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Harnessing an Evidence-Based Practice Toolkit and Organizational-Behavior Change Models to Advance EBP Cultures.
1Nurse Scientist Consultant, Portland, OR.
Clinical Nurse Specialist CNS
|April 10, 2026
Summary
Clinical nurse specialists can use a compendium of tools to improve evidence-based practice (EBP) culture among nurses. This strengthens their ability to achieve the Quintuple Aim and enhance patient outcomes.
Area of Science:
- Nursing Science
- Healthcare Management
- Quality Improvement
Background:
- Evidence-based practice (EBP) competency among US nurses is suboptimal, hindering contributions to the Quintuple Aim.
- A gap exists between research findings and clinical practice, impacting patient and organizational outcomes.
Purpose of the Study:
- To enhance clinical nurse specialists' (CNS) awareness and use of an EBP tool compendium.
- To facilitate the improvement of EBP culture, patient outcomes, and organizational results.
Main Methods:
- Utilized a compendium of 50 tools assessing EBP culture facets: attitudes, self-efficacy, knowledge, and implementation.
- Employed the Advancing Research through Close Collaboration and Capability-Opportunity-Motivation-Behavior Models for assessment.
- Applied the Behavior Change Wheel for intervention development to enhance EBP capability, motivation, and opportunity.
Main Results:
- Demonstrated a framework for CNS to assess and enhance nurses' EBP implementation.
- Showcased progress measurement using validated tools and competencies.
- Highlighted an exemplar from a magnet-designated health care system.
Conclusions:
- CNS possess the expertise to leverage the EBP compendium toolkit for strengthening practice culture.
- CNS leadership is crucial for bridging the research-to-practice gap and advancing health outcomes.
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