Which of the following is NOT one of the five steps in Evidence Based Practice?

• A. Appraise the evidence
• B. Implement without question
• C. Apply the evidence
• D. Assess the outcome

Answer: (B)

In the framework of Evidence Based Practice, the aim is to integrate the best available research with clinical expertise and patient values. The five steps typically include: asking a focused question based on a clinical problem, acquiring the best available evidence, appraising that evidence for its validity and usefulness, applying the evidence in clinical practice, and assessing the outcomes of the intervention.

The correct answer, indicating "Implement without question," is not part of this framework because Evidence Based Practice emphasizes a critical and reflective approach when applying research evidence. It is crucial to evaluate the applicability of evidence in the context of individual cases and consider the uniqueness of patient circumstances. Applying evidence implies thoughtful integration where practitioners must question and adapt findings, rather than implementing findings blindly or without consideration of their relevance.

Thus, the choice highlighting "Implement without question" deviates from the essence of Evidence Based Practice, which inherently involves a careful assessment and tailored application of research findings.