Creating a Culture of Evidence-Based Practice An abundance of evidence can be found on almost any medical issue or health topic. Often, the availability of information is not the concern, but rather nurses struggle with how to convey the evidence to others and change practices to better reflect the evidence. Deep-rooted organizational cultures and policies can make some resistant to change, even to changes that can vastly improve the quality, effectiveness, and efficiency of health care. However, there are many strategies that nurses can employ to bring about changes to practice. In this Discussion, you focus on how to create an organizational culture that supports evidence-based practice. To prepare: Review the information in this week’s Learning Resources. Examine the various suggestions for promoting an organizational culture that embraces the use of EBP. Reflect on your own hospital’s (or one in which you have worked) support of evidence-based practice. Examine how culture and policies impact the adoption of changes to practice based on evidence. What barriers exist? Consider the models and suggestions for promoting evidence-based practice featured in this week’s Learning Resources. Identify models and suggestions that would work well in your hospital. Reflect on the significance of evidence-based practice (EBP) in health care. What responsibility do nurses have to promote EBP and change practices to better reflect evidence and research findings? Reflect on how nurses can disseminate findings from evidence-based practice research. Post on Tuesday 05/10/16 550 words in APA format 1) An evaluation of your hospital’s use of Evidence Based-Practice (EBP) and how it is furthered or hindered by organizational culture and policies. 2) Describe how you could disseminate the findings. 3) Propose a strategy for strengthening the culture of EBP within the organization. 4)Discuss a nurse’s responsibility to further the use of EBP, providing a rationale supported by specific information from the Learning Resources. Include 4 references from the list below only. Required Resources Readings Polit, D. F., & Beck, C. T. (2012).  Nursing research: Generating and assessing evidence for nursing practice (Laureate Education, Inc., custom ed.). Philadelphia, PA: Lippincott Williams & Wilkins. Chapter 28, “Disseminating Evidence: Reporting Research Findings” In this chapter, the focus is on actually reporting on the research findings and how to determine the best approach for reaching the desired audience. The chapter also includes tips on how to organize the information and describes what is usually included in such reports. Aitken, L. M., Hackwood, B, Crouch, S., Clayton, S., West, N., Carney, D., & Jack, L. (2011). Creating an environment to implement and sustain evidence based practice: A developmental process. Australian Critical Care, 24 (4), 244–254. Retrieved from the Walden Library databases. This article describes a multi-.

1. Creating a Culture of Evidence-Based Practice
An abundance of evidence can be found on almost any medical
issue or health topic. Often, the availability of information is
not the concern, but rather nurses struggle with how to convey
the evidence to others and change practices to better reflect the
evidence. Deep-rooted organizational cultures and policies can
make some resistant to change, even to changes that can vastly
improve the quality, effectiveness, and efficiency of health care.
However, there are many strategies that nurses can employ to
bring about changes to practice.
In this Discussion, you focus on how to create an organizational
culture that supports evidence-based practice.
To prepare:
Review the information in this week’s Learning Resources.
Examine the various suggestions for promoting an
organizational culture that embraces the use of EBP.
Reflect on your own hospital’s (or one in which you have
worked) support of evidence-based practice. Examine how
culture and policies impact the adoption of changes to practice
based on evidence. What barriers exist?
Consider the models and suggestions for promoting evidence-
based practice featured in this week’s Learning Resources.
Identify models and suggestions that would work well in your
hospital.
Reflect on the significance of evidence-based practice (EBP) in
health care. What responsibility do nurses have to promote EBP
and change practices to better reflect evidence and research
findings?
Reflect on how nurses can disseminate findings from evidence-
based practice research.

2. Post on Tuesday 05/10/16 550 words in APA format
1)
An evaluation of your hospital’s use of Evidence Based-Practice
(EBP) and how it is furthered or hindered by organizational
culture and policies.
2) Describe how you could disseminate the findings.
3) Propose a strategy for strengthening the culture of EBP
within the organization.
4)Discuss a nurse’s responsibility to further the use of EBP,
providing a rationale supported by specific information from the
Learning Resources.
Include 4 references from the list below only.
Required Resources
Readings
Polit, D. F., & Beck, C. T. (2012).
Nursing research: Generating and assessing evidence for
nursing practice (Laureate Education, Inc., custom ed.).
Philadelphia, PA: Lippincott Williams & Wilkins.
Chapter 28, “Disseminating Evidence: Reporting Research
Findings”
In this chapter, the focus is on actually reporting on the
research findings and how to determine the best approach for
reaching the desired audience. The chapter also includes tips on

