Aim. To provide an overview, summary of key features and evaluation of
usefulness of six evidence-based practice models frequently discussed in the
literature.
Background. The variety of evidence-based practice models and frameworks,
complex terminology and organizational culture challenges nurses in selecting the
model that best fits their practice setting.
Data sources. The authors: (1) initially identified models described in a
predominant nursing text; (2) searched the literature through CINAHL from
1998 to current year, using combinations of ‘evidence’, ‘evidence-based practice’,
‘models’, ‘nursing’ and ‘research’; (3) refined the list of selected models based on
the initial literature review; and (4) conducted a second search of the literature on
the selected models for all available years to locate both historical and recent
articles on their use in nursing practice.
Discussion. Authors described model key features and provided an evaluation of
model usefulness based on specific criteria, which focused on facilitating the
evidence-based practice process and guiding practice change.
Implications for nursing. The evaluation of model usefulness can be used to
determine the best fit of the models to the practice setting.
Conclusion. The Johns Hopkins Model and the Academic Center for Evidence-
Based Practice Star Model emphasize the processes of finding and evaluating
evidence that is likely to appeal to nursing educators. Organizations may prefer
the Promoting Action on Research Implementation in Health Services
Framework, Advancing Research and Clinical Practice Through Close
Collaboration, or Iowa models for their emphasis on team decision-making. An
evidence-based practice model that is clear to the clinician and fits the
organization will guide a systematic approach to evidence review and practice
change.
Aim. To provide an overview, summary of key features and evaluation ofusefulness of six evidence-based practice models frequently discussed in theliterature.Background. The variety of evidence-based practice models and frameworks,complex terminology and organizational culture challenges nurses in selecting themodel that best fits their practice setting.Data sources. The authors: (1) initially identified models described in apredominant nursing text; (2) searched the literature through CINAHL from1998 to current year, using combinations of ‘evidence’, ‘evidence-based practice’,‘models’, ‘nursing’ and ‘research’; (3) refined the list of selected models based onthe initial literature review; and (4) conducted a second search of the literature onthe selected models for all available years to locate both historical and recentarticles on their use in nursing practice.Discussion. Authors described model key features and provided an evaluation ofmodel usefulness based on specific criteria, which focused on facilitating theevidence-based practice process and guiding practice change.Implications for nursing. The evaluation of model usefulness can be used todetermine the best fit of the models to the practice setting.Conclusion. The Johns Hopkins Model and the Academic Center for Evidence-Based Practice Star Model emphasize the processes of finding and evaluatingevidence that is likely to appeal to nursing educators. Organizations may preferthe Promoting Action on Research Implementation in Health ServicesFramework, Advancing Research and Clinical Practice Through CloseCollaboration, or Iowa models for their emphasis on team decision-making. Anevidence-based practice model that is clear to the clinician and fits theorganization will guide a systematic approach to evidence review and practicechange.
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