The Challenging of Transforming Culture for Evidence-Based Practice

Tuesday, 13 July 2010: 11:10 AM

Hitomi Kobayashi, PhD, RN
Department of Nursing, Children's Hospital of Michigan, Detroit, MI
Heather L. Bartlett, MSN, RN, CPNP
Department of Ambulatory Pediatrics, Children's Hospital of Michigan, Detroit, MI

Learning Objective 1: Discuss pediatric nurses' perception of evidence-based practice and how it is associated with their clinical practice.

Learning Objective 2: Discuss improving and sustaining of evidence-based practice with pediatric nurses


Evidence-based practice (EBP) is an important concept to improve patient care, patient satisfaction and improve patients' health status or outcomes.  Increasingly, attention is being focused on health care environments and the challenges that many bedside nurses face daily to meet these current health care goals. It is often difficult for nurses to connect with evidence-based practice in their daily patient care.  This paper will describe the experience of creating an EBP environment, and the challenges nurses face in various professional roles at one Midwestern pediatric teaching hospital. 


There are three major activities that have effectively engaged nurses in research and/or evidence-based practice activities in this teaching hospital.  The first EBP activity was the establishment of an EBP steering committee which consists of a research expert, staff nurses (ADN, BSN) and APN's.  This committee set up an organizational structure, a mission statement, annual goals, and developed strategic plans to meet the identified EBP goals.  The second activity was the development of an annual clinical EBP conference and EBP and research poster presentations.  The third activity was to enhance EBP knowledge included developing and executing EBP workshops for all levels of nurses to become familiar with EBP and how to utilize in clinical practice. Multiple EBP workshops were conducted at various times to enhance nurses access to EBP.  In 2007, an online survey was conducted to get baseline data for staff engagement, general knowledge, and perceptions of EBP.  Outcome measures are: understanding concepts of EBP, increasing access to library system and presenting their EBP projects at conferences. 

Multiple sets of EBP workshops were provided by a nurse researcher between 2007 and 2009.  The committee has provided annual EBP pediatric nursing conference with 20 poster presentations each year.  Literature searching requests have increased 70% from 2006 to 2009 at the hospital based library.