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Navigating the Johns Hopkins EBP Model, Fifth Edition: Practice Question Phase.

Kim Bissett1, Madeleine Whalen, Judith Ascenzi

  • 1Kim Bissett is director of evidence-based practice (EBP) at the Institute for Johns Hopkins Nursing in Baltimore, MD. Madeleine Whalen is the EBP program coordinator at The Johns Hopkins Hospital in Baltimore, MD. Judith Ascenzi is director of pediatric nursing programs at the Johns Hopkins Children's Center in Baltimore, MD. Contact author: Madeleine Whalen, mwhalen8@jhmi.edu. The authors have disclosed no potential conflicts of interest, financial or otherwise.

The American Journal of Nursing
|October 23, 2025
PubMed
Summary
This summary is machine-generated.

The updated Johns Hopkins Evidence-Based Practice (JHEBP) model simplifies implementation by addressing barriers while maintaining rigor. This article details changes to the practice question phase, crucial for evidence-based clinical decision-making.

Keywords:
EBP processEBP question frameworkJHEBP modelPET processevidence-based practice

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Area of Science:

  • Healthcare
  • Clinical Practice
  • Evidence-Based Practice

Background:

  • The Johns Hopkins Evidence-Based Practice (JHEBP) model has guided clinical decision-making for over two decades.
  • The fifth edition introduces significant revisions to streamline the evidence-based practice (EBP) implementation process.

Purpose of the Study:

  • To provide an overview of the revisions in the fifth edition of the JHEBP model.
  • To focus specifically on the initial phase of the model: formulating the practice question.
  • To explain the rationale and implications of these changes for healthcare professionals, students, and educators.

Main Methods:

  • This article is the second in a five-part series detailing the JHEBP model's updates.
  • It concentrates on the first phase of the JHEBP model: the practice question.
  • Further details are available in the "Johns Hopkins Evidence-Based Practice for Nurses and Healthcare Professionals: Model and Guidelines, Fifth Edition" and accompanying materials.

Main Results:

  • The revised JHEBP model aims to overcome common obstacles to EBP implementation.
  • The updated model maintains its established rigor and methodological integrity.
  • The focus on the practice question phase emphasizes its foundational role in EBP.

Conclusions:

  • The fifth edition of the JHEBP model offers a more accessible yet rigorous framework for evidence-based practice.
  • Understanding the revised practice question phase is essential for effective EBP implementation.
  • Resources and tools are available to support the application of the updated JHEBP model.