title: Evidence-based practice: how nurse leaders can facilitate innovation.
abstract: Evidence-based nursing practice (EBNP) is the wave of the future. Increasingly, EBNP is being identified as a key to quality and excellence in nursing services. Incorporating evidence into practice is necessary to deliver scientifically sound patient care. In addition, understanding the importance of evidence is crucial for meeting the excellence requirements of Magnet designation. Despite the growing popularity of EBNP and its documented significant benefits, the literature demonstrates that only 15% of the nursing workforce consistently practices within an EBNP framework. If EBNP adoption is to increase in the profession, it will require the active efforts of nurse leaders to pursue an aggressive innovation diffusion strategy. The purpose of this article is to discuss the nurse leader's role in facilitating EBNP in nursing using a theoretical framework grounded in innovation diffusion theory. The article develops 4 areas of focus. First, the components of innovation diffusion theory are discussed. Second, a pertinent empirical review of the EBNP adoption literature is presented. Third, strategies for applying innovation diffusion theory to facilitate EBNP adoption are proposed. Lastly, the article ends with a leadership call to action.
authors.affiliation: Shirey & Associates, Evansville, IN, USA. mrs@mail2maria.com
authors.forename: Maria R
authors.initials: MR
authors.lastname: Shirey
mesh_terms: D001291:Attitude of Health Personnel; D003659:Decision Making, Organizational; D003661:Decision Support Techniques; D004059:Diffusion of Innovation; D019317:Evidence-Based Medicine / Q000193:education / Q000458:organization & administration*; D005544:Forecasting; D007722:Health Knowledge, Attitudes, Practice; D006301:Health Services Needs and Demand; D006801:Humans; D019359:Knowledge; D007857:Leadership; D009042:Motivation; D009718:Nurse Administrators / Q000193:education / Q000458:organization & administration* / Q000523:psychology; D024802:Nurse's Role / Q000523:psychology; D015399:Nursing Research / Q000193:education / Q000458:organization & administration*; D009740:Nursing Staff / Q000193:education / Q000458:organization & administration / Q000523:psychology; D009742:Nursing Theory; D015279:Organizational Culture; D009936:Organizational Innovation; D017063:Outcome Assessment, Health Care / Q000458:organization & administration; D011361:Professional Competence