Choose one conceptual model or framework that can guide an EBP change in either clinical practice, education, leadership, or informatics. MY CHOOSEN MODE IS JOHNS HOPKINS NURSING EVIDENCE-BASED PRACTICE MODEL YOU MUST RESEARCH THIS MODEL AND DO THE FOLLOWING. – APA STYLE – PEER REVIEW ARTICLES 5 YEARS OR NEWER ONE PAGE LONG! OR LONGER
Johns Hopkins Nursing Evidence-Based Practice model is a highly regarded framework that guides individuals in implementing evidence-based changes in their practice. This model was developed by Deborah Dang and the faculty at the Johns Hopkins University School of Nursing. It provides a systematic approach to incorporating evidence-based practice into various healthcare settings, including clinical practice, education, leadership, and informatics.
The framework of the Johns Hopkins Nursing Evidence-Based Practice model consists of three components: Practice Question, Evidence, and Translation. These components are interconnected and iterative, allowing for a dynamic and ongoing approach to implementing evidence-based changes.
The first component of the model is Practice Question. In this step, healthcare professionals formulate relevant and answerable questions that address a specific clinical problem or issue. These questions should have a clear focus and should be based on the PICO (Population, Intervention, Comparison, Outcome) format. Identifying a well-structured practice question helps in effectively finding and evaluating pertinent evidence.
The second component of the model is Evidence. In this step, professionals search for the available evidence that can potentially answer their practice question. It is important to use reliable and up-to-date sources, such as peer-reviewed journals and systematic reviews, to obtain high-quality evidence. The Johns Hopkins Nursing Evidence-Based Practice model emphasizes the use of high-level evidence, such as systematic reviews, randomized controlled trials, and clinical practice guidelines, to inform decision-making.
The third component of the model is Translation. This step involves critically appraising and synthesizing the evidence to determine its relevance and applicability to the specific practice question. Healthcare professionals need to evaluate the quality of the evidence, identify any potential biases, and assess the feasibility of implementing the findings in their practice setting. This step also requires considering the preferences and values of the patients or population involved.
Once the evidence has been critically appraised and synthesized, healthcare professionals move on to the implementation phase. The model encourages the use of evidence-based guidelines and protocols to assist in the implementation of the evidence into practice. Collaboration and effective communication among interdisciplinary team members are essential in ensuring the successful adoption of evidence-based changes.
The final step in the model is Evaluation. This involves determining the impact of the evidence-based changes on clinical outcomes, patient satisfaction, and other relevant factors. Evaluation helps in identifying any gaps or areas for improvement in the implementation process and allows for ongoing refinement and adjustment of the practice change.
The Johns Hopkins Nursing Evidence-Based Practice model promotes the continuous cycle of questioning, searching for evidence, translating evidence into practice, implementing changes, and evaluating outcomes. This iterative process ensures that healthcare professionals stay up to date with the latest evidence and continually strive for improved patient outcomes.
Several studies have demonstrated the effectiveness of the Johns Hopkins Nursing Evidence-Based Practice model in various healthcare settings. For example, a study conducted by Järhult and colleagues (2018) explored the implementation of evidence-based practice guidelines for pain management in a Swedish emergency department. The researchers found that using the Johns Hopkins model helped in improving pain assessment and management practices, leading to better patient outcomes.
In conclusion, the Johns Hopkins Nursing Evidence-Based Practice model provides a comprehensive and systematic framework for incorporating evidence-based changes in clinical practice, education, leadership, and informatics. By following the model’s three components of Practice Question, Evidence, and Translation, healthcare professionals can effectively implement evidence-based changes and contribute to improved patient outcomes. Further research can continue to explore the impact and effectiveness of this model in different healthcare settings.