Johns Hopkins Nursing Evidence-Based Practice: Model and Guidelines

Author: Deborah Dang, PhD, RN, NEA-BC, Sandra Dearholt, MS, RN, NEA-BC
Affiliation: Johns Hopkins Hospital
Publisher: Sigma Theta Tau International
Publication Date: 2018
ISBN 10: 194044697X
ISBN 13: 9781940446974
eISBN: 9781940446981
Edition: 3rd


Johns Hopkins Nursing Evidence-Based Practice: Model and Guidelines has proven to be one of the most foundational books on EBP in nursing. This fully revised third edition builds on the strength of the first two editions with updated content based on more than a decade of the model's use and refinement in real-life settings. Authors Deborah Dang and Sandra L. Dearholt also incorporated feedback from nurses around the world. Key features of the Johns Hopkins Nursing EBP model include: NEW: Tips for using the newly updated Johns Hopkins Nursing EBP model and guidelines. NEW: Tips on seeking funding for the advancement of interprofessional collaboration and teamwork. NEW: Tools to guide the EBP process, such as Stakeholder Analysis, Action Planning, and Dissemination. Explanation of the Practice question, Evidence, and Translation (PET) approach to EBP projects. Overview of the Patient, Intervention, Comparison, and Outcome (PICO) approach to EBP question development. Creation of a supportive infrastructure for building an EBP nursing environment. Exemplars detailing real-world EBP experiences. CNOs, nurse managers, bedside nurses, and students alike have successfully transformed their practices and improved patient care using Johns Hopkins Nursing Evidence-Based Practice: Model and Guidelines.

Table of Contents

Front Matter

  • Praise for Johns Hopkins Nursing Evidence-Based Practice: Model and Guidelines, Third Edition
  • Foreword
  • Introduction

I Evidence-Based Practice Background

    1: Evidence-Based Practice: Context, Concerns, and Challenges

    • EBP: A Definition
    • Differentiating Quality Improvement, Research, and EBP
    • The History
    • EBP and Outcomes
    • EBP and Accountability
    • Knowing and Using Evidence
    • Nursing’s Role in EBP
    • Summary
    • References

    2: Critical Thinking and Evidence-Based Practice

    • Nursing Process, Critical Thinking, and Evidence-Based Practice
    • Critical Thinking, Reasoning, Reflection, and Judgment
    • Nursing Expertise, Intellectual Competence, and Evidence-Based Practice
    • Critical Thinking and the PET Process
    • Recommendations for Nurse Leaders
    • Summary
    • References

II The Johns Hopkins Nursing Evidence-Based Practice Model and Guidelines

    3: The Johns Hopkins Nursing Evidence-Based Practice Model and Process Overview

    • Johns Hopkins Nursing Evidence-Based Practice Model—Essential Components: Inquiry, Practice, and Learning
    • The JHNEBP Model—Description
    • JHNEBP PET Process: Practice Question, Evidence, and Translation
    • Summary
    • References

III Practice Question, Evidence, Translation (PET)

    4: The Practice Question

    • The Interprofessional EBP Team
    • Defining Practice Problems
    • Developing Answerable EBP Questions
    • Scope of Project, Stakeholders, and Designating Responsibility
    • Summary
    • References

    5: Searching for Evidence

    • Key Information Formats
    • The Answerable Question
    • EBP Search Examples
    • Selecting Information and Evidence Resources
    • Selecting Resources Outside of the Nursing Literature
    • Creating Search Strategies and Utilizing Free Resources
    • Evaluating, Revising, and Storing Search Results
    • Summary
    • References

    6: Evidence Appraisal: Research

    • Publications That Report Scientific Evidence
    • Summaries of Multiple Studies
    • Individual Research Studies
    • Interpreting Primary Research Evidence
    • Appraising the Level and Quality of Research Evidence
    • Tips for Reading Research
    • A Practical Tool for Appraising Research Evidence
    • Recommendation for Nurse Leaders
    • Summary
    • References

    7: Evidence Appraisal: Nonresearch

    • Summaries of Research Evidence
    • Organizational Experience
    • Expert Opinion (Level V Evidence)
    • Community Standard (Level V Evidence)
    • Clinician Experience (Level V Evidence)
    • Patient/Consumer Experience (Level V Evidence)
    • Recommendations for Nurse Leaders
    • Summary
    • References

    8: Translation

    • Translation Models
    • Evidence-Based Practice, Research, and QI
    • Create an Action Plan for Translation
    • Disseminate Findings
    • Summary
    • References

IV Infrastructure

    9: Creating a Supportive EBP Environment

    • Choosing an EBP Model
    • Creating and Facilitating a Supportive EBP Environment
    • Establishing the Organizational Culture
    • Building Capacity
    • Collaboration with a School of Nursing
    • Sustaining the Change
    • Summary
    • References

V Exemplars

    10: Exemplars

    • 1 Establishing the Access in Minutes Team in the Adult Emergency Department
    • 2 Wipe Out CAUTI: Implementing Nonbasin Bathing to Reduce CAUTIs
    • 3 Drawing aPTT Samples from Central Lines While Heparin Is Concurrently Infusing
    • 4 The Effectiveness of Sennosides to Decrease Constipation Post Uterine Artery Embolization
    • 5 Initiating Purposeful Hourly Rounding on an Inpatient Oncology Unit to Improve Patient Safety and Satisfaction

VI Using the JHNEBP Tools

    11: Lessons from Practice: Using the JHNEBP Tools

    • EBP Project Example
    • Sample Tools

VII Appendixes

    Appendix A Practice Question, Evidence, and Translation (PET) and Project Management Guide

    Appendix B Question Development Tool

    Appendix C Stakeholder Analysis Tool

    Appendix D Evidence Level and Quality Guide

    Appendix E Research Evidence Appraisal Tool

    Appendix F Nonresearch Evidence Appraisal Tool

    Appendix G Individual Evidence Summary Tool

    Appendix H Synthesis Process and Recommendations Tool

    Appendix I Action Planning Tool

    Appendix J Dissemination Tool