A large, complex, academic medical center department of nursing compared SC to
EBP. Nurses systematically reviewed and rated the degree to which current practices adhered to
best-evidence versus SC. This initiative, “Sacred Cow: Gone to Pasture,” was developed, structured,
and implemented according to the Iowa Model of Evidence-Based Practice to Promote
Quality Care, as well as Everett Rogers’ Diffusions of Innovations Theory. Implementation of EBP
followed a phase plan using the Implementation Strategies for Evidence-Based Practice to help
to support adoption and integration.