Assessing environmental readiness: first steps in developing an evidence-based practice implementation culture.
Significant emphasis has been placed on evidence-based practice (EBP) in today's healthcare systems. Nurses are expected to practice within an EBP framework by using current, reliable, and valid research. However, implementing EBP is not always easy and can be challenging. In order for nurses to provide evidence-based care, they need to be cognizant of organizational factors that can potentially hinder or support an EBP culture. This article provides practitioners with an understanding of how to evaluate environmental readiness for implementation of EBP within their organization. Barriers and facilitators for implementing EBP at the organizational level, at the interdisciplinary team level, and within nursing are also described. To successfully implement EBP, it is important to recognize the interaction between these 3 levels and to highlight the important role nurses play as interdisciplinary team members in supporting an EBP environment.
Division of Nursing and Newborn Intensive Care, St Louis Children's Hospital, St Louis, Missouri 63110, USA. joanrs@bjc.org
Joan Renaud
JR
Smith
Ann
A
Donze
D001291:Attitude of Health Personnel; D003299:Cooperative Behavior; D004059:Diffusion of Innovation; D055317:Evidence-Based Practice / Q000193:education / Q000458:organization & administration*; D006040:Goals; D006272:Health Facility Environment / Q000458:organization & administration*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007400:Interprofessional Relations; D020380:Needs Assessment / Q000458:organization & administration*; D024802:Nurse's Role / Q000523:psychology; D015399:Nursing Research; D015279:Organizational Culture; D009936:Organizational Innovation; D009937:Organizational Objectives; D010348:Patient Care Team / Q000458:organization & administration*; D016730:Program Development; D012944:Social Support