Excellence in evidence-based practice: organizational and unit exemplars.
The University of Iowa Hospitals and Clinics is a recognized leader in evidence-based practice. Creating organizational excellence in evidence-based practice takes leadership and a committed effort at all levels. Building the capacity, culture, and vision at the organizational and unit levels is needed to promote use of evidence in practice. Practical approaches that have been effective in promoting development of an evidence-based practice program and project are outlined. An exemplar describing development and adoption of an evidence-based project to improve sedation management led to improvements in patient care processes and outcomes.
Cullen
Laura
L
Research, Quality and Outcomes Management, Department of Nursing Services and Patient Care, University of Iowa Hospitals and Clinics, Iowa City, IA 52242-1009, USA. laura-cullen@uiowa.edu
Greiner
Jane
J
Greiner
Joseph
J
Bombei
Cheryl
C
Comried
Lynn
L
D000465:Algorithms; D016292:Procedural Sedation / Q000451:nursing*; D017046:Cost Savings; D003422:Critical Care / Q000458:organization & administration*; D003663:Decision Trees; D019317:Evidence-Based Medicine / Q000458:organization & administration*; D006785:Hospitals, University; D006801:Humans; D007484:Iowa; D007857:Leadership; D007902:Length of Stay / Q000706:statistics & numerical data; D016294:Models, Nursing; D017146:Models, Organizational; D015399:Nursing Research / Q000458:organization & administration*; D009741:Nursing Staff, Hospital / Q000458:organization & administration*; D015279:Organizational Culture; D009936:Organizational Innovation; D009937:Organizational Objectives; D010043:Outcome and Process Assessment, Health Care / Q000458:organization & administration; D010687:Philosophy, Nursing; D011361:Professional Competence / Q000592:standards; D011367:Professional Staff Committees / Q000458:organization & administration; D016730:Program Development; D019984:Quality Indicators, Health Care; D017749:Total Quality Management / Q000458:organization & administration*