Awarded third place in the 2021 AJN Book of the Year Awards in
Professional Development!
The dynamic and competitive US healthcare environment requires
healthcare professionals who are accountable to provide efficient and
effective care. New evidence is continually surfacing in nursing and
medical environments. Consumer pressure and increased patient
expectations place an even greater emphasis on the need for healthcare
professionals to deliver true evidence-based care in their daily
practice.
Johns Hopkins Nursing is steadfastly dedicated to making it easy for
frontline nurses, health professionals, and students to use best
evidence in their everyday practice. With each edition, we revise based
on the honest, frank, and generous feedback we receive from frontline
users of the Johns Hopkins Evidence-Based Practice Model from across the
globe. In this fourth edition, we are excited to be able to share these
changes.
The 2021 revised JHEBP Model underscores the need for organizations to
cultivate both a spirit of inquiry and an environment of learning that
encourages questioning and seeking best evidence and its implementation
and adoption in practice. Although our model was developed, tested, and
implemented by and for nurses, we have had numerous requests and
feedback from other health professionals to use the Hopkins model. Thus,
we introduce the fourth edition with a new title-Johns Hopkins
Evidence-Based Practice for Nurses and Healthcare Professionals. This
change reflects the growing evidence base of the importance for
interprofessional collaboration and teamwork, particularly when
addressing complex care issues such as those often tackled by EBP teams.
In this edition, our overarching aim is to provide practical and
pragmatic explanations, approaches, and tools to guide and support teams
engaging in EBP projects:
We explicitly reflected the interprofessional nature of the EBP process
and its use by all disciplines who serve, interact with, and care for
those who seek services.
We revised the flow of the book chapters across the sections to reflect
the progression of steps in the EBP process.
We included a new introduction for the evidence section that includes
background on the use of evidence hierarchies, tips for differentiating
research from quality improvement, and further explanation of the
summary and synthesis steps in the evidence process.
We provided real-world examples for how to complete all tools using
feedback from our global users as well as tried and tested helpful
hints.
We added a new chapter to expand and amplify strategies for
dissemination that includes how to create a dissemination plan,
audience-specific recommendations for internal and external
dissemination venues, details of the pros and cons of different types of
dissemination, guidance on submitting manuscripts for publication, and
an overview of the journal review process.
Chapter-specific enhancements:
Chapter 3: Defines critical thinking and clinical reasoning and
differentiates their use in the PET process.
Chapter 4: Outlines stakeholder selection criteria and an algorithm to
determine the need for an EBP project.
Chapter 5: Includes new information on the literature screening process
to navigate a large number of results Chapter 6: Provides useful
clarifications of research approaches, designs, and methods with a focus
on frontline staff as the target audience
Chapter 8: Includes revised synthesis and translation steps; assesses
risk prior to translation; prioritizes translation models accessible to
frontline staff with a focus on the QI methodology and PDSA; and
describes an expanded list of outcome measures to determine the success
of an EPB project.