(^12) Johns Hopkins Nursing Evidence-Based Practice: Model and Guidelines, Third Edition
Summary
This chapter defines EBP and discusses the evolution that led to the critical need
for practice based on evidence to guide decision-making. EBP creates a culture of
critical thinking and ongoing learning and is the foundation for an environment
in which evidence supports clinical, administrative, and educational decisions.
EBP supports rational decision-making, reducing inappropriate variation in prac-
tice, and making it easier for nurses to do their job.
Numbering more than 3 million and practicing in all healthcare settings, nurses
make up the largest number of health professionals. Every patient is likely to
receive nursing care; therefore, nurses are in a position to influence the type,
quality, and cost of care provided to patients. For nursing, the framework for
decision-making has traditionally been the nursing process. Understood in this
framework is the use of evidence to guide the nurse in planning for and making
decisions about care. EBP is an explicit process that facilitates meeting the needs
of patients and delivering care that is effective, efficient, equitable, patient-
centered, safe, and timely (IOM, 2001).References
Austin, C. P. (2016). Director’s message. National Center for Advancing Translational Sciences.
Retrieved from https://ncats.nih.gov/director/message2016
Cochrane, A. L. (1972). Effectiveness and efficiency: Random reflections on health services. London:
Nuffield Provincial Hospitals Trust. The Cochrane Collaboration.
The Cochrane Collaboration. (2016). Retrieved from http://www.cochrane.org/about-us
Collins, F. S. (2011). Reengineering translational science: The time is right. Science Translational
Medicine, 3(90), 90cm17.
Dearholt, S., & Dang, D. (2012). Johns Hopkins Nursing evidence-based practice: Models and
guidelines (2nd ed.). Sigma Theta Tau International, Indianapolis, IN.
Ebsco Publishing. (2016). CINAHL Plus Full Text. Retrieved from http://www.ebscohost.com/
academic/cinahl-plus-with-full-text
Estabrooks, C. A. (1998). Will evidence-based nursing practice make practice perfect? Canadian
Journal of Nursing Research, 30(1), 15–36.Grady, P. A. (2010). Translational research and nursing science. Nursing Outlook, 58, 164–166. doi:
10.1016/j.outlook.2010.01.001