Paper
Wednesday, July 13, 2005
This presentation is part of : Practice Grounded in Evidence
Building a Culture for Evidence-Based Practice
Susan B. Fetterman, RN, MSN, MBA, Geisinger Health System, Danville, PA, USA

In 2003 the Advisory Board Company Brief on EBP describes the steps necessary for reforming culture and enhancing practice. Cultural change is a slow process and begins with creating internal experts. This institution initiated an EBP committee as a sub-committee of Clinical Services Research and challenged the committee to develop strategies for fostering EBP. The strategic plan was the vision of the Senior Vice-President of Clinical Services and all efforts for the program were supported by funding from the Endowed Chair for Research. The Nurse Research Specialist attended multiple educational programs outside of the institution to become an expert on EBP and lay the groundwork for the program. The goal of the program was to provide a collaborative and consistent methodology for EBP across all disciplines enabling them to change practice and provide the best outcomes for patients. The strategic plan included an all day kick-off educational program conducted by the Drs. Melnyk and Fineout-Overholt from the University of Rochester EBP Program. The enthusiasm the speakers created launched the EBP campaign and provided a sound foundation for the program. The presentation was accompanied by baseline evaluation of the participants using the EBP Beliefs and Implementation Scales ( Melnyk& Fineout-Overholt, Copyright, 2003). The EBP committee became the mentors for educating frontline staff utilizing a six step program for applying EBP to practice. The doctoral prepared Nurse Researcher was critical in providing leadership and support to the committee. This presentation will describe house-wide collaboration to formalize EBP process across all disciplines, the work of the EBP committee and the results of building a culture for EBP.