Model Overview
The Johns Hopkins Nursing Evidence-Based Practice Model is a framework utilized to embrace the variety of nursing practices, as well as unique experiences of nurses and patients, to prompt knowledge and skill development in nursing experts and an improved approach to meeting patients’ needs (Dang & Dearholt, 2017). The model allows transitioning seamlessly from academic research to nursing practice, which is particularly useful for nurses, as Martinez et al.’s (2018) study confirms. Therefore, the framework should be recognized for its universality.
Rationale
The focus on the evidence-based approach to problem-solving and the emphasis on continuous learning, along with the opportunity to introduce a culture- and patient-oriented approach, are the main reasons for selecting the Johns Hopkins Nursing Evidence-Based Practice Model. The proposed framework is incorporated into the nursing practice easily and helps to center patients’ needs while choosing the best available techniques and integrating them into patient care (Dang & Dearholt, 2017).
Steps/Phases
The Johns Hopkins Nursing Evidence-Based Practice Model includes three phases, which are as follows: practice question, evidence, and translation (PET). Specifically, the practice question stage involves constructing the PICO question, which is expected to embrace the population, intervention, comparison (if appropriate), and outcomes (Dang & Dearholt, 2017). In turn, gathering evidence serves as the intermediary stage that leads to the translation of theoretical premises to the target setting (Dang & Dearholt, 2017).
Strengths and Limitations
The focus on evidence-based practice is the main strength of the Johns Hopkins Nursing Evidence-Based Practice Model since it allows adjusting the existing strategies to patient-specific needs and explore variations in outcomes (Dang & Dearholt, 2017). In addition, with the implementation of the model, patients become active agents in their treatment process (Dang & Dearholt, 2017). However, the model is limited by the possible lack of health literacy in patients and their resulting resistance to the offered treatment.
References
Dang, D., & Dearholt, S. L. (2017). Johns Hopkins nursing evidence-based practice: Model and guidelines. Sigma Theta Tau.
Martinez, D. A., Kane, E. M., Jalalpour, M., Scheulen, J., Rupani, H., Toteja, R., Charles, B., Bush, B. & Levin, S. R. (2018). An electronic Dashboard to monitor patient flow at the Johns Hopkins Hospital: communication of key performance indicators using the Donabedian model. Journal of Medical Systems, 42(8), 1-8. Web.