3 The Johns Hopkins Nursing Evidence-Based Practice Model and Process Overview 43
Ongoing learning is necessary to remain current with new knowledge, technolo-
gies, and skills, and to establish clinical competencies. Learning also serves to in-
form practice, which leads to changes in care standards that drive improvements
in patient outcomes. Because the field of healthcare is
becoming increasingly more complex and technical, no
single individual can know everything about how best
to provide safe and effective care, and no single degree
can provide the knowledge needed to span an entire
career. It is, therefore, an essential expectation that
nurses participate in lifelong learning and continued
competency development (IOM, 2011).
Lifelong learning is not only individual learning but also interprofessional, col-
laborative, and team-oriented learning. For example, joint learning experiences
between nursing and medical students can facilitate a better understanding of
roles and responsibilities, make communication more effective, aid in conflict
resolution, and foster shared decision-making. Joint learning can also improve
collaboration and the ability to work more effectively on interprofessional EBP
teams. The use of interprofessional education and learning fosters collaboration
in implementing clinical standards, improving services, and preparing teams to
solve problems using an EBP approach that exceeds the capacity of any lone pro-
fessional (IOM, 2011).
The JHNEBP Model—Description
Inquiry is the starting point for using the JHNEBP Model (refer to Figure 3.1 on
page 36). An individual or a team, sparked by genuine curiosity, seeks to identify
whether current practice reflects the best evidence for a specific problem or a
particular patient population. The PET process provides a systematic approach
for solving a practice question, finding the best evidence, and translating best
evidence into practice. As the individual or team moves through the PET pro-
cess, they are continually learning by gaining new knowledge, improving skills
in collaboration, and gaining insights. At any point in the learning-and-practice
“Education is
what people do
to you. Learning
is what you do
for yourself.”
–Joi Ito
