title: The state of evidence-based practice in US nurses: critical implications for nurse leaders and educators.
abstract: This descriptive survey assessed the perception of evidence-based practice (EBP) among nurses in the United States. Although evidence-based healthcare results in improved patient outcomes and reduced costs, nurses do not consistently implement evidence-based best practices. A descriptive survey was conducted with a random sample of 1015 RNs who are members of the American Nurses Association. Although nurses believe in evidence-based care, barriers remain prevalent, including resistance from colleagues, nurse leaders, and managers. Differences existed in responses of nurses from Magnet® versus non-Magnet institutions as well as nurses with master's versus nonmaster's degrees. Nurse leaders and educators must provide learning opportunities regarding EBP and facilitate supportive cultures to achieve the Institute of Medicine's 2020 goal that 90% of clinical decisions be evidence-based.
authors.affiliation: The Ohio State University College of Nursing, 1585 Neil Ave, Columbus, OH 43210, USA. Melnyk.15@osu.edu
authors.forename: Bernadette Mazurek
authors.initials: BM
authors.lastname: Melnyk
authors.forename: Ellen
authors.initials: E
authors.lastname: Fineout-Overholt
authors.forename: Lynn
authors.initials: L
authors.lastname: Gallagher-Ford
authors.forename: Louise
authors.initials: L
authors.lastname: Kaplan
mesh_terms: D000328:Adult; D000368:Aged; D004506:Education, Nursing; D055318:Evidence-Based Nursing / Q000193:education; D005260:Female; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D015279:Organizational Culture; D057184:Practice Patterns, Nurses'; D011787:Quality of Health Care; D014481:United States