Description/Overview: Over the past year, four unique Evidence-Based Practice (EBP) projects were planned, instigated, and implemented by staff members at an urban acute care facility. Their journey provides a roadmap for others to follow. Each project results in outcomes which advanced the functioning of the agency. In addition to these outcomes, several noteworthy, unexpected consequences were discovered. Both the expected and the unexpected aspects provide a rich environment for others to learn from the experiences encountered through this process. The Master’s Round Table project was an endeavor to meet the needs of the staff through several different venues. An expert in evidence-based practice was contracted to provide a continuing educational session for staff to initiate the process. Following the kick-off session, four projects, which had been chosen through a selection process, were initiated for a year-long collaborative effort moving the project forward with consultation opportunities from the expert and ongoing engagement from the Co-Directors from the Center of Excellence in Evidence-Based Practice. The four projects addressed: communication on medical-surgical units related to rounding, championing of breast-feeding within the community, effective incorporation of bundles related to PICC lines in both adult and neonatal settings, and advancement of relationship based care for community college and university clinical education. Each project utilized distinctive staff and managerial personnel to envision, plan, implement, and evaluate the projects. By championing the use of bedside nurses within the process, each project addressed the needs and expectations for the designated areas. This symposium will provide an opportunity for bedside and managerial staff to disseminate the lessons learned from the projects and processes. Each project took an eccentric path as they pursued the answers for the challenge selected. While the results of the projects are interesting, the unanticipated outcomes provided a wealth of opportunities to grow and mature for staff and the organization.

Learner Objective #1: Discuss ways to initiate and advance the process of evidence-based practice at the bedside.

Learner Objective #2: Identify behaviors which can help and hinder the advancement of evidence-based practice in practical ways.