Evidence-Based Practice / Unit 16 EBP 2296 worked example, 60 to 90 seconds

Placing the Three Roles, and Defending the Mentor's

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The idea

The technique: name which of the three roles a post actually is before staffing it; write the mentor role into the role description and the appraisal criteria; count mentors rather than appointing one; and carry the evidence for the role at the strength the evidence actually has.

In practice

A service deciding it needs mentors rather than champions, because it wants individual clinicians developed and not only a practice spread. The role written into the role description and into performance appraisal, so that it survives a change of manager. Release time negotiated as part of preparing the mentor, since the preparation itself teaches that negotiation. Capacity to sustain the culture assessed on an ongoing basis, because assessment is the first component of the role rather than a report on it. A network of fellow mentors built early, because it appears among the supports while most of the barriers list stays unanswered. And the case for the post made from the outcomes that have actually been measured — retention, career progression, confidence, publications, research and grants.

Where people slip

Do not argue for the post on patient outcomes the evidence does not yet carry. The measured outcomes are largely for the clinician being mentored, most of the studies are cross-sectional, and a case overstated once is harder to make the second time.

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