JBI Model of Healthcare and Evidence Based Practice
The Joanna Briggs Institute(JBI) is an international, not-for-profit research and evidence-based practice healthcare center based in the University of Adelaide, South Australia. JBI was founded by Alan Pearson in 1996 and presented a unique perspective on evidence-based healthcare and how it is operationalized. The JBI collaborates internationally with over 70 entities across the world. The Institute and its collaborating entities promote and support the synthesis, transfer and implementation of evidence through identifying feasible, appropriate, meaningful and effective healthcare practices to assist in the improvement of healthcare outcomes globally.
In the JBI Model, evidence-based practice is conceptualized as “clinical decision-making that considers the best available evidence; the context in which the care is delivered; client preference; and the professional judgement of the health professional” (Pearson et al., 2005, p. 209). Thus ‘evidence’ is conceptualized as the ‘best available evidence’, recognizing that there are many forms of evidence that inform healthcare practice. In addition to evidence from research, evidence consists of expert opinion, provider experience, clinical wisdom, and patient preferences and values. To date, JBI has developed 14 different methodologies for the synthesis of evidence, recognizing that the type of evidence