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Promoting Clinical Inquiry and Evidence-Based Practice: The Sacred Cow Contest Strategy

Mick, JoAnn PhD, RN, AOCN, NEA-BC

Journal of Nursing Administration: June 2011 - Volume 41 - Issue 6 - p 280-284
doi: 10.1097/NNA.0b013e31821c479f

Achieving and sustaining evidence-based practice (EBP) in an organization's practice culture can be challenging for administrators and educators. Brown's Sacred Cow Contest provides a creative strategy to promote clinical inquiry and generate interest in EBP. The author discusses how replication of the strategy in a large healthcare system successfully inspired nurses to question traditional nursing practices, yielding 118 contest entries. Teams of nurses are currently applying EBP process steps to confirm or change the reported practices.

Author Affiliation: Director of Nursing Research & EBP, Research & Sponsored Programs, Harris County Hospital District, Houston, Texas.

Correspondence: Dr Mick, Harris County Hospital District, 2525 Holly Hall, Suite 187, Houston, TX 77054 (

© 2011 Lippincott Williams & Wilkins, Inc.