D219 Task 2 – EBP Process Overview and Assessment Insights
Evidence-Based Practice (EBP) and the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) Model
The Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model is designed as a structured framework that aids nurses and healthcare professionals in integrating research findings, clinical expertise, and patient preferences into clinical decisions. This model provides clear tools, guidelines, and templates to streamline the adoption of evidence-based practice (EBP), encouraging critical thinking and facilitating data-driven improvements in patient care (Dang et al., 2022).
By utilizing the JHNEBP model, healthcare organizations can implement interventions that are scientifically validated, practical for clinical environments, and customized to enhance patient outcomes. The following sections address essential questions regarding the JHNEBP model as outlined in Johns Hopkins instructional materials.
Which Part of the JHNEBP Model Assists Staff in Completing an EBP Project?
Question:
Which part of the JHNEBP model assists staff in completing an EBP project?
Answer:
The synthesis and summary tools within the JHNEBP model play a critical role in supporting staff during EBP projects. These tools help consolidate diverse research findings into organized summaries, enabling nurses and clinicians to efficiently interpret and analyze data. This consolidation promotes evidence-based decision-making by connecting research insights directly to clinical practice, ultimately improving patient care outcomes (Johns Hopkins Medicine, 2024).
What Is the First Step in the EBP Process?
Question:
According to the videos above, which of the following is the first item in the EBP process?
Assemble a team to assist with defining the specific EBP question to be answered
Search, appraise, and synthesize the evidence
Create an action plan
Answer:
The initial phase of the EBP process is assembling a multidisciplinary team. This team, comprising nurses, physicians, administrators, and other stakeholders, collaborates to formulate a precise EBP question. Incorporating diverse perspectives enhances the relevance and clarity of the clinical issue, laying a solid foundation for evidence-based inquiry (Dang & Dearholt, 2018).
What Is the Second Step in the EBP Process?
Question:
According to the videos above, which of the following is the second item in the EBP process?
Search, appraise, and synthesize the evidence
Develop recommendations for changes in practice and determine feasibility
Gather feedback from hospital staff at all levels
Answer:
The second step focuses on searching, appraising, and synthesizing evidence. The team conducts comprehensive literature searches to identify high-quality and current research. After gathering the evidence, it undergoes critical evaluation for validity, reliability, and applicability. This thorough synthesis forms the evidence-based foundation for future clinical recommendations (Dang et al., 2022).
What Is the Third Step in the EBP Process?
Question:
According to the videos above, which of the following is the third item in the EBP process?
Implement action plan
Develop recommendations for changes in practice and determine feasibility
Gather feedback from hospital staff at all levels
Answer:
The third phase involves developing recommendations for practice changes and evaluating their feasibility. During this stage, the team considers available resources, organizational readiness, and potential barriers. This ensures that the proposed changes are both evidence-based and practically applicable, facilitating smoother integration into the healthcare setting (Johns Hopkins Medicine, 2024).
What Is the Final Step in the EBP Process?
Question:
According to the videos above, which of the following is the last item in the EBP process?
Develop recommendations for changes in practice and determine feasibility
Search, appraise, and synthesize the evidence
Create an action plan
Answer:
The last step is the creation of a detailed action plan. This plan outlines the strategy for implementing recommendations, including role assignments, timelines, and evaluation criteria. Establishing an action plan ensures accountability and provides a mechanism for ongoing assessment, enabling continuous improvement and sustainability of practice changes (Dang et al., 2022).
Why Should Evidence-Based Practice Be Implemented?
Question:
According to the videos above, what is a reason for implementing EBP?
EBP draws from the experience of experts outside of the hospital setting
EBP utilizes both expert opinion and patient/staff preferences
EBP draws solely from the experience of doctors and high-level administrators
Answer:
EBP is essential because it integrates expert opinions with the preferences of patients and healthcare staff, fostering a comprehensive and patient-centered approach to care. This balance ensures clinical decisions are scientifically sound while respecting individual values, promoting personalized and ethical healthcare delivery (Melnyk & Fineout-Overholt, 2019).
What Is Another Reason for Implementing EBP?
Question:
According to the videos above, which of the following is a second reason for implementing EBP?
EBP offers nurses a way to make real-world changes to clinical practice
EBP allows nurses to set a standard that will be followed for years to come
EBP asks nurses to trust that the way things have always been done is the “right” way to do them
Answer:
Another compelling reason to adopt EBP is that it empowers nurses to drive meaningful changes in clinical practice. By engaging with the latest research, nurses can challenge outdated methods and foster innovations that improve patient outcomes. This process encourages professional development and promotes a culture of continuous quality improvement in healthcare settings (Titler, 2018).
Summary of the Johns Hopkins EBP Process
| Step | Description | Purpose |
|---|---|---|
| Step 1 | Assemble a multidisciplinary team | Collaboratively define the EBP question and establish shared goals. |
| Step 2 | Search, appraise, and synthesize evidence | Gather and critically evaluate the best available research. |
| Step 3 | Develop recommendations and assess feasibility | Propose evidence-based interventions and evaluate their practicality. |
| Step 4 | Create and implement an action plan | Execute recommendations and monitor effectiveness through structured evaluation. |
This iterative and systematic process ensures clinical practices are driven by robust scientific evidence while remaining flexible to the needs of patients and healthcare organizations. Through teamwork and continuous evaluation, the JHNEBP model supports sustainable improvements in healthcare quality.
References
Dang, D., & Dearholt, S. L. (2018). Johns Hopkins nursing evidence-based practice: Model and guidelines (3rd ed.). Sigma Theta Tau International.
Dang, D., Bickford, M., & Dearholt, S. (2022). Johns Hopkins nursing evidence-based practice: Model and guidelines (4th ed.). Sigma Theta Tau International.
Johns Hopkins Medicine. (2024). Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model and tools. https://www.hopkinsmedicine.org/nursing/ebp
Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Wolters Kluwer.
Titler, M. G. (2018). Translation science and context. Research and Theory for Nursing Practice, 32(2), 99–122. https://doi.org/10.1891/1541-6577.32.2.99