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Lesson 2
Roles for Implementing EBP©
Debra Jeffs, PhD, RN
LEARNING OBJECTIVE
The learner will be able to describe roles of various nursing staff in implementing evidence-based practice.
All nurses in an organization have responsibility for implementing evidence-based practice. No one person can do it alone! You’ll need to work with others to gain success. Each person’s role may be a bit different depending on the person’s position within the organization. But remember, you are not alone!
The staff nurse’s role in EBP is to:
Question current practice; ask about the evidence behind practice protocols and standards of care
Be a change champion in implementing change in practice based on evidence
Participate as a member on an EBP project team or join a journal club
Read evidence related to your own practice
Participate in Quality Improvement initiatives on your unit
Suggest resolution for clinical issues based on evidence
The nurse manager’s role in EBP is to:
Create a unit environment that fosters inquiry and supports EBP
Allocate resources, both time and money, to implement EBP; e.g. release staff on a regular basis to work on an EBP project or to attend and present at a conference
Promote a learning environment for EBP
Role model EBP in management practices
Establish performance expectations and use performance criteria related to EBP to evaluate staff
Reward EBP efforts and accomplishments on your unit
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The mentor’s role (e.g. clinical nurse specialist, director of research, quality improvement specialist, education specialist, etc.) in EBP is to:
Coach and support staff nurses in implementing EBP
Assist in formulating a searchable question
Facilitate finding the evidence for EBP
Lead the process of interpreting and critically appraising the evidence
Synthesize the evidence
Assist in the use of evidence to create or revise practice protocols or standards
Role model use of evidence in practice decisions
Act as a liaison between staff and administration to facilitate system changes that promote EBP
The senior nursing administrator’s role in EBP is to:
Ensure organizational-wide governance reflects EBP
Articulate the value of EBP to various stakeholders
Ensure organizational commitment to EBP
Demonstrate valuing of clinical innovation
Assign accountability for EBP implementation
Modify organization mission and vision to reflect EBP language
Integrate EBP in the organizational strategic plan
Provide resources to support EBP
Role model EBP in administrative practices and leadership decisions
Reward EBP initiatives and accomplishments.
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Source:
Everett, L. Q. & Titler, M. G. (2006). Making EBP part of clinical practice: The Iowa Model. In R. F. Levin & H. R. Feldman (eds.), Teaching evidence-based practice in nursing: A guide for academic and clinical settings. New York: Springer Publishing Co.
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