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

3 The Johns Hopkins Nursing Evidence-Based Practice Model and Process Overview 41

Professional practice evaluation: Evaluating one’s own and others’ nursing practice.
Providing evidence for practice decisions and actions as part of the formal and informal
evaluation processes.

Resource utilization: Utilizing appropriate resources to plan, provide, and sustain
evidence-based nursing services that are safe, effective, and fiscally responsible.

Environmental health: Practicing in an environmentally safe and healthy manner.
Promoting a safe and healthy workplace and professional practice environment.

The Magnet Model has five key components: (a) transformational leadership;

(b) structural empowerment; (c) exemplary professional practice; (d) new knowl-

edge, innovations, and improvements; and (e) empirical outcomes. To provide

transformational leadership, nursing leaders need to inspire a shared vision, influ-

ence, model the way, challenge the process, enable others to act, encourage the

heart, and have clinical knowledge and expertise (Wolf, Triolo, & Ponte, 2008).

They need to create the vision and the environment that supports EBP activities,

such as continuous questioning of nursing practice, translation of existing evi-

dence, and development of new knowledge. Through structural empowerment,

nursing leaders promote professional staff involvement and autonomy in identi-

fying best practices and using the EBP process to change practice. Magnet organi-

zations demonstrate exemplary professional practice such as maintaining strong

professional practice models; partnering with patients, families, and interprofes-

sional team members; and focusing on systems that promote patient and staff

safety. New knowledge, innovations, and improvements challenge Magnet orga-

nizations to design new models of care, apply existing and new evidence to prac-

tice, and make visible contributions to the science of nursing (American Nurses

Credentialing Center [ANCC], 2011). Additionally, organizations are required

to have a heightened focus on empirical outcomes to evaluate quality. Advanced

practice (nurse practitioners, clinical nurse specialists, nurse anesthetists, or nurse

midwives) and doctorate of nursing practice (DNP) nurses are vital resources for

ensuring a robust EBP process, translating evidence into practice, and evaluating

outcomes.