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A Crosswalk Analysis of Commonly Used Evidence-Based Practice Models
Annette M Bourgault1, Jean W Davis1, Jacqueline LaManna1
1College of Nursing, University of Central Florida, Orlando, Florida, USA.
International Journal of Nursing Practice
|July 16, 2025
Summary
This study compared three evidence-based practice models, finding differences in terminology and steps despite shared principles. Adopting a primary model and awareness of others can improve clarity for nurses.
Area of Science:
- Nursing
- Healthcare Quality
- Evidence-Based Practice
Background:
- Evidence-based practice (EBP) is a core nursing competency.
- Nurses utilize EBP for clinical problem-solving.
- EBP is integral to academic nursing curricula.
Purpose of the Study:
- Critically analyze three common evidence-based practice models.
- Determine similarities and differences in process steps, terminology, tools, and implementation.
- Compare the Advancing Research and Clinical Practice Through Close Collaboration (ARCC) Model, the Iowa Model, and the Johns Hopkins Evidence-Based Practice (JHEBP) Model.
Main Methods:
- Crosswalk analysis was employed.
- Comparison and contrast of the ARCC, Iowa, and JHEBP models.
- Evaluation of process steps, terminology, tools, and implementation.
Main Results:
- Models share similar underlying principles.
- Significant differences exist in terminology and process steps.
- Lack of congruence identified between the models.
Conclusions:
- Variations in terminology can confuse users of evidence-based practice.
- Suggests adopting a primary EBP model within organizations.
- Recommends raising awareness of various EBP models and their distinctions.
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