Date of Award

Fall 12-14-2018

Document Type

DNP Project

Project Team Faculty Member

Dr. Andrew Griffin

Project Team Faculty Member

Juliet Gray


evidence-based practice models, nurses/nursing, survey, rural hospital, barriers, journal clubs, organizational readiness, evidence-based practice beliefs


Many barriers exist at a 134-bed rural hospital in southern Illinois that hinder generation, evaluation, and implementation of evidence-based research into practice. This DNP project was completed through a phase approach utilizing a modified version of Kotter’s Model of Change, the RNcEBP Survey to self-rate individual confidence in the EBP process, and the Iowa Model of Evidence-Based Practice to facilitate implementation of journal clubs. The RNcEBP survey revealed that nurses were familiar with the concept of EBP, have positive attitudes, and are confident that EBP changes can improve patient outcomes, but lack experience in evaluating literature to support implementing evidence-based practice changes. In May 2018, nurses were given the opportunity to incorporate professional literature into practice-based discussions through participation in journal clubs. The implementation of journal clubs empowered the nurses to utilize new resources to increase their confidence, knowledge and appreciation for EBP. Expanding journal clubs at department meetings will escalate evidence-based practice change initiatives in nursing practice. This quality improvement project was possible subsequent to the integration with a 413-bed regional hospital system. The integration gave the rural hospital critical tools to facilitate overcoming barriers for implementation of evidence-based practice through journal clubs.

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Background Introduction_regthom.docx (12 kB)

Problem Statement_regthom.docx (12 kB)
Problem Statement

Clinical Relevance_regthom.docx (13 kB)
Clinical Relevance

Literature Review_regthom.docx (29 kB)
Literature Review

Conceptual Framework_regthom.docx (12 kB)
Conceptual Framework

Project Methods_regthom.docx (23 kB)
Project Methods

Evaluation Process_instruments_regthom.docx (27 kB)
Evaluation Process

References_regthom.docx (14 kB)
Final Reference List

Included in

Nursing Commons



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