Evaluating and Using Evidence-Based Practice (EBP) Models in a Clinical Setting

Overview

This resource provides multiple current EBP models and tools on how to evaluate and consider for use in their clinical setting.

How to Use

Faculty review each EBP model in a class exercise directing students to assess if and how students will use the model. The students must make the case for how the selected model is appropriate for use in their context and setting.

The model selected can be used as a framework for students’ EBP projects.

See list below for various EBP models and evaluation tools.

• Johns Hopkins Medicine Center for Evidence Based Practice: Johns Hopkins Evidence Based Practice Model and Tools.
  
• UC Davis Library: Finding Evidence-Based Answers to Clinical Questions–Quickly & Effectively.
  
• Evidence-Based Behavorial-Practice (EBBP): EBBP Process Online Training Modules.
  
• McMaster University Health Sciences Library:
  • Resources for Evidence-Based Practice: About EBP
  • Some Studies That I Like to Quote by James McCormack
  • Viva La Evidence! by James McCormack

Integrative Learning Strategies

• Assessment Strategy
• Clinical Strategy
• Didactic Learning

1. Group or individual interviews with clinical staff
2. Attendance at or review minutes or EBP/quality committee
3. Review modules and return demonstration in group

Assessment Strategies

1. Obtain clinical data from EMR or health system related to clinical practice and nurse or patient outcomes.
   
2. Analyze data and prepare a summary of results
   
3. Develop recommendations to address the clinical need including people/committees responsible to address needs.
   
4. Evaluate individual quality, quantity, and consistency of summary evidence
   
5. Recommend if evidence strength and fit should be applied to the clinical problem
   
6. Write a summary statement of the quality, quantity and consistency of evidence, the overall strength of evidence (High, Moderate, Low) and the rationale for the recommendation.

Possible Courses

• Research
• Evidence-Based Practice Courses
• Practicum Courses
• Clinical/Administrative Projects

Additional Resources/Publications

Dang, D., & Dearholt, S.L. (2018). Johns Hopkins nursing evidence-based practice: Model & guidelines (3rd ed). Sigma Theta Tau International.

Johns Hopkins Medicine Center for Evidence Based Practice: Johns Hopkins Evidence Based Practice Model and Tools. https://www.hopkinsmedicine.org/evidence-based-practice/ijhn_2017_ebp.html

Evidence-Based Behavorial-Practice (EBBP) Modules https://ebbp.org/training/overview

Lee, M.C., Johnson, K.L., Newhouse, R.P., Warren, J.I. (2013). Evidence-based Practice Process Quality Assessment: EPQA Guidelines. Worldviews on Evidence-Based Nursing, 10(3), 140-149. doi: 10.1111/j.1741-6787.2012.00264.x

Melnyk,, B.M. & Fineout-Overholt, E. (2019). Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice 4th Edition, Wolters Kluwer, Philadelphia.

Buccheri RK, Sharifi C. (2017). Critical Appraisal Tools and Reporting Guidelines for Evidence-Based Practice. Worldviews Evid Based Nurs. 2017 Dec;14(6):463-472. doi: 10.1111/wvn.12258.

Albarqouni L, Hoffmann T, Straus S, Olsen NR, Young T, Ilic D, Shaneyfelt T, Haynes RB, Guyatt G, Glasziou P. (2018). Core Competencies in Evidence-Based Practice for Health Professionals: Consensus Statement Based on a Systematic Review and Delphi Survey. JAMA Netw Open, 1(2):e180281. doi: 10.1001/jamanetworkopen.

Warren JI, McLaughlin M, Bardsley J, Eich J, Esche CA, Kropkowski L, Risch S. The Strengths and Challenges of Implementing EBP in Healthcare Systems. Worldviews Evid Based Nurs. 2016 Feb;13(1):15-24. doi: 10.1111/wvn.12149.

Posted October 18, 2022

Submitted by:

Domain 4 Tool Kit Working Group

Robin Newhouse, PhD, Indiana University
Meg Moorman, PhD, Indiana University
Rosanne Burson, DNP, University of Detroit Mercy
Katherine Moran, DNP, Grand Valley State University

Domain 4: Scholarship for Nursing Discipline