Toward clinical scholarship: promoting evidence-based practice in the clinical setting.
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.
Mohide
E Ann
EA
School of Nursing, McMaster University, Hamilton, Ontario, Canada. eamoh@mcmaster.ca
Coker
Esther
E
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