EVIDENCE-BASED PRACTICE There are multiple Evidence-Based Practice (EBP) models in the literature, all of which support and contribute to the quality and enhancement of the art and science of nursing. Orange Regional Medical Center has integrated the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model into its New Knowledge, Innovations, and Improvements practice. The JHNEBP model is described as: A problem-solving approach to clinical decision-making within a health care organization that integrates the best available scientific evidence with the best available experiential (patient and practitioner) evidence, considers internal and external influences on practice and encourages critical thinking in the judicious application of such evidence to care for the individual patient, patient population or system (Melnyk & Fineout-Overholt, 2011, p. 269). Through the use of this EBP model, all clinical nurses are able to incorporate EBP into their nursing care. This fosters a culture of knowledge-based care and practice. The JHNEBP model urges clinical nurses to evaluate, pilot and promote EBP.
Written by: Tonianne Motta, MSN, RN, CMSRN, Clinical Nurse, Oncology Pictured: Veronica Bollati, RN, CMSRN, ONC, Clinical Nurse, 4 West
Orange Regional has adopted this EBP model to foster new knowledge, innovations and improvements on our journey to operational excellence and Magnet accreditation. For example, utilizing the EBP model, the nursing research and EBP Committee has strengthened the hospital’s bedside handover policy and procedure so as to create an exceptional healing environment for our patients and families. Our strengthened policy fosters patient/family involvement and ensures patient safety. The goal of EBP and its utilization within the nursing fabric of Orange Regional is the promotion of standards of excellence. While changes in nursing practice may be met with spirited inquiry, the benefits of change must be clearly communicated. At Orange Regional, the benefits of change include enhanced responsibility and the creation of a culture of inquiry. Our EBP model, which integrates the best available scientific evidence, encourages critical thinking, which leads to better outcomes for individual patients and the community we serve.
References: Melnyk, B.M. & Fineout-Overholt, E. (2011). Evidence-based practice in nursing and healthcare: A guide to best practice. Philadelphia, PA: Wolters Kluwer/Lippincott Williams & Wilkins.
Johns Hopkins Nursing Evidence-Based Practice Model Practice Internal Factors
External Factors
Culture
Legislation
Environment
Quality Measures
Equipment Supplies Staffing
Standards
Regulation
RESEARCH
Standards
• Experimental • Quasi-experimental • Non-experimental
NON-RESEARCH • Organizational Experience • Quality Improvement • Financial Data • Clinical Expertise • Patient Preference
Education
Research 7