3 The Johns Hopkins Nursing Evidence-Based Practice Model and Process Overview 57
evidence base and, therefore, require the development of a research protocol. For
example, when the recommendation to perform a chest x-ray to validate initial
enteral tube placement was not accepted (see the example discussed in Step 12),
the EBP team decided to design a research study to look at the use of colorimet-
ric carbon dioxide detectors to determine tube location.
Step 19: Disseminate findings
This final step of the process is one that is often overlooked and requires strong
organizational support. The results of the EBP project need to be, at minimum,
communicated to the organization. Depending on the scope of the EBP question
and the outcome, consideration should be given to communicating findings
external to the organization in appropriate professional journals or through
presentations at professional conferences. Refer to the Dissemination Tool (see
Appendix J).
Summary
This chapter introduces the revised JHNEBP Model (2017) and the steps of the
PET process. Nursing staff with varied experience and educational preparation
have successfully used this process with mentorship and organizational support.
They have found it rewarding both in understanding the basis for their current
nursing interventions and incorporating changes into their practice based on evi-
dence (Dearholt & Dang, 2012).
References
Agency for Healthcare Research and Quality. (2011). Engaging stakeholders to identify and
prioritize future research needs. Retrieved from http://www.effectivehealthcare.ahrq.gov/
index.cfm/search-for-guides-reviews-and-reports/?pageaction=displayproduct&productid=698
American Nurses Association (ANA). (2010). Nursing: Scope and standards of practice. Washington,
DC: American Nurses Association.
American Nurses Association (ANA). (2015). Nursing: Scope and standards of practice (3rd ed.).
Silver Spring, MD: American Nurses Association.
American Nurses Credentialing Center (ANCC). (2011). Announcing the model for ANCC’s
magnet recognition program. Retrieved from http://www.nursecredentialing.org/Magnet/
ProgramOverview/New-Magnet-Model.aspx