When you go to the hospital, you probably think you’re going to receive the best, most current care. Otherwise, you would not entrust your care to that hospital.Evidence suggests, however, that you might be wrong. In fact, based on a study I conducted with a team this year, we found that one in three hospitals is not meeting performance metrics.Failure to implement practices based on the best available evidence is one cause. A lack of knowledge and skills, budget constraints and inadequate resources are some of the reasons, in turn, that hospitals cite for not implementing nursing care based on evidence.

Findings from the same study showed that many nurse executives believe in the core tenets of care based on the best scientific findings, but they are not employing them. There’s a disconnect here. Instead, habit rules the day – and sometimes that leads to bad outcomes.

I’ve grown accustomed to wearing and sharing a button that is a version of the “no” symbol. It’s the one with a red circle and a line through it. Mine strikes through the words, “Because we’ve always done it that way!”

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