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Johns Hopkins Evidence-Based Practice Model for Nursing and Healthcare Professionals

PET Process Guide

Appendix A

EBP Work Plan

Initial EBP question:

Will an evidence based guideline on monitoring diabetic patients using smart phone technology be approved by a panel of experts using the AGREE II tool at a primary care clinic?

Project faculty advisor:

Project faculty member:

Project site mentor:

Goal completion date:

Steps

Weeks

Phase 1 Step 1 and 2 Assignments 2,3,4

1. Submit PET Process Guide Weeks 1,6,11 Guide (Appendix A PET Process Guide)

Phase 1 Step 1 and 2 Assignment 1

2. Schedule meeting with faculty advisor

Practice Question & Project Planning

Phase 1 Step 3

3. Schedule site approval meeting

4. Obtain site approval signatures/site approval complete minutes

Phase 1 Step 4

5. After faculty advisor approval, submit site approval and site approval minutes for committee approval My DR

6. Analyze organizational readiness

7. Conduct SWOT analysis

8. Identify stakeholders (Appendix C Stakeholder Analysis and Communication Tool

Phase 1 Step 5

9. Develop & refine the EBP question (Appendix B Question Development Tool)

Evidence

10. Conduct internal & external search for evidence

11. Appraise the level & quality of each piece of evidence (Appendix D Hierarchy of Evidence Guide; Appendix E Research Evidence Appraisal Tool; Appendix F Nonresearch Evidence Appraisal Tool)

Phase 1 Step 6

12. Summarize the individual evidence (Appendix G Individual Evidence Summary Tool)

Phase 1 Step 6

13. Synthesize findings (Appendix H Synthesis and Recommendation Tool)

Phase 1 Step 6

14. Develop best evidence recommendations (Appendix H Synthesis and Recommendation Tool)

15. Develop project materials (refer to project checklist)

Translation

16. Identify practice setting–specific recommendations (Appendix I Translation and Action Planning Tool))

17. Create action plan (Appendix I Translation and Action Planning Tool))

Phase 2 Step 1

18. After faculty advisor approval, submit Appendices G, H, I and project materials for committee approval in My DR

Phase 2 Step 2

19. Schedule Action Plan Review Meeting

Phase 2 Step 3

20. Complete online Ethics Pledge

Phase 3 Step 1

21. Update meeting prior to implementation as needed or progress to implementation

Phase 4 Step 1

22. If change is implemented, evaluate outcomes to determine if improvements have been made

Phase 5 Assignment

23. Report results to stakeholders (Close Out Review Meeting)

Phase 6 Step 1

24. After faculty advisor approval, submit executive summary for committee approval in My DR

Phase 6 Step 2

25. Disseminate findings (Submit final executive summary with front endorsement page and CAO requested updates to [email protected]

Decision tree to determine the need for an EBP project

Start

Key to the EBP Project Decision Tree:

i. Organizational priorities include unit, department, hospital, and programmatic.

ii. Team critically evaluates an existing evidence synthesis to ensure not only quality, but also that the findings are applicable to team’s setting and population and have been completed recently enough to represent the current environment. Make practice changes based only on high to moderate strength of syntheses of evidence, rather than on a single, low-quality evidence synthesis.

iii. Refer to the JHEBP Model and Guidelines for Nursing and Healthcare or the online EBP modules for assistance in determining fit, feasibility, and appropriateness.

Directions for Use of the PET Process Guide

See Chapter 11, Lessons from Practice, for examples of completed tools.

Purpose: The PET Process Guide is a tool to plan each step of the EBP process using the related Appendix, as indicated.

EBP Project Plan: The project plan is dynamic, and the team should revisit due dates for each step throughout the EBP project. Best practice is to start with the desired completion date and work backward to determine a due date for each step. Shade the month box(es) that correspond to the completion date for each step in a row. Shaded boxes across rows may overlap. The team can convert the numbered months to month name. Where applicable, the corresponding EBP Appendix tool is noted.

Decision tree to determine the need for an EBP project:

The EBP decision tree guides the team in determining if an EBP project is the appropriate inquiry approach and is value-added. Note: Evidence must exist to conduct an evidence-based practice project. If an evidence-based practice synthesis of evidence exists (internally or externally to the organization) and the team determines it is high-quality, recent, and applicable to the situation or population, the team moves to recommendations and translation.

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