Newhouse Robin P
The Johns Hopkins Hospital and University School of Nursing, Baltimore, MD 21287-1720, USA.
Worldviews Evid Based Nurs. 2007;4(1):21-9. doi: 10.1111/j.1741-6787.2007.00075.x.
Nursing leadership is the cornerstone of successful evidence-based practice (EBP) programs within health care organizations. The key to success is a strategic approach to building an EBP infrastructure, with allocation of appropriate human and material resources.
This article indicates the organizational infrastructure that enables evidence-based nursing practice and strategies for leaders to enhance evidence-based practice using "the conceptual model for considering the determinants of diffusion, dissemination, and implementation of innovations in health service delivery and organization."
Enabling EBP within organizations is important for promoting positive outcomes for nurses and patients. Fostering EBP is not a static or immediate outcome, but a long-term developmental process within organizations. Implementation requires multiple strategies to cultivate a culture of inquiry where nurses generate and answer important questions to guide practice.
Organizations that can enable the culture and build infrastructure to help nurses develop EBP competencies will produce a professional environment that will result in both personal growth for their staff and improvements in quality that would not otherwise be possible.
护理领导力是医疗保健组织内成功的循证实践（EBP）项目的基石。成功的关键在于采用战略方法来构建循证实践基础设施，并分配适当的人力和物力资源。
本文指出了促进循证护理实践的组织基础设施，以及领导者利用“考虑卫生服务提供与组织中创新的传播、推广及实施决定因素的概念模型”来加强循证实践的策略。
在组织内促进循证实践对于为护士和患者带来积极结果很重要。培养循证实践并非一个静态或即时的结果，而是组织内的一个长期发展过程。实施需要多种策略来培育一种探究文化，让护士提出并回答重要问题以指导实践。
能够营造文化并构建基础设施以帮助护士培养循证实践能力的组织，将营造一个专业环境，这将为其员工带来个人成长，并实现原本不可能实现的质量提升。
