Advanced Research Methods: Evidence-Based Practice

As noted previously, the final step of the Johns Hopkins
Nursing Evidence-Based Practice model is “T,” or translation.
Often referred to as knowledge translation, it is defined as
“deliberate means where information is diffused with an
implementation stratagy to ensure that information is
reaching a desired population and subsequently being used
in current practices” (Szeben, 2003, p.134). In other words,
knowledge translation occurs when the different processes
that produce research findings and evidence-based practice process combine leading to action. It
connects the quality evidence produced by research with the pragmatism of policy. Knowledge
translation strategies at the point of patient care need to include
outcomes measurement;
real-time feedback about patient outcomes achievement; and
electronic access to best-practice guidelines.
The evidence used to make decisions regarding person-centered care are noted to be research
information, clinical experience, and patient choice (Rycroft-Malone et al., 2002).
Considering the information provided by Bennet and Jessani (2011), three questions can be
asked.
1. Where are we now, which considers whether the organizational culture either fosters or
hinders knowledge translation practices?
2. Where do we want to be, which considers strategic planning within the organization?
3. How do we get there, which considers an action plan of people, processes, and
technology?
From the above questions, it is easy to determine that the process related to implementing EBP is
not easy, because practice change frequently occurs within many levels of an organization where
the culture may be favorable toward EBP or one where barriers may be present. To help move
research evidence from journal pages to the bedside, models are used because they help to
delineate the steps to accomplish the task. By using a model, a comprehensive approach is
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provided so that steps are not overlooked. Just as with the process of change creation, missing a
step in the process negatively impacts the success of the change.
Knowledge Translaƭon
The following presentation provides additional
information regarding knowledge translation.
Knowledge Translation
(https://www.youtube.com/watch?
v=9NLh_9Qh_bI)
(https://www.youtube.com/watch?
v=9NLh_9Qh_bI)
After reading and listening to the above information regarding knowledge translation, a question
you may have is, “How do I move knowledge or evidence into practice?” To assist with knowledge
translation, the use of an evidence-based practice model is recommended. Although the models
may seem long, the use of a model will help to ensure that knowledge translation is both
successful and sustained.
Johns Hopkins Nursing Evidence-Based Pracƭce Model
There are numerous EBP models. For this course, the Johns Hopkins Nursing Evidence-Based
Practice (JHNEBP) model was selected because of the usefulness in numerous settings. The
acronym PET demonstrates the process of moving from Practice question to Evidence to
Translation. The practice question can be associated with any practice setting, including
informatics, education, or healthcare policy executive, as well as clinical practice. This stage of
the PET process includes forming a team of stakeholders and individuals who are needed in
order to make the project successful. The development of a well-defined question—PICOT or
PICo—is very important because it determines the scope of the project. The evidence phase
involves the search for an