John Hopkins nursing ebp Practice Question Phase
The John Hopkins Nursing Evidence Based Practice Model includes six steps in its practice question phase. They are listed below.
- Recruit the interprofessional team
- Define the problem
- Develop and refine the EBP question
- Identify the stakeholders
- Determine the responsibility for project leadership
- Schedule the team meetings
Step 1: Recruit the interprofessional team
The John Hopkins Nursing Evidence Based Practice Model encourages the use of interdisciplinary teams to examine clinical practice questions. This team may consist of nurses, physicians, pharmacists, physical therapists, or other professionals. Having a variety of perspectives at the table will make it easier to understand who the stakeholders are involved in the clinical practice you are hoping to change.
Step 2: Define the Problem
Foreground vs. Background questions
Your clinical question will either be a foreground or a background question.
What's the difference?
What's the difference?
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Background Clinical Questions: These are questions asked to gain general knowledge about a disorder, disease, test, or treatment. These types of questions typically ask who, what, where, when, how & why. EXAMPLE: What causes tinnitus? How do I treat tinnitus? |
Foreground Clinical Questions: These are more specific questions and are asked to inform on clinical decisions. These questions are usually more complex than background questions, and are categorized into a major type. Read more below to learn about the types of foreground questions. |
Step 3: Develop and refine the EBP question
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 include patients, nurses, physicians, and the purchasing department.
Identifying your stakeholders early in the EBP process is important because stakeholder buy-in is important for the success of the practice change implementation.
How do you identify stakeholders for your project?
Identifying your stakeholders early in the EBP process is important because stakeholder buy-in is important for the success of the practice change implementation.
How do you identify stakeholders for your project?
- The John Hopkins Nursing Evidence Based Practice Model provides a Stakeholder Analysis Tool.
- The tools4dev Stakeholder Analysis Matrix Template provides an easy-to-use visual way of organizing how your stakeholders interact with your project.
- And here is a short video by the Primes, explaining what stake is and how to motivate stakeholders to make a change.
Step 5: Determine the responsibility for project leadership
Choosing an appropriate leader is important for the project's success. The leader should have experience in evidence-based practice and working with multidisciplinary teams.
Step 6: Schedule the team meetings
The project leader will handle scheduling of the EBP team meetings at a time that is amenable to most team members. At Ellis, scheduling of conference rooms is handled through Microsoft Outlook. You can contact the Helpdesk at 518.243.4445 for assistance with using Outlook to schedule meetings.