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Mar 8, 2023 9 tweets 4 min read Read on X
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. Image
The inner circle represents the pebble of knowledge while the inner wedges provide JBI’s conceptualisation of the steps involved in the process of achieving an evidence-based approach to clinical decision-making. Image
The outer wedges operationalise 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. Image
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. Image
The evidence generation wedge of the Model identifies discourse (or narrative), experience and research as legitimate means of knowledge generation. Image
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. Image
Fundamental to the process of evidence-based decision-making is the ability of those at the point of care to access synthesised research evidence. Evidence transfer is the coactive, participatory process to advance access to and uptake of evidence in local contexts. Image
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. Image
To learn more about JBI’s FAME approach to
#EBHC, go to jbi.global/jbi-model-of-E…
#ThinkFAME #JBIEBHC #JBIMethodology

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More from @JBIEBHC

Jul 19, 2023
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. Two students sitting at a computer and discussing their nursing studies.
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.
Read 11 tweets
Jun 21, 2023
Methodologists generally agree that qualitative research included in systematic reviews should undergo quality assessment. Close up of person's hands ...
Indeed, critical appraisal is an essential feature of the JBI meta-aggregative approach to qualitative synthesis.
Low-quality studies should be excluded from evidence synthesis, as lack of rigor could impact the validity of study findings.
Read 18 tweets
May 17, 2023
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. Image
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.
Read 9 tweets
May 15, 2023
RNs' scope of practice has changed significantly due to nursing and medical research, technology, and global health dynamics.
Effective clinical reasoning skills are essential for undergraduate RNs to practice safely. Image
Poor clinical reasoning is linked to failure-to-rescue and sentinel events in clinical settings.
Read 11 tweets
May 11, 2023
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. Image
Qualitative research allows a more nuanced exploration of the effects on family members and
highlights risk factors.
Read 9 tweets
Mar 9, 2023
Methods in a Minute!

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 👇 Blue background with #MethodsInAMinute hashtag and bird hold
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. Birds eye view of blue umbrellas with one umbrella standing
Read 14 tweets

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