Johns Hopkins Nursing Evidence-Based Practice
Step 1: Recruit an Interprofessional Team
Step 2: Define the Problem
EBP Projects and questions are typically based on identified knowledge gaps. If you already know the answer, you may want to reframe the problem or pursue a different or related initiative.
Step 3: Develop and Refine your EBP Question
In the practice of evidence-based nursing, the most common way of framing a clinical question is called "PICO". The PICO format helps you to define specific, answerable question that will lead to relevant results when you search the medical literature.
"P" Patient or Population being addressed
Who is your patient?
"I" Intervention of Exposure being considered
What do you plan to do for the patient?
"C" Comparison Intervention or Exposure (when relevant)
What is the alternative to your plan?
"O" Outcome(s) of interest
What is the goal of the intervention?
PLEASE NOTE: The Johns Hopkins Model of EBP recommends beginning with a background question before moving on to a foreground question.
Johns Hopkins EBP Question Development tool
Step 4: Identify the Stakeholders
A stakeholder is a person or group of people who have an interest in an activity or decision made by an organization. In healthcare, these can be people who carry out the process under review or people who are affected by a change in practice. Some examples of stakeholders may include: nurses, physicians, HCTs, pharmacists, social work, environmental services.
Identifying your stakeholders early in the EBP process is important because stakeholder buy-in is important for the success of the practice change implementation.
Engaging stakeholders early and often is key to success!
Step 6: Schedule Team Meetings
Teams that meet regularly are more likely to see EBP initiatives through to completion.
This guide was created by adapting materials from The Johns Hopkins Nursing Center for Evidence-Based Practice.
- Last Updated: May 1, 2023 12:33 PM
- URL: https://guides.upstate.edu/JHNEBP
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