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Organizational Readiness for Evidence-Based Practice

Gale, Barbara Van Patter MA, RN; Schaffer, Marjorie A. PhD, RN

Journal of Nursing Administration: February 2009 - Volume 39 - Issue 2 - p 91-97
doi: 10.1097/NNA.0b013e318195a48d

Objective: This study explored factors that affect the adoption or rejection of evidence-based practice (EBP) changes and differences in nurse manager and staff nurse perceptions about those factors.

Background: Roger's Diffusion of Innovations Theory explains relevant organizational strategies for guiding practice change.

Methods: The primary author developed the Evidence-Based Practice Changes Survey consisting of 12 items, completed by 92 nurses at a level 1 trauma center.

Results: Top barriers to EBP were insufficient time, lack of staff, and not having the right equipment and supplies. Top reasons to adopt EBP were having personal interest in the practice change, avoiding risk of negative consequences to the patient, and personally valuing the evidence. Several statistically significant differences emerged for demographic variables.

Conclusion: Planning for EBP change must address barriers and facilitators to practice change and emphasize the benefit for patients and value of the practice change to nurses.

Authors' Affiliations: Clinical Educator (Ms Gale), Hennepin County Medical Center, Minneapolis, Minnesota; and Professor of Nursing (Dr Schaffer), Bethel University, St Paul, Minnesota.

Corresponding author: Ms Gale, Hennepin County Medical Center, 701 Park Ave South, Minneapolis, MN 55415 (

© 2009 Lippincott Williams & Wilkins, Inc.