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.
The latest issue of the JBI Evidence Synthesis journal is out now and includes THREE diverse evidence syntheses, each employing a different #JBIMethodology.
The featured systematic review is a review of etiology and risk which examines the rates of 3 harms of interest in remote communities where alcohol restriction policies are in place for Aboriginal and Torres Strait Islander people: journals.lww.com/jbisrir/Fullte…
Systematic reviews of etiology & risk factors assess the relationship (association) between certain factors (whether genetic or environmental for example) and the development of a disease or condition or other health outcome.
Developing a comprehensive search strategy is crucial when conducting a systematic review but can be a difficult and time-consuming process. Using visual aids can be of great assistance when formulating your search strategy.
Creating a Concept Map helps to develop a comprehensive search strategy and provides you with a visual image of your research topic.
A concept map contains a main topic idea in the centre of the map with other aspects of your topic surrounding it (keywords), alternative terminology (keywords) to describe your topic for each keyword & illustrates relationships of the various aspects of your topic to each other.
🧵Globally, migrant nurses and midwives make up a significant proportion of healthcare workers, and trends indicate an exponential rise in #nurse & #midwife migration globally. #JBIEBHC 1/8
The @WHO healthcare workforce report predicts a shortfall of ~ 6 million nurses by 2030 2/8
Many countries rely on nurse and midwife migration to manage their shortfall of healthcare professionals 3/8
🧵In hospitals, paediatric patients aged 1-3 are at higher risk of falls, with most falls occurring from an inpatient bed in the presence of a caregiver #JBIEBHC 1/6
JBI Evidence Summaries bring together world-class evidence in a single, easy to read summary crafted by review experts and are found in the JBI #EBP Database wolterskluwer.com/en/know/jbi-re… @ovid_wkhealth
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On #IND2022 we reflect on JBI’s origins as the ‘Joanna Briggs Institute for Evidence Based Nursing’ and the continuing importance, 25 years on, of evidence-based nursing research and clinical practice #JBIEBHC 🧵 1/7
Quality healthcare services require that clinical decision-making in #nursing is based on evidence, particularly in standardising and aligning healthcare practices with evidence at the point of care. JBI was founded by Emeritus Professor Alan Pearson to address this very need 2/7
‘When I was involved in setting up JBI in the 1990s, #EBM was increasingly adopted across the world, but #EBN was in its infancy. Since then, JBI has played a stellar role in developing great models and systems to support the implementation of evidence into nursing practice' 3/7
Read this Tweetorial on relative ranks for methodological quality assessment by Jennifer Stone, Research Fellow in the JBI #EBHC Research Division, for #JBImethodology month 1/7
Did you know that there’s an alternative bias assessment method for primary studies in meta-analyses and systematic reviews that does not require reviewer judgments? 2/7
This approach uses relative ranks that are based on quality counts.