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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

â–ª Building EBP capacity (e.g., extensive orientation/education/skill development; EBP model review; active journal clubs; multiple research/EBP experts and mentors)

â–ª Building mostly research capacity (e.g., some orientation/education; some journal clubs; a research expert)

â–ª Providing enablers of EBP activity (e.g., internet resources; project funding; EBP-related councils)

â–ª Providing enablers of activity (e.g., internet resources; research funding; a research champion)

â–ª Creating special EBP-related roles and functions, including for staff nurses (e.g., facilitator/champions and data/outcome specialists)

â–ª APN role created to enhance EBP/research**; a central 'EBP' role focusing on Magnet overall

â–ª Creating broad-based EBP-related incentives and expectations (e.g., career ladders; clear performance expectations for roles and within governance structures)

â–ª Creating incentives (e.g., career ladder and Magnet status)

â–ª Integrating EBP into practice processes (e.g., policy/procedures and documentation).

â–ª 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.