This article by Darlene Sredl considers qualitative statements from US nurse executives about their belief in and implementation of evidence-based nursing practice. Their statements suggest uncertainty about the way forward

Health care is undergoing rapid changes, and outcomes drive processes. While the basis for the integrated approach we now know as evidence-based practice was established centuries ago, only since the 1990s has evidence-based medicine (EBM) and evidence-based nursing practice (EBNP) emerged as a viable framework for positive clinical outcomes built on a substantial research base (Melnyk et al 2004, Mishel and Braden 1987).