title: [Building an evidence-based practice culture: incorporating evidence-based nursing in the clinical ladder system].
abstract: Evidence-based practice has become a dominant trend in the healthcare with the objective of providing efficient, high quality health care, and policy making. Traditional problem-solving methods may not adequately address consumer needs in the rapidly changing modern healthcare system. In order to make correct decisions, a systematic and scientific approach to the collection, assessment, and interpretation of clinical information is essential for the health care provider. Creating an evidence-based practice nursing culture is the most fundamental way for nurses to recognize the importance of evidence-based nursing and, subsequently, adapt to solving clinical problems. This paper elaborates the strategy for incorporating evidence-based nursing into the clinical ladder system used at the authors' affiliated medical center. Three strategies are introduced. These are: (1) including the EBN concept in newcomer in-service training; (2) adopting evidence-based nursing practice competence as a criterion in the clinical ladder system, with various evidence-based, ladder-related reports required for promotion; and (3) providing support to nurses through centralized and decentralized education as well as individual consultation. The proposed strategy is provided as a practical reference for educators and policy makers working to foster evidence-based practice nursing cultures.
authors: Nursing Department, National Cheng Kung University Hospital, ROC.
authors: Hsueh-Ming
authors: HM
authors: Kuo
authors: Chen-Hsiu
authors: CH
authors: Lin
authors: Hsiu-Hsien
authors: HH
authors: Lee
authors: Mei-Jen
authors: MJ
authors: Chang
authors: Sheng-Hsin
authors: SH
authors: Fan
authors: Ying-Ju
authors: YJ
authors: Chang
mesh_terms: D002322:Career Mobility; D002983:Clinical Competence; D055318:Evidence-Based Nursing; D006801:Humans; D011787:Quality of Health Care