The journey continues
Getting staff buy-in to EBP is a challenge, but it's worth the effort
article-down-arrow
By Eileen P. Williamson, MSN, RN
editors-note
EDITOR'S NOTE: Eileen Williamson, MSN, RN, is senior vice president and chief nurse executive at OnCourse Learning, where she leads nursing programs and initiatives. She writes for Nurse.com; heads the national nursing excellence GEM Awards program; chairs company advisory board meetings; and represents OnCourse Learning on various healthcare committees and boards and at regional and national nursing and healthcare programs and meetings. She also is a board member and past president of the New Jersey League for Nursing, a constituent league of the National League for Nursing.
Since its founding, our profession has searched for better ways to use scientific evidence in patient care to improve outcomes. Nurses know it works because they’ve seen the results that can be achieved when research findings are applied to practice.
CNOs work on promulgating information on EBP throughout their organizations. They know the value of practice models that use research and what they can mean for patients. They appreciate that staff buy-in is crucial for EBP to work, and they take responsibility for providing staff with the tools they need. They know their nurse managers and directors need to buy into it for it to work at the staff level, and they design education programs to help this along.
In many organizations where CNOs have done all of these things, however, there’s still a struggle to get staff to embrace EBP as a standard part of their practice. Why? What are some of the stumbling blocks they might be encountering?
Research on the problem has shown that many healthcare organizations are challenged by the implementation process. There’s an enormous amount of time, work and money involved in implementing EBP throughout an organization and everyone on the leadership team has to get on board and be part of the role modeling and staff engagement work that’s involved.

One study, "The Strengths and Challenges of Implementing EBP in Healthcare Systems," conducted in February 2016, evaluated EBP implementation across a diverse nine-hospital system. About 6,800 RNs were surveyed to learn about their attitudes and perceptions toward organizational readiness for implementation of EBP.

With a 24% response rate, survey findings mirrored previous research in which nurses favor EBP, but struggle with barriers in implementation. The survey also showed nurses reported their ability to implement EBP as extremely low.
Discover how to evaluate and communicate research
Learn More
CO-537458148quote-mark
In many organizations … there’s still a struggle to get staff to embrace EBP as a standard part of their practice. Why?”
— Eileen Williamson, RN
Patient care units are busy and complex, sometimes even hectic and frenetic. Nurses concern themselves with patient care, safety issues and giving timely, quality care. They work with interprofessional teams and communicate with families, all the while making sure their documentation is done. All of these duties are good and they’re part of an ever-evolving role, but they also can be challenges to making EBP a strong and integral part of nursing practice.
Our leader and founder, Florence Nightingale, is hailed as one of the earliest scientists to use the scientific principles of statistics in her work to improve sanitary conditions for hospitalized soldiers during the Crimean War.

We’ve come a long way from that work and the findings she published on it in one of her early writings, "Notes on Matters Affecting Health, Efficiency, and Hospital Administration of the British Army" to what we now call evidence-based practice.
EBP and the ways in which it is being defined, taught and implemented has grown immensely, but there’s still more to be done. The journey continues.
IL-612014766
SNCHM17-DRG-Mobile_750x250px
Transcend Your Career
Situated on the sunny south shore of western Long Island, minutes from Jones Beach and thirty minutes from NYC, is an exceptional 455-bed Magnet®-designated Hospital focused on quality and excellence.
Situated on the south shore, minutes from Jones Beach and thirty minutes from NYC, is an exceptional 455-bed Magnet®-designated Hospital.
Apply Today
Let's keep in touch!
More than one-third (36%) of respondents worked at two of the system's Magnet-designated hospitals, and Magnet RNs reported more resources and held more positive beliefs about their hospital's organizational readiness for EBP.

Nurses with advanced nursing degrees, certification, and who serve in leadership roles were favorable toward EBP. Younger RNs with fewer years in practice were more likely to have positive beliefs toward EBP and embedding it into the organizational culture.
Results like these indicate we’re moving ahead, but more needs to be done and more questions need to be answered. If CNOs are establishing evidence-based practices for various patient conditions, are they being implemented every time a patient with one of those conditions is admitted? If they’re setting standards, providing education, engaging nurses in research projects and working on making them feel positive about the EBP concept, are there other stumbling blocks that need to be addressed?
Advertise with Nurse.com
share-dots-shadow
hamburguer-icon-shadow
MENU
toc-image-nurse-1X
Contents
HOME
arrow-TOC
arrow-TOC
Get to the root of it
ThinkstockPhotos-477866850
Master the basics of EBP and learn how to start your own project.
ThinkstockPhotos-510228138
Research seeds practice
Turn a patient care idea into evidence-based practice by starting with solid research.
arrow-TOC
LP-465046266
Fuel career satisfaction
Rejuvenate your career with new evidence that transforms old practices.
arrow-TOC
LP-95838760
EBP blasts make an impact
A nurse who manages six clinics successfully expands healthcare access and relieve congestion.
arrow-TOC
image7
CE Catalog
Boost your knowledge of evidence-based practice processes in various settings with these education offerings.
arrow-TOC
LP-485934274
Self-care is a safety issue
Nurses who work nights or rotating shifts can suffer from sleep deprivation, which negatively impact their health and puts patients at risk.
arrow-TOC
LP-465326271
Create a dream team
Interprofessional collaboration and care has the potential improve outcomes and processes.
arrow-TOC
LP-101185412
Follow the evidence
You know EBP is important; now grasp the strategies and thought processes behind it by taking this CE module.
arrow-TOC
LP-477475021
Pregame practice for students
Nursing students are being taught the importance of providing high-quality care that’s supported by evidence.
arrow-TOC
LP-483629308
TeamSTEPPS improves communication
TeamSTEPPS was created as a nursing strategy to improve patient safety. Learn how the model took shape.
arrow-TOC
LP-500235791-_1_
Elevate your care
Learn why evidence-based practice is a must when it comes to quality patient care.
arrow-TOC
LP-629779480
Hold the power for change
Bedside nurses have the ability to make significant practice changes in the workplace.
arrow-TOC
LP-512224162
Making the grade
Use your critical thinking skills to continue to reevaluate evidence and adjust EBP, if necessary.
arrow-TOC
ThinkstockPhotos-538346404
Protect them from pain
Age-appropriate EBP helped nurses reduce pain levels in their young patients.
arrow-TOC
LP-171579618
The journey continues
Nurse leaders have the difficult task of increasing participationin EBP, but they know it’s worth the effort.
arrow-TOC
LP-636524952
An unacceptable risk
Perioperative nurses are striving to decrease the risk of hospital-acquired pressure ulcers.
arrow-TOC
LP-510968064
Training days
Managing the healthcare of specific patient populations using EBP to drive clinical decision making has become a necessity.
arrow-TOC
LP-512545687
Patient care gets revamped
Cancer center uses evidence-based studies and patient input to make changes to bedside reporting, elevate patient safety and improve care.
arrow-TOC
© 2017 OnCourse Learning Corp. All rights reserved
facebooktwitterLinkedinyoutube
Contact Nurse.com
20225 Water Tower Blvd. Brookfield, WI 53045
Advertise with Nurse.com
google-pluspinterest
BACK TO TOP
TOP-ARROW
More inside this guide
bottom-arro
right-arrow-3left-arrowright-arrow
How to Navigate
X
How to Navigate
BROWSE
FIND
right-arrowleft-arrow
hamburguer-icon-shadow
MENU
Move forward or backward between articles by clicking the arrows.
Click or tap to bring up the Table of Contents.
READ
share-dots-shadow
facebooktwitterLinkedingoogle-pluspinterest
SHARE
scroll
Share articles by clicking on one of the social media icons in the upper right corner of the page.
Use your mouse wheel, keyboard arrow keys, or scroll bar to move up and down in an article.
Nurse-logo
Thank you!
Let's keep in touch! Provide your contact information:
Act now
x