1. Council for Training in Evidence-Based Behavioral Practice Robin Newhouse, PhD, RN, CNA, CNOR
Nursing Perspectives

2. EBP is….
…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 of the individual patient, patient population, or system.
Newhouse R, Dearholt S, Poe S, Pugh LC, White K. (2005). The Johns Hopkins Nursing Evidence-based Practice Model. Baltimore, MD: The Johns Hopkins Hospital & Johns Hopkins University School of Nursing

3. JHN Evidence-based Practice Conceptual Model
Internal
Factors
External
Factors
Culture
Environment
Equipment/Supplies
Staffing Effectiveness
Standards
Research
Experimental
Quasi-experimental
Non-experimental
Qualitative
Accreditation
Core Measures
Legislation
Licensing
Standards
Non-Research
Organizational experience
Quality improvement
Financial data
Clinical expertise
Patient preference
Education
Research
 The Johns Hopkins Hospital/ The Johns Hopkins University

4. EBP Process Practice Question, Evidence, Translation (PET) Practice
Newhouse, R.P., Dearholt, S., Poe, S., Pugh, L.C., White, K (2005) Evidence Based Practice:
A Practical Approach to Implementation, Journal of Nursing Administration, 35(1),
 The Johns Hopkins Hospital/ The Johns Hopkins University

5. EBP Activities Magnet accreditation Competencies
Acute care infrastructure
Professional standards
Incorporation into curriculum
Synthesis
Informatics integration

7. Issues and Controversy
State of evidence in nursing
Funding
Organizational infrastructure
Transferability
Availability of experts/mentors
Adoption of evidence