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

11 Lessons from Practice: Using the JHNEBP Tools 253

EBP Question: Could the use of plain, disposable bathing wipes, instead of traditional basin bathing,
reduce the incidence of CAUTIs for adult patients on a medical surgical nursing unit?

Date: 2017

Article

#

Author

and Date

Evidence

Type

Sample,

Sample

Size,

Setting

Findings That Help

Answer the EBP

Question

Observable

Measures Limitations

Evidence

Level,

Quality

3

Jewett, R.

& Martin,

R. (2014)

RCT 50 patients

were

randomized

25 received

basin and

25 received

wipe

Basin washing was

shown to increase

incidences of CAUTI

Using clean wipes

reduced CAUTI by

75%

Patients showed

a preference for

cleansing wipes

over basin water

Incidence of

CAUTI/1000

catheter days

Academic

medical

center with

higher

staffing levels

Level I

Quality B

4

Samuel, J.,

Gamma,

M., &

Bean, B.

(2013)

■■■■■■■■■■■

■

■■■■■■■■✘■N/A

Use of cleansing

wipes should be

univerally adopted

Much preferred over

basin cleaning by

both patients and

staff

All staff should

be trained in

CAUTI prevention

techniques

Limited

evidence

used to g

prac

dec

Level IV

Quality B

5

Jackson, J.

& Lyn, R.

(2015)

Quasi

experiment-

al

Incidence of

CAUTI/1000

catheter days

Ins

San

6

Finch,

E. L.

(2016) Qualitative

25

Sm

7 Woodrow,

A. (2017)

Expert

opinion

■■

■■■■■■■■■✘ N/A

Benefits of

cleansing wipe

Appendixes E & F direct you to

number each piece of evidence.

This is where that number is used.

Findings that

help answer your

EBP question

are entered here,

directly from the

appraisal tool.

Enter the metrics identified from

each source of evidence. These

provide ideas for metrics the EBP

team may consider to determine

if the practice change was

successful.

Limitations include

not only those

identified by the

authors, but also

limitations the EBP

team identifies.

For example, if

your population

of interest is

pediatrics and this

article addresses

adults, that would

be a limitation to

acknowledge.

Figure 11.6 Completed Appendix G: Individual Evidence Summary Tool.