Conclusions
In summary, a number of lessons were learned
from this project. In these two outpatient HIV clinical
settings, APN-led EBP changes were successfully
implemented and resulted in provider and staff
improvement in renal care for PLWH. The relative
simplicity of collecting screening tests underscores
the ease with which replication could occur in other
clinical settings. Flexibility of the evidence-based
project is necessary and improves the likelihood of
successful diffusion into practice. Early data collection
can help identify problems and the need for reinvention.
Finally, a project champion at each site
might also improve likelihood of successful adoption
of practice innovations.