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

(^240) Johns Hopkins Nursing Evidence-Based Practice: Model and Guidelines, Third Edition
Figure 11.1 Completed Appendix A: Practice Question, Evidence, and Translation (PET) and Project
Management Guide.
Initial EBP Question: Do current bathing practices impact the transmission of healthcare-associated infections (HAIs) and CAUTIs
among hospitalized adult patients?
EBP Team Leader(s): Abigail Strouse
EBP Team Members: CAUTI prevention workgroup
Activities
Start
Date
Days
Required End Date
Person
Assigned Milestone
Comment/
Resources Required
PRACTICE QUESTION:
Step 1: Recruit interprofessional
team
03/01/17 14 days 03/14/17 A. Strouse Interdiscipli-
nary team
Existing CAUTI
workgroup
Step 2: Define the problem 03/15/17 7 days 03/22/17 Team Problem
Step 3: Develop and refine the
EBP question
03/24/17 7 days 04/02/17 Team
Step 4: Identify stakeholders 03/03/17 14 days 03/14/17 Team
Step 5: Determine responsibility
for project leadership
04/18/17 7 days 04/25/17 Team
Step 6: Schedule team meetings 03/15/17 7 days 03/22/17 A. Strouse Meetings
arranged
Used existing CAUTI
meeting time
EVIDENCE:
Step 7: Conduct internal and
external search for evidence
04/03/17 5 days 05/08/17 A. Strouse
Step 8: Appraise the level and
quality of each piece of evidence
05/09/17 21 days 05/30/17 Team
Step 9: Summarize the individual
experience
05/20/17 7 days 05/06/17 Team
Step 10: Synthesize overall
strength and quality of evidence
05/27/17 7 days 05/14/17 Team
Step 11: Develop
recommendations for change
based on evidence synthesis:
■■Strong, compelling
evidence, consistent
results
■■Good evidence, consistent
results
■■Good evidence, conflicting
results
■■Insufficient or absent
evidence
06/15/17 28 days 06/12/17
TRANSLATION:
Step 12: Determine fit,
feasibility, and appropriateness
of recommendation(s) for
translation path
06/20/17 5 days 06/25/17 EBP Team
Step 13: Create action plan 06/25/17 7 days 07/01/17 EBP Team
Step 14: Secure support and
resources to implement action
plan
07/01/17 10 days 07/11/17 EBP Team Approval
Step 15: Implement action plan 07/01/17 7 days 03/14/17 EBP Team
Step 16: Evaluate outcomes 07/01/17 7 days 03/14/17 EBP Team
Step 17: Report outcomes to 08/04/17 7 days 08/11/17 EBP Team
Fill this in after completing Appendix B.
Identify stakeholders early in the
EBP process to secure their buy-
in. Stakeholders are not generally
members of the team, but receive
ongoing communication about the
progress of the project.
Finding meeting times for the team can
be a challenge. Look for opportunities
to use meetings that are already
scheduled (e.g., staff or committee
meetings) to minimize the need for
additional meetings.
The project management tool is designed to be a roadmap that is updated
throughout the project.