**5.3 Effective**

Effective care integrates evidence-based practice into the care delivery process [40]. Care delivery is largely evidence-based. The evidence-based protocols are based on research outcomes and analysis to determine the most effective procedures and protocols to achieve optimal health outcomes for the affected people. Yet, new evidence-based practice protocols and procedures evolve as patients' responses indicate the need for new tools to reach a desired outcome. Evidence based innovation efforts have a cyclical relationship with evidence-based practice [45]. Yet, new knowledge from research does not tend to be translated to practice for approximately 17 years [46]. One may be interested in determining how to create a model for more seamless integration of new evidence-based innovation toward evidence-based practice in a more effective timeframe.
