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

(vip2019) #1
3 The Johns Hopkins Nursing Evidence-Based Practice Model and Process Overview 53

Table 3.4 Translation Pathways for EBP Projects


Evidence
Compelling,
consistent

Good,
consistent

Good but
conflicting

Insufficient/
absent

Make recommended
change?

Yes Consider pilot of
change

No No

Need for further
investigation?

No Yes, particularly
for broad
application

Yes, consider
periodic
review for new
evidence or
development
of research
study

Yes, consider
periodic
review
for new
evidence or
development
of research
study

Risk-benefit
analysis

Benefit
clearly
outweighs
risk

Benefit may
outweigh risk

Benefit may
or may not
outweigh risk

Insufficient
information
to make
determination

Reprinted from Poe and White (2010)


Translation

In the third phase (Steps 12–19) of the process, the EBP team determines whether
the changes to practice are feasible and appropriate and are a good fit given the
target setting. If they are, the team creates an action plan, implements and evalu-
ates the change, and communicates the results to appropriate individuals both
internal and external to the organization.

Step 12: Determine fit, feasibility, and appropriateness of recommendation(s) for
translation pathway


The team communicates and obtains feedback from appropriate organizational
leaders, bedside clinicians, and all other stakeholders affected by the practice
Free download pdf