title: Creating infrastructure supportive of evidence-based nursing practice: leadership strategies.
abstract: BACKGROUND
  Nursing leadership is the cornerstone of successful evidence-based practice (EBP) programs within health care organizations. The key to success is a strategic approach to building an EBP infrastructure, with allocation of appropriate human and material resources.
  
  
  OBJECTIVE
  This article indicates the organizational infrastructure that enables evidence-based nursing practice and strategies for leaders to enhance evidence-based practice using "the conceptual model for considering the determinants of diffusion, dissemination, and implementation of innovations in health service delivery and organization."
  
  
  CONCLUSIONS
  Enabling EBP within organizations is important for promoting positive outcomes for nurses and patients. Fostering EBP is not a static or immediate outcome, but a long-term developmental process within organizations. Implementation requires multiple strategies to cultivate a culture of inquiry where nurses generate and answer important questions to guide practice.
  
  
  CONCLUSIONS
  Organizations that can enable the culture and build infrastructure to help nurses develop EBP competencies will produce a professional environment that will result in both personal growth for their staff and improvements in quality that would not otherwise be possible.
authors.affiliation: The Johns Hopkins Hospital and University School of Nursing, Baltimore, MD 21287-1720, USA. rnewhou1@jhmi.edu
authors.forename: Robin P
authors.initials: RP
authors.lastname: Newhouse
mesh_terms: D003662:Decision Theory; D003695:Delivery of Health Care / Q000458:organization & administration*; D019317:Evidence-Based Medicine; D006801:Humans; D007857:Leadership; D016294:Models, Nursing; D017146:Models, Organizational; D015401:Nursing Administration Research; D009936:Organizational Innovation