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  1. Patterson, Amy E. MSN, RN, AOCNS, BMTCN
  2. Mason, Tina M. MSN, ARNP, AOCN, AOCNS
  3. Duncan, Pamela MSN, RN, CCRN


This article describes a Magnet(R)-designated, national cancer institute comprehensive cancer center's quest to restructure the organization's evidence-based practice (EBP)/performance improvement (PI) framework leveraging the role of the clinical nurse specialist (CNS) as a coach to support staff nurses in EBP/PI initiatives. The support of the CNS is essential in developing effective projects, minimizing barriers, and maintaining a level of engagement in the EBP process from problem identification through dissemination and sustainment of practice changes.