June 2007, Volume 38 Number 6 , p 12 - 14
Schultz, Alyce A. RN, PhD, FAAN
Alyce A. Schultz is clinical professor and associate director, Center for the Advancement of Evidence-Based Practice, Arizona State University, Phoenix, Ariz.
Implementing evidence-based practice (EBP) should be a core competency that's addressed in all healthcare facilities. 1 However, the challenges of adopting this practice have been identified for several years, with lack of value for research in practice cited as the greatest barrier to implementation. 2 While the EBP process uses a linear approach and implies that the user has autonomy in the application of knowledge in practice, few nurses in the acute care setting have the autonomy to change standardized orders or prescribed interventions at the point of care. As a result, the implementation of evidence for nurses in acute care usually requires an organizational change.
Models of care
The research utilization movement began with the Stetler/Marram model and the Conduct and Utilization ...