title: Toward clinical scholarship: promoting evidence-based practice in the clinical setting.
abstract: Organizational interventions are being suggested to increase the rate of quality research dissemination and uptake. This article describes how one tertiary institution is using an evidence-based nursing (EBN) committee as an organizational strategy to shift its nursing culture toward clinical scholarship. A number of approaches and activities that have stimulated the movement toward evidence-based practice (EBP) are examined: organizational commitment to EBP, strategic positioning of the EBN committee within nursing's administrative structure, articulation of a mission, conceptualization of a model for EBN practice, learning on the job, selection and adoption of an evidence-based model for implementing change, marketing for a change in culture toward clinical scholarship, and other selected examples of projects undertaken by the committee. Action-oriented principles associated with committee experiences are related to the approaches and activities.
authors.affiliation: School of Nursing, McMaster University, Hamilton, Ontario, Canada. eamoh@mcmaster.ca
authors.forename: E Ann
authors.initials: EA
authors.lastname: Mohide
authors.forename: Esther
authors.initials: E
authors.lastname: Coker
mesh_terms: D000046:Academic Medical Centers; D001291:Attitude of Health Personnel; D019985:Benchmarking / Q000458:organization & administration; D002983:Clinical Competence; D015400:Clinical Nursing Research / Q000193:education / Q000458:organization & administration*; D004059:Diffusion of Innovation; D004509:Education, Nursing, Continuing / Q000458:organization & administration; D019317:Evidence-Based Medicine / Q000193:education / Q000458:organization & administration*; D005257:Fellowships and Scholarships; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D033181:Information Dissemination; D016294:Models, Nursing; D009096:Multi-Institutional Systems; D024802:Nurse's Role; D009741:Nursing Staff, Hospital / Q000193:education / Q000458:organization & administration* / Q000523:psychology; D009864:Ontario; D015279:Organizational Culture; D009936:Organizational Innovation; D009937:Organizational Objectives; D017410:Practice Guidelines as Topic; D011367:Professional Staff Committees / Q000458:organization & administration*; D012109:Research Support as Topic / Q000458:organization & administration