Abstract
Healthcare managers were early advocates of evidence-based medicine, given its promise of effectiveness, efficiency, and accountability in medical care. In the course of a decade, the call for evidence has swept the healthcare landscape in medicine and more recently in nursing. Somehow healthcare managers and leaders have largely escaped a call for the use of evidence in its own practice. The time has come for organizational leaders to join clinicians in using the strongest evidence available to effect change and guide decision making. This article asserts that nurse executives are in a pivotal and unique position to lead a culture shift associated with evidence-based management practice.