Linking the Design to the Ethics of Evidence-Based Practice and Grant Funding
This is the 11th chapter in a new book about interprofessional evidence-based practice and the development of a clinical scholar program.
This chapter assists the interprofessional evidence-based practice team in meeting the Institutional Review Board and grant requirements given the design of an evidence-based practice project. A well-designed evidence-based practice project includes safeguards that protect the dignity, safety, and rights of each participant. There are government guidelines for protecting human subjects in a research study that an institutional review board follows and that the interprofessional team uses to make ethical decisions about their project design. Often confusion exists whether the institutional review board needs to review non-research, such as quality improvement and program evaluation. Two examples of interprofessional evidence-based projects are provided that indicate how to address these grey areas. The exemplars demonstrate the link between the project design and the decision making guiding submission to an institutional review board for review. One example describes the thinking process of an interprofessional team in ensuring the ethical use of a placebo as a component in their randomized experimental design. In the second example, a description of implementing a quality improvement study as a part of the practice change shows the difficulty the interprofessional team had in deciding whether the project had strong enough research components to require IRB approval. Once the ethical issues in the practice change design are resolved, the interprofessional team considers whether obtaining external funding for the EBP project is needed. This chapter describes the specific content to include within a competitive grant proposal for a practice change project.
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