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The JBI model of evidence-based healthcare

Authors

  • Alan Pearson RN MSc PhD FAAG FRCN,

    Corresponding author
    1. The Joanna Briggs Institute, Royal Adelaide Hospital
    2. Department of Clinical Nursing, The University of Adelaide, Adelaide, South Australia, Australia
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  • Rick Wiechula RN BA BN MNSc DNurs,

    1. The Joanna Briggs Institute, Royal Adelaide Hospital
    2. Department of Clinical Nursing, The University of Adelaide, Adelaide, South Australia, Australia
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  • Anthea Court,

    1. The Joanna Briggs Institute, Royal Adelaide Hospital
    2. Department of Clinical Nursing, The University of Adelaide, Adelaide, South Australia, Australia
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  • Craig Lockwood RN BN MNSc

    1. The Joanna Briggs Institute, Royal Adelaide Hospital
    2. Department of Clinical Nursing, The University of Adelaide, Adelaide, South Australia, Australia
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Professor Alan Pearson, The Joanna Briggs Institute, Margaret Graham Building, Royal Adelaide Hospital, North Terrace, Adelaide, SA 5000, Australia. Email: alan.pearson@adelaide.edu.au

Abstract

Evidence-based healthcare as it is contemporarily conceived is based on the view that clinical decisions should be based on the best available scientific evidence but recognising patient preferences, the context of healthcare and the judgement of the clinician. The ongoing debate on the nature of evidence for practice across all of the health professions is influenced by the experience of clinicians in everyday practice who, in using the evidence, assert that there are diverse sources of research-based and non-research-based evidence and that the process of evidence-based practice should be placed within a broader context that is grounded in practice; recognises different evidentiary bases; and is directed towards improving global health across vasty different practice contexts.

We present a developmental framework of evidence-based practice that builds and expands on the work of leaders in the field of evidence-based healthcare; is contextualised; is inclusive of diverse forms of evidence; and incorporates understandings of knowledge transfer and utilisation. The conceptual model attempts to situate healthcare evidence and its role and use within the complexity of practice settings globally.

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