JBI’s approach to evidence-based healthcare is unique. JBI considers #EBHC as decision-making that considers the feasibility, appropriateness, meaningfulness and effectiveness (FAME) of healthcare practices. Read below to learn more about the JBI Model of EBHC.
The inner circle represents the pebble of knowledge while the inner wedges provide JBI’s conceptualization of the steps involved in the process of achieving an evidence-based approach to clinical decision making.
The outer wedges operationalize the component parts of the Model and articulate how they might be actioned in a pragmatic way. The arrows indicate that the flow can be bi-directional.
JBI believes that evidence-based healthcare should be driven by the needs of global health. The achievement of improved global health is seen as both the goal (or endpoint) & the ‘driving force’ of evidence-based healthcare.
The evidence generation wedge of the Model identifies discourse (or narrative), experience and research as legitimate means of knowledge generation.
Evidence synthesis is the evaluation or analysis and collation of research evidence and opinion on a specific topic to aid in decision making in healthcare. The three main components of this wedge are systematic reviews, evidence summaries and guidelines.
Fundamental to the process of evidence-based decision making is the ability of those at the point of care to access synthesized research evidence. Evidence transfer is the coactive, participatory process to advance access to and uptake of evidence in local contexts.
Evidence implementation is a purposeful and enabling set of activities designed to engage key stakeholders with research evidence to inform decision making and generate sustained improvement in the quality of healthcare delivery.
There is a worldwide shortage of registered nurses (RNs) due to high turnover and insufficient numbers of new graduates. The World Health Organisation and the International Council of Nurses warn that the shortage will worsen without immediate action.
Nursing education programs are under pressure to increase enrolments and produce more nurse graduates. But nursing programs face challenges such as faculty shortages, financial constraints, and limited access to clinical practice environments.
Many qualified applicants are turned away from nursing programs due to capacity issues, and a significant number of students drop out before completing the program.
A systematic review shows the potential of parent-targeted eHealth educational interventions in reducing infant procedural pain. These interventions can be accessed through various eHealth platforms, providing parents with accessible & flexible ways to learn at their own pace.
Parental involvement during procedures, such as providing skin-to-skin contact or breastfeeding, effectively reduces pain experienced during acute procedures.
Although parents are concerned with how to protect their infants from pain or stress in early life, they often are not aware of their capacity with procedural pain management.
PTSD rates are higher in Emergency First Responders (EFRs) compared to the general population. However, the role PTSD plays in the life of the EFR's family is missing from literature.
A new qualitative systematic review included 5 studies with rich qualitative data regarding the experience of family members of EFRs with PTSD.
Qualitative research allows a more nuanced exploration of the effects on family members and
highlights risk factors.
During #JBIMethodology Month we’ll be sharing a series of #MethodsInAMinute tweetorials. We’ll begin with key points on Umbrella Reviews by A/Prof Edoardo Aromataris 👇
With the ever-increasing number of systematic reviews & research syntheses available to inform topics in healthcare, SRs of existing reviews, or umbrella reviews, are increasingly being conducted to summarise a broad scope of issues related to a given topic.
An umbrella review is also ideal in highlighting if the evidence base around a topic or question is consistent or if contradictory or discrepant findings exist, and in exploring and detailing the reasons why.