The third step of the Ottawa model involves the assessment of current practice and identification of barriers and facilitators to practice change for agent change and organization. The barriers for professional individual and organization include lack of time that is heavy workload and limited appointment time, lack of self-efficacy that is limited skills on completing multifactorial risk assessment and management, lack of resources that is inadequate staffing, and lack of awareness that is providers are not fully aware about the existence of the guideline. In contrast, the facilitators for the professional individual and organization are support from the management that includes training and education, implementation of change on …show more content…
The EBP team will gather for a planning meeting and nine additional team meetings lasting approximating two hours, for a total of 60 hours. The development of strategies for implementation, outcome data collection, and data analysis will require about six months of full time hours for the EBP team members. There is definitely cost associated with EBP member’s hours, and tool development. However, if cost-benefit analysis is performed, the benefit of intervention program will outweigh the cost related to the project.
Carande-Kulis, Stevens, Florence, Beattie, and Arias (2014) conducted a cost-benefit analysis study to determine the feasibility, effectiveness, and positive return on investment (ROI) of community-based fall interventions. Carande-Kulis et al. (2014) found that the annual cost per participant for the Ottawa exercise, Tai chi and Stepping on programs were $339.15, $104.02, and $211.38 respectively. Overall, there was net benefit from all three fall prevention programs as the ROI for each dollar invested were 36%, 509%, and 64% for the Ottawa exercise, Tai chi and Stepping on programs