The Institute of Medicine (IOM) (1) set a goal that by the year 2020, 90% of all clinical decisions will be supported by accurate, timely, and up-to-date clinical information that reflects the best available evidence. Health care institutions must draw on the best available evidence in providing care to each patient to promote healthy outcomes. The IOM also released a report in 2005 on rural healthcare that emphasizes the importance of evidence-based practice for achieving rural quality healthcare (2) The American Nurses Credentialing Center (ANCC) Model for Magnet ® consists of five evidence-derived components – transformational leadership, structural empowerment, exemplary professional practice, new knowledge, innovations and improvements and empirical outcomes (3). The knowledge, innovations, and improvements component focuses on research and evidence-based practice (EBP) that supports the advancement of practice in the clinical setting. Evidence-based practice involves complex and conscientious decision-making based not only on available evidence but also on patient characteristics, situations, and preferences. Evidence-based practice is important for achieving quality healthcare and positive patient outcomes. Through the identification of barriers to implementation of research and evidence-based practice, nurse leaders can develop a plan to educate and improve the continued use and implementation of evidence-based practice initiatives. This descriptive, quality improvement study utilized questionnaires to identify barriers and facilitators to improve compliance with evidence-based practice initiatives among rural hospitals.

Publication Date


Presented At:

11th Annual BHSF Research Conference

Content Type


Baptist Health South Florida Affiliations:

Dawn Stavor, DNP, RN, NE-BC

Open Access

Available to all.