collaboration to promote excellence

individual nurse level

Staff nurses

identify clinical issues, implement EBP, research articles

nurse managers

set goals and expectations; includes EBP in evaluation of staff, models EBP

advanced practice nurses

synthesizes research and evidence, writes standards for practice, facilitates system changes to support EBP

clinical experts and nurse executives

• assigns accountability of EBP, supports EBP, role models EBP in administrative decision making

• Provides support for EBP, library resources

• Hires staff familiar with EBP

organizational level

health care system actions

 Recognize nurses’ increased interest to practice from a research base

 Set vision of excellence

 Establish infrastructure to accommodate EBP

 Embrace culture of EBP

translational research model

 Includes EBP within policies and standards

 Modifies medical record forms or electronic documentation

 Supports education of senior administrators

 Orients new staff and travel staff

regional level

 Using the skills of a local librarian

 Collaborating with a local program of nursing

 Using resources from regional centers of excellence

regional resource center

 Brown University Center for Evidence Synthesis in Health

 ECRI Institue_Penn Medicine Evidence-Based Practice Center

 John Hopkins Evidence based Practice Center

 Kaiser Permanente Center for Health research Portland Oregon

 Mayo Clinic Evidence Based Practice Center

 RTO UNC Evidence Based Practice Center

 Southern California Evidence Based Practice center

 University of Iowa Hospitals and Clinics at Iowa City

national level

 The Agency for Healthcare Research and Quality (AHRQ)

 The National Institute of Nursing Research (NINR)

 Oncology Nursing Society

 Association of Women’s Health, Obstetric and Neonatal Nurses

 The National Nursing Practice Network (NNPN)

 The American Nurses Credentialing Center (ANCC)

 American Heart Association (AHA)

 American Diabetes Association (ADA)

 DynaMed and UpToDate

international level

 The Cochrane Collaboration

 Sigma Theta Tau International (STTI)

 The Joanna Briggs Institute

 World Evidence-Based Healthcare Day

ethical