ARCC Model

1. Assessment of organizational culture and readiness of EBP (scaled developed)
2. Identification of strengths and major barriers to EBP
   1. Potential strengths
      • Philosophy of EBP (paradigm is systemwide)
      • Presence of EBP mentors and champions
      • Administrative support
   2. Potential barriers
      • Lack of EBP mentors and champions
      • Inadequate EBP knowledge
      • Lack EBP skills
      • Lack of EBP valuing
3. Development and use of EBP mentors. Go to 3a or 3d
   1. Implementation of ARCC strategies. Go to 4.
   2. Interactive EBP skills building workshops
   3. EBP rounds and journal clubs
   4. Improve clinicians’ beliefs about the value of EBP and increase ability to Implement the EBP process (scale developed). Go to 4 or go to 4a.
4. EBP Implementation (Scale developed; based on the EBP paradigm and using the EBP process). Go to 4a and 4c
   1. Increase healthcare provider satisfaction, increase cohesion, decrease intent to leave, decrease turnover. Go to 4b.
   2. Decreased hospital costs
   3. Improve patient outcomes. Go to 4b.