title: Creating an evidence-based practice environment: one hospital's journey.
abstract: There is increasing effort in promoting evidence-based practice (EBP) that supports the best possible care to patients and families. This article describes essential concepts for developing an environment of EBP and its implementation at a large pediatric hospital. Essential components for creating an EBP environment include vision, engagement, integration, and evaluation. An institutional initiative to decrease procedure-related pain demonstrates how EBP is used to improve clinical care.
authors.affiliation: Baylor College of Medicine, Houston, Texas 77030, USA. mjhocken@texaschildrenhospital.org
authors.forename: Marilyn
authors.initials: M
authors.lastname: Hockenberry
authors.forename: Marlene
authors.initials: M
authors.lastname: Walden
authors.forename: Terri
authors.initials: T
authors.lastname: Brown
authors.forename: Patrick
authors.initials: P
authors.lastname: Barrera
mesh_terms: D004059:Diffusion of Innovation; D017598:Efficiency, Organizational; D019317:Evidence-Based Medicine / Q000193:education / Q000458:organization & administration*; D006272:Health Facility Environment / Q000458:organization & administration*; D006776:Hospitals, Pediatric / Q000458:organization & administration*; D006801:Humans; D016294:Models, Nursing; D017146:Models, Organizational; D015399:Nursing Research / Q000193:education / Q000458:organization & administration*; D009741:Nursing Staff, Hospital / Q000193:education / Q000458:organization & administration / Q000523:psychology; D015279:Organizational Culture; D009937:Organizational Objectives; D017063:Outcome Assessment, Health Care / Q000458:organization & administration; D010146:Pain / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control; D018802:Patient-Centered Care / Q000458:organization & administration; D010371:Pediatric Nursing / Q000193:education / Q000458:organization & administration; D018962:Phlebotomy / Q000009:adverse effects; D011361:Professional Competence; D015397:Program Evaluation; D011785:Quality Assurance, Health Care / Q000458:organization & administration; D013781:Texas