3. how to organize the information and describes what is usually
included in such reports.
Aitken, L. M., Hackwood, B, Crouch, S., Clayton, S., West, N.,
Carney, D., & Jack, L. (2011). Creating an environment to
implement and sustain evidence based practice: A
developmental process.
Australian Critical Care, 24
(4), 244–254.
Retrieved from the Walden Library databases.
This article describes a multi-dimensional EBP program
designed to generate sustainable improvement in patient care
and patient outcome. The text details the program’s strategies
for implementation along with achievements and lessons
learned.
Barnsteiner, J. H., Reeder, V. C., Palma, W. H., Preston, A. M.,
& Walton, M. K. (2010). Promoting evidence-based practice and
translational research.
Nursing Administration Quarterly, 34
(3), 217–225.
Retrieved from the Walden Library databases.
In this text, the authors highlight established systems and
structures designed to supply staff with resources to translate
research and deliver EBP. Additionally, the article explicates a
multitude of initiatives designed to disseminate evidence to the
point of care.
Cullen, L., & Adams, S. L. (2012). Planning for implementation
of evidence-based practice.
Journal of Nursing Administration, 42
(4), 222–230.
Retrieved from the Walden Library databases.
This article provides several models for implementing
evidence-based practice within an organization. It introduces
four different phases through which an implementation should

4. progress, and provides examples of each.
Estrada, N. (2009). Exploring perceptions of a learning
organization by RNs and relationship to EBP beliefs and
implementation in the acute care setting.
Worldviews on Evidence-Based Nursing, 6
(4), 200–209.
Retrieved from the Walden Library databases.
In this article, the authors detail a survey design study
conducted to determine the relationship between a learning
organization’s characteristics and the beliefs of registered
nurses with respect to EBP. In addition, the study examines the
impact of EBP beliefs on registered nurses’ implementation of
EBP.
Fineout-Overholt, E., Williamson, K. M., Kent, B., &
Hutchinson, A. M. (2010). Teaching EBP: Strategies for
achieving sustainable organizational change
toward evidence-based practice.
Worldviews on Evidence-Based Nursing, 7
(1), 51–53.
Retrieved from the Walden Library databases.
The authors of this text suggest multiple strategies for
integrating the EBP paradigm at the organizational level. The
text provides rationale for why educators should also consider
change at the individual level as an effective conduit for
disseminating the EBP paradigm at the organizational level.
Munten, G. van den Bogaard, J., Cox, K., Garretsen, H., &
Bongers, I. (2010). Implementation of evidence-based practice
in nursing using action research: A review.
Worldviews on Evidence-Based Nursing, 7
(3), 135–157.
Retrieved from the Walden Library databases.
This text reviews 21 action research studies to determine what
is known about using action research to implement evidence-

5. based practice. The authors explicate the promising features and
flaws that were common across the action research studies they
used.
Satterfield, J. M., Spring, B., Brownson, R. C., Mullen, E. J.,
Newhouse, R. P., Walker, B. B., & Whitlock, E. P. (2009).
Toward a transdisciplinary model of evidence-based practice.
The Milbank Quarterly
,
87
(2), 368–390.
Retrieved from the Walden Library databases.
This article presents the primary issues and challenges in EBP
across numerous health disciplines. The authors then posit a
transdisciplinary EBP model designed to incorporate the
strengths and diminish the flaws of each discipline’s EBP
model.
Steurer, L. M.(2010)
.
An evidence-based practice scholars program: One institution's
journey toward excellence.
Journal of Continuing Education in Nursing, 41
(3), 139–143.
Retrieved from the Walden Library databases.
The author of this article details the efforts of an EBP scholars
program that was designed to teach an overview of EBP, along
with the skills necessary to improve patient outcomes. In
addition to the program’s development and implementation, the
article highlights lessons learned.
Media
Laureate Education, Inc. (Executive Producer). (2012k).
Translating evidence into practice.
Baltimore, MD: Author.

6. Note:
The approximate length of this media piece is 9 minutes.
Dr. Kristen Mauk discusses the outcomes of her DNP project in
this video. She explains how nurses in the rehabilitation unit
where she conducted her project used the results of her project
to improve their practices.