Johns Hopkins Nursing Evidence-Based Practice Thrid Edition: Model and Guidelines

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(^170) Johns Hopkins Nursing Evidence-Based Practice: Model and Guidelines, Third Edition


Requirements for Successful Translation

In the past, evidence known to affect successful translation has often not been
implemented or has been implemented inconsistently. As the quest to improve
the quality of healthcare has increased in importance, evidence translation has
achieved a higher priority. In addition, better systematic implementation strategies
and frameworks have been developed to escalate the translation process and en-
sure success.
When planning for evidence translation, the final step in the PET process, follow
these steps (see Appendix A):
■■ Determine the fit, feasibility, and appropriateness of recommendations for
the translation path.
■■ Create the action plan.
■■ Secure support and resources to implement the action plan.
■■ Implement the action plan.
■■ Evaluate the outcomes.
■■ Report the outcomes to stakeholders.
■■ Identify the next steps.
■■ Disseminate the findings.

Path to Translation

The evidence phase of the PET process ends when the team develops recommenda-
tions based on the synthesis of findings and strength of the evidence. The JHNEBP
Model has four possible paths for translating evidence into practice, based on the
type of available evidence:
■■ Strong, compelling evidence, consistent results
■■ Good evidence, consistent results
■■ Good evidence but conflicting results
■■ Insufficient or absent evidence
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