregnant women with diabetes, adults with peripheral venous leg ulcers? *

KEY OUTCOME: Identify the key outcomes you are trying to accomplish, measure, improve or affect i.e. compliance to best practice, reduced incidence of falls. *

SETTING: Report the setting in detail including whether for profit, not for profit, etc. What is the setting (acute care/long-term care/specialist units such as spinal, burns, or community care etc)? *

Additional Information: Provide any additional information below that may assist with clarifying the topic area or assisting in the development of the audit criteria.

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