结论

无论护理领导者的工作环境如何，实施EBP都是一项富有战略意义的事情，这需要领导者具备创造适合EBP环境的能力。本章探讨了影响EBP在护理实践和护理环境中应用的关键情境因素和领导能力，通过评估这些因素和能力来确定领导者是否已做好了转型变革的准备。

创造促成并维持EBP变革的条件，必不可少的一步是了解并评估情境因素和领导能力。营造适合EBP发展的学习型环境需要考虑以下重要的情境因素：将医疗服务体系视为复杂适应系统，在此基础上建立新的心智模式；理解组织文化和亚文化；探究变革型领导者的行为；重视信任度的建设，让员工参与决策。

成功创造EBP环境与领导者的七大核心能力有关，这些能力也是实施EBP所必需的，即评判性思维、战略愿景、激励并领导变革、关系建立、情商、驾驭复杂局面和服务型管理。在通往EBP的道路上，重视自我评估和团队评估的领导者会更具有感召力，更懂得如何激励、鼓舞他的追随者们。

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