title: Findings From a Pilot Study: Bringing Evidence-Based Practice to the Bedside.
abstract: BACKGROUND
  To translate research supporting inpatient care outcomes and provide evidence-based care, registered nurses (RNs) need continuing education and mentoring support to adopt evidence-based practice (EBP).
  
  
  OBJECTIVE
  The aim of this study was to assess a demonstration project intended to pilot and evaluate a structured EBP education with mentoring innovation for nurses in a multihospital system.
  
  
  METHODS
  Nurses from five units in five hospitals were included in an education with mentoring innovation to implement the Johns Hopkins Nursing Evidence-Based Practice Model and the Advancing Research and Clinical practice through close Collaboration (ARCC) Model. To determine outcomes, the EBP beliefs scale (EBPB) and implementation scale (EBPI) were administered before and after the education with mentoring innovation. Eighty-three RNs completed both preintervention surveys. A total of 57 RNs completed the postintervention surveys. In addition, qualitative data were obtained from focus groups involving 24 participants.
  
  
  RESULTS
  Statistical analysis indicated positive movement toward EBP in project participants. Qualitative analysis revealed perceived successes and challenges involved with implementing an evidence-based program, provided logistical lessons learned, and indicated that nurses at all levels of practice require mentoring and coaching to foster EBP sustainment.
  
  
  CONCLUSIONS
  The engagement of nurses in this project supported professional development and clinical application of evidence at the point of care. The pilot project's outcome informed a decision by health system administrators to fund more nurse driven EBP projects in the five hospitals. This innovative program provides a replicable structure for deployment and appraisal of EBP nursing model implementation.
authors.affiliation: Nursing Research and Evidence Based Practice Coordinator, Inova Health System, Falls Church, Virginia, USA.
authors.forename: Mary Ann
authors.initials: MA
authors.lastname: Friesen
authors.affiliation: Director of Perioperative Innovation, North American Partners in Anesthesia, Melville, New York, USA.
authors.forename: Joni M
authors.initials: JM
authors.lastname: Brady
authors.affiliation: Professor, George Mason University School of Nursing, Fairfax, Virginia, USA.
authors.forename: Renee
authors.initials: R
authors.lastname: Milligan
authors.affiliation: Formerly Director Nursing Excellence and Innovation, Inova Health System, Falls Church, Virginia, USA.
authors.forename: Patricia
authors.initials: P
authors.lastname: Christensen
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D004509:Education, Nursing, Continuing / Q000379:methods*; D055317:Evidence-Based Practice / Q000193:education*; D005260:Female; D006801:Humans; D008297:Male; D000071252:Mentoring / Q000379:methods; D008875:Middle Aged; D009741:Nursing Staff, Hospital / Q000193:education*; D010865:Pilot Projects; D036301:Qualitative Research; D011795:Surveys and Questionnaires
keywords: Advancing Research & Clinical Practice through Close Collaboration (ARCC) Model; Johns Hopkins Nursing Evidence-Based Practice Model; Rogers Diffusion of Innovations (DOI) theory; education/curriculum; evidence-based practice; mentorship; qualitative; quantitative