Introduction
Johns Hopkins Nursing Evidence-Based Practice: Model and Guidelines (JH-
NEBP) is steadfastly dedicated to the advancement of evidence-based practice
(EBP) and to frontline nurses who strive daily to improve patient care out-
comes through the translation of evidence into practice. Revisions to the third
edition have been informed by over a decade of experience using the model
and from the genuine and generous feedback received by clinicians and nurs-
ing students across the country as they apply the process in real-life settings.
As we progress on our journey to enhance the JHNEBP model and guidelines
to facilitate the implementation of EBP, we are grateful to those nurses who
have taken the time to provide feedback to improve the clarity and usability
of the model in a variety of clinical and academic settings. In this third edition,
we are excited to be able to share these changes.
The new edition lays the foundation for understanding the importance of
implementing EBP in a transformed healthcare environment, emphasizing the
necessity for continuous quality improvement and cost effectiveness. The JH-
NEBP model has been reconceptualized to capture the need for organizations
to cultivate both a spirit of inquiry and an environment of learning that en-
courages questioning, seeking best evidence and the implementation of innova-
tive improvements. The third edition also highlights EBP as a core competency
for all healthcare professionals. The Affordable Care Act has opened the doors
for funding related to the advancement of interprofessional collaboration and
teamwork particularly when addressing complex patient care issues such as
those often tackled by EBP teams. Additionally, the tools used to guide the EBP
process have been updated, and a number of new tools (Stakeholder Analysis,
Action Planning, and Dissemination) have been added. The third edition also
includes a new chapter on important tips for using the EBP tools.
The third edition continues to carry on the tradition first established by M.
Adelaide Nutting, Assistant Superintendent of nurses at The Johns Hopkins