Walker and Avant (2011) pointed out that practice is the central and core phenomenon and focus of nursing; arguably, it is the reason for nursing’s existence.

The five forms of knowledge transformation occur in “relative sequence” when research evidence progresses through several cycles and is combined with other knowledge and then applied in practice.

The central constructs are assessment of organizational culture and readiness for EBP, identification of strengths and major barriers to EBP, and development and use of EBP mentors.

It is intended to provide guidance for nurses and others in making decisions about practice that affects patient outcomes.

This was developed to accelerate the transfer of research to practice and to promote nurse autonomy, leadership, and engagement with interdisciplinary colleagues

The phases of the approach include preparation, validation, comparative evaluation/decision making, translation/application, and evaluation.

Many nurses are concerned that too much attention to EBP will draw attention away from the art of nursing care—that nursing will become lost in the science.

The major impetus for integration and implementation of research evidence— guided by EBP—should be reasonable, effective, and safe care for patients.

Implementation of EBP in nursing is still evolving, as often, nursing interventions are based on experience, tradition, intuition, common sense, and untested theories.