11 Lessons from Practice: Using the JHNEBP Tools 249
Appendix F: Nonresearch Evidence Appraisal Tool
When teams are appraising nonresearch evidence (Levels IV, V), they use Ap-
pendix F, the Nonresearch Evidence Appraisal Tool (see Figure 11.5). Hint: Use
Appendix D (not shown in this chapter) for a quick overview for determining the
level of evidence.
Evidence level and quality rating: ____________
Article title: Catheter care in an inpatient Number:
Author(s): Samuel, J., Gamma, B. Publication date:
Journal: Med/Surg Nursing, S516-S538
Setting: 2 participating centers: both
academic medical centers
Sample (composition and size):
Does this evidence address my EBP
question?
✘ Yes ❑ No
Do not proceed with appraisal of this evidence.
❑ Clinical Practice Guidelines LEVEL IV
Systematically developed recommendations from nationally recognized experts based on research evidence or
expert consensus panel
❑ Consensus or Position Statement LEVEL IV
Systematically developed recommendations, based on research and nationally recognized expert opinion, that
guide members of a professional organization in decision-making for an issue of concern.
■■Are the types of evidence included identified? ❑ Yes ❑ No
■■Were appropriate stakeholders involved in the development of
recommendations?
❑ Yes ❑ No
■■Are groups to which recommendations apply and do not apply clearly
stated?
❑ Yes ❑ No
■■Have potential biases been eliminated? ❑ Yes ❑ No
■■Does each recommendation have an identified level of evidence stated? ❑ Yes ❑ No
■■Are recommendations clear? ❑ Yes ❑ No
Complete the corresponding quality rating.
Helpful hint: If the team seems to be answering
No to many of the appraisal questions in
either Appendix E or F, double-check that
you are using the correct form or the correct
section. For example, mistakenly identifying
a quality improvement project (non-research)
as a research study could lead the team to
determine the evidence to be of poor quality
when it was simply a matter of using the
incorrect appraisal form.
