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Understanding the health care system is very important for EBP research.  And knowing your stakeholders is also important.  However, In the health care system and in health care research, stakeholders are more than financial supporters.  Stakeholders are customers, the general public, suppliers, and any other group that might be affected by the decisions being made.  Stakeholder engagement is a process where input and ideas from those who are named as stakeholders are incorporated into the decision making process.  The attitude is that when organizations involve these stakeholders, the overall effectiveness of their change process will be enhanced.  Stakeholder engagement helps to drive long-term sustainability of change a align research with societal needs and expectations (Pandi-Perumal, et al., 2015).


Pandi-Perumal, S. R., Akhter, S., Zizi, F., Jean-Louis, G., Ramasubramanian, C., Freeman, R. E., & Narasimhan,

M. (2015). Project Stakeholder Management in the Clinical Research Environment: How to Do it Right.

Frontiers in Psychiatry6.Retrieved from



You are working in a rural Family Planning Health clinic and a 16 y/o presents with complaints of vaginal pain, discharge, odor x 4 days. Pain is getting worse. Her mother relates she has a cognitive learning delay and has tried to talk to her about her consensual sexual behavior with multiple partners. She tells you she has “felt some ‘bumps’ down there.” She relates multiple sexual partners because she is now popular and it is part of the ‘game’ to stay popular with her new friends. Diagnosis: HPV with several condyloma lesions, a vaginal yeast infection, and chlamydia.

She is given a prescription for Chlamydia, and the vulvar lesions, told to follow up in 2 weeks.

How do you approach her and begin the conversation regarding safe sexual practices? What are your thoughts about this young lady? How do you feel about her game? How would you proceed to give her education?