title: Organizational readiness for evidence-based practice.
abstract: OBJECTIVE
  This study explored factors that affect the adoption or rejection of evidence-based practice (EBP) changes and differences in nurse manager and staff nurse perceptions about those factors.
  
  
  BACKGROUND
  Roger's Diffusion of Innovations Theory explains relevant organizational strategies for guiding practice change.
  
  
  METHODS
  The primary author developed the Evidence-Based Practice Changes Survey consisting of 12 items, completed by 92 nurses at a level 1 trauma center.
  
  
  RESULTS
  Top barriers to EBP were insufficient time, lack of staff, and not having the right equipment and supplies. Top reasons to adopt EBP were having personal interest in the practice change, avoiding risk of negative consequences to the patient, and personally valuing the evidence. Several statistically significant differences emerged for demographic variables.
  
  
  CONCLUSIONS
  Planning for EBP change must address barriers and facilitators to practice change and emphasize the benefit for patients and value of the practice change to nurses.
authors.affiliation: Hennepin County Medical Center, Minneapolis, Minnesota 55415, USA. Barbara.Gale@hcmed.org
authors.forename: Barbara Van Patter
authors.initials: BV
authors.lastname: Gale
authors.forename: Marjorie A
authors.initials: MA
authors.lastname: Schaffer
mesh_terms: D000328:Adult; D002983:Clinical Competence; D055317:Evidence-Based Practice / Q000458:organization & administration*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D009718:Nurse Administrators / Q000458:organization & administration*; D009720:Nurse Clinicians / Q000458:organization & administration*; D024802:Nurse's Role; D015404:Nursing Methodology Research; D009741:Nursing Staff, Hospital / Q000458:organization & administration*; D009936:Organizational Innovation; D020377:Self Efficacy; D011795:Surveys and Questionnaires; D014481:United States