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Table 1 Chief characteristics of the case study sites

From: Institutionalizing evidence-based practice: an organizational case study using a model of strategic change

Characteristic Role model site Beginner site
Bed size Over 350 Approximately 400
In-patient units 20 24
Type of hospital Academic medical center Community hospital (With multiple nursing school affiliations)
Chief nursing officer authority Full administrative authority, with financial resources control Full administrative authority, with financial resources control
Chief nursing officer type of position A vice president of patient services in general, with responsibilities beyond nursing A vice president of patient services in general, with responsibilities beyond nursing
Magnet status Magnet designated hospital Magnet application hospital
Other status Non-Union Non-Union
Self-perceived EBP status upon selection More than three-fourths progress* along the scale toward full EBP integration
Also self-reported: 'an intense focus on EBP'
Not even one-fifth progress along the scale* toward full EBP integration:
Also self-reported: 'implemented some EBP initiatives... basic, nothing high level'
Case mix index, all payors At the time of their site visit, both hospitals reported case mix indices in the low to medium intensity of resource use, with the role model site** reporting lower resource needs more similar to that of community hospitals, and the beginner site experiencing resource use suggesting moderate needs, higher than most community hospitals but lower than tertiary medical centers.  
Nursing education mix The role model site had a very high proportion of BSN nurses, virtually double that of the beginner site.  
Hours per patient day (HPPD) ▪ Critical care: Last quarter (Jan-Mar 07) 19.8 ▪ Critical care: 14.62
  ▪ Med-surg: 9.92 ▪ Med-surg: 5.22
  1. *EBP Journey Scale
  2. START - Starting to consider our EBP goals/vision ----- END - EBP is fully integrated into our structures and routines
  3. **Role Model Site CMI: The role model site described a concern that their CMI did not reflect their level of patient acuity. After our study, the site had its CMI reassessed by DRG specialists and recently reported to us a new CMI, which is considerably higher than that used above and is now at a level consistent with their status as an academic medical center and their HPPD.