Skip to main content

Table 5 Sample infrastructures of strategic EBP change in nursing department

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

ROLE MODEL SITE BEGINNER SITE
▪ Building EBP capacity (e.g., extensive orientation/education/skill development; EBP model review; active journal clubs; multiple research/EBP experts and mentors) ▪ Building mostly research capacity (e.g., some orientation/education; some journal clubs; a research expert)
▪ Providing enablers of EBP activity (e.g., internet resources; project funding; EBP-related councils) ▪ Providing enablers of activity (e.g., internet resources; research funding; a research champion)
▪ Creating special EBP-related roles and functions, including for staff nurses (e.g., facilitator/champions and data/outcome specialists) ▪ APN role created to enhance EBP/research**; a central 'EBP' role focusing on Magnet overall
▪ Creating broad-based EBP-related incentives and expectations (e.g., career ladders; clear performance expectations for roles and within governance structures) ▪ Creating incentives (e.g., career ladder and Magnet status)
▪ Integrating EBP into practice processes (e.g., policy/procedures and documentation). ▪ Integrating EBP into practice processes (e.g., policy/procedures and documentation)
  **NOTE: QI department has special roles that work collaboratively with nursing, particularly around performance indicators and hospital-wide initiatives; some expertise in EBP.