Johns Hopkins Nursing Evidence-Based Practice Model and Guidelines, 2nd Ed.

Johns Hopkins Nursing Evidence-Based Practice Model and Guidelines, 2nd Ed.

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Book, 240 pages, 2012

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Product Code: 128608

Johns Hopkins Nursing Evidence-Based Practice Model and Guidelines, 2nd Ed.

The birth place of Internal Medicine, Johns Hopkins University continues to be a leader in the health care profession. Johns Hopkins Nursing Evidence-Based Practice Models and Guidelines Second Edition has been revised and updated with new case studies and exemplars.

Evidence-Based Practice Second Edition covers practical guidelines on the model with exemplars, a question and development tool, evidence rating scale, project management, appraisal forms, and evidence summary documents. This book helps nurses, not only understand the theory, but also put it into action. Evidence-Based Practice Second Edition is a hand book for nurses and a text book for students. The Evidence Based Practice Second Edition has expanded and improved tool and form including additional guidelines for individual appraisals and both research and non-researched-based evidence.

Table of Contents:

Part 1: Evidence-Based Practice Background

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

EBP: A Definition

Differentiating Quality Improvement, Research, and EBP

The History

Research Utilization

EBP and Outcomes

EBP and Accountability

Translation of Evidence

Knowing and Using Evidence

Nursing’s Role in EBP


2 Critical Thinking and Evidence-Based Practice

Evidence-Based Practice and the Nursing Process

Critical Thinking, Reasoning, Reflection, and Judgment

Nursing Expertise, Intellectual Competence, and Evidence-Based Practice

Educating for Critical Thinking Skills

Critical Thinking and the PET Process

Critical Thinking in Posing the Practice Question

Critical Thinking and Appraising Evidence

Critical Thinking and Translation

Recommendations for Nurse Leaders


Part 2: The Johns Hopkins Nursing Evidence-Based

Practice Model and Guidelines

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

The Johns Hopkins Nursing Evidence-Based Practice Model

Nursing Practice

Nursing Education

Nursing Research

The JHNEBP Model—The Core

Internal and External Factors

The JHNEBP Process: Practice Question, Evidence, and Translation

Practice Question




Part 3: Practice Question, Evidence, Translation (PET)

4 The Practice Question

The Interprofessional EBP Team

Practice Problems

Practice Questions

Background and Foreground Question

Developing an Answerable EBP Question


5 Searching for Evidence

Key Information Formats

The Answerable Question

EBP Search Examples

Selecting Information and Evidence Resources


MEDLINE and PubMed

The Cochrane Library

Creating Search Strategies and Utilizing Free Resources

Key Components to Creating Search Strategies

Free Resources

Evaluating, Revising, and Storing Search Results


6 Evidence Appraisals: Research

Publications That Report Scientific Evidence

Summaries of Multiple Studies

Systematic Reviews



Individual Research Studies

Experimental Studies

Quasi-Experimental Studies

Non-Experimental Studies

Descriptive Designs

Predictive Designs

Explanatory Designs

Time-Dimensional Designs

Qualitative Designs

Interpreting Primary Research Evidence

Measures of Validity

Measures of Reliability

Measures of Precision

Appraising the Strength and Quality of Research Evidence

Grading Quality of Research Evidence

Tips for Reading Research

The Title

The Abstract

The Introduction

The Conclusion

The Method

The Results

The Discussion

The Overall Report

A Practical Tool for Appraising Research Evidence

Recommendation for Nurse Leaders


7 Evidence Appraisal: Non-Research

Summaries of Research Evidence

Clinical Practice Guidelines and Consensus/Position Statements

Literature Reviews

Interpreting Evidence from Summaries of Research Evidence

Organizational Experience

Quality Improvement Reports

Financial Evaluation

Expert Opinion

Case Report

Community Standard

Clinician Experience

Patient/Consumer Preferences

Recommendations for Nurse Leaders


8 Translation

Implementing Practice Recommendations

Additional Models for Translation

Requirements for Successful Translation

Pathways to Translation

Criteria for Successful Translation

Evidence-Based Practice, Research, and Quality Improvement

Creating an Action Plan for Translation

Steps in Implementing Change

Secure Support and Resources

Implement the Action Plan

Evaluate Outcomes

Report Outcomes to Stakeholders

Identify Next Steps

Disseminate Findings


Part 4: Infrastructure

9 Creating a Supportive Evidence-Based Practice Environment

Choosing an EBP Model

Creating and Facilitating a Supportive EBP Environment

Establishing the Organizational Culture

Reviewing the Nursing Philosophy

Developing a Strategic Plan

Ensuring Committed Organizational Leadership

Identifying and Developing Mentors and Informal Leaders

The Johns Hopkins Nursing Experience

Overcoming Barriers

Leading Change and Managing Transition

Strategies for Managing Transitions

Building Capacity

Developing EBP Skills and Knowledge

Interprofessional Collaboration

The Johns Hopkins University School of Nursing

Sustaining the Change

Setting Expectations for EBP

Committee Structure

Communication Plan


Part 5: Exemplars

10 Exemplars

Support Surfaces and Pressure Ulcers

Use of Evidence-Based Practice Model by a

Professional Nursing Association

Placing Patients Taking Oral Antiplatelet Medications on

Bleeding Precautions

Fall Injury Risk Assessment

Preventing Pediatric Infiltrates

The Frequency of Manufactured Intravenous Fluid Bag


Ankyloglossia, Frenotomy, and Breast Feeding


A Project Management Guide

B Question Development Tool

C Evidence Level and Quality Guide

D Practice Question, Evidence, and Translation Process (PET)

E Research Evidence Appraisal Tool

F Non-Research Evidence Appraisal Tool

G Individual Evidence Summary Tool

H Synthesis and Recommendations Tool


ISBN #: 9781935476764

Editors: S. Dearholt, D. Dang