3 The Johns Hopkins Nursing Evidence-Based Practice Model and Process Overview 45
Internal factors can include organizational culture, values, and beliefs; practice
environment (e.g., leadership, resource allocation, patient services, organizational
mission and priorities, availability of technology, library support, time to conduct
EBP activities); equipment and supplies; staffing; and organizational standards.
Enacting EBP within an organization requires
■■ A culture that believes EBP will lead to optimal patient outcomes
■■ Strong leadership support at all levels with the necessary resources (hu-
man, technological, and financial) to sustain the process
■■ Clear expectations that incorporate EBP into standards and job descrip-
tions
■■ Development of EBP mentors such as unit-based EBP champions, and ad-
vanced practice and DNP nurses to serve as teachers and role models and
to assist with EBP team leadership
■■ A culture that supports interprofessional collaboration
Partnerships and interprofessional collaboration are crucial for the implemen-
tation of EBP initiatives that are in alignment with a healthcare organization’s
mission, goals, and strategic priorities (Moch, Quinn-Lee, Gallegos, & Sortedahl,
2015). Knowledge and evaluation of the patient population and the internal and
external factors that impact the healthcare institution are essential for successful
implementation and sustainability of EBP within an organization.
JHNEBP PET Process: Practice Question, Evidence, and
Translation
The 19-step JHNEBP process (see Appendix A) occurs in three phases and can be
simply described as PET (see Figure 3.3). The process begins with the identifica-
tion of a practice problem, issue, or concern. This step is critically important be-
cause how the problem is posed drives the remaining steps in the process. Based
on the problem statement, a practice question is developed and refined, and a
