During step 4, you integrate the evidence with your clinical expertise and the unique needs and values of your patient/situation.
Step 5: Assess
In assessing the situation, you must solicit feedback from staff and patients. Take note of changes and statistics of patient care and outcomes. Self-reflect on whether your application of the research had a positive or negative impact and decide whether the changes a success or choose alternative plans.
You should not only assess the outcomes in your situation, but also the effectiveness and efficiency of the evidence based process and consider avenues for improvement.