Date of Award


Document Type


Degree Name

Doctor of Nursing Practice (DNP)

School Name

Donna and Allan Lansing School of Nursing and Health Sciences



Major Advisor

Julianne Evers, DNP



BACKGROUND: This project took place at a community-based rural hospital in eastern Kentucky. During completion of a needs assessment, adoption of an evidence-based nursing practice model and improvement of clinical outcomes of the community’s heart failure patient population were revealed as opportunities.

PURPOSE: The purpose of this project was to introduce the organization’s key stakeholders to the Johns Hopkins Nursing Evidence-Based Practice Model (JHNEBP), encourage implementation of an evidence-based practice (EBP) committee, and to use heart failure as an exemplar to facilitate discussions and stakeholder education.

METHODS: The goal of this project was to develop a supportive EBP culture through adoption of the JHNEBP model. Methods included developing and launching a virtual nursing EBP education module, developing an EBP committee, and utilizing the JHNEBP model and steps to implement heart failure EBP’s at the project site. The University of Iowa Hospitals & Clinics Nursing EBP Survey, 2005 edition, was administered pre and post EBP module education to assess nurses’ perceptions of EBP.

RESULTS: Although post-intervention group scores (M=98.4, SD=14.1) improved from pre-intervention group scores (M=94.2, SD=13.5), Mann-Whitney U revealed no statistical significance in pre and post score comparisons for survey subscales (organizational culture (p=.156), unit culture (p=.165), nurses knowledge and skills (p=.301), time (p=.131), attitude (p=.595)] or total score (p=.184).

CONCLUSION: Driving EBP culture changes may take up to three to five years (Dang & Dearholt, 2017). This project was limited in both time and sample size (n=53), although statistical significance could not be determined in the pre-intervention and post-intervention groups, continuation on the path of creating a supportive EBP culture is key in driving EBP care.

Keywords: evidence-based best practice model, Johns Hopkins nursing evidence-based best practice model, heart failure, rural healthcare