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The article discusses a nurse-led effort to implement surgical smoke evacuation devices in operating rooms (OR) in order to offer patients and health workers added protection from the negative effects of smoke inhalation. The evidence-based practice project at Children's Hospital Boston took two years to implement and resulted in the implementation of smoke evacuation devices being used during certain surgical procedures including gynecologic surgery and orthopedic surgery.

The article discusses how a model of shared governance can help facilitate nurses who strive to provide evidence-based practice (EBP) in their particular health care setting. The author discusses a shared governance model at Children's Hospital Boston, where nurses are encouraged to promote patient quality based upon EBP. The author describes the use of EBP by the perioperative nursing staff at Children's Hospital Boston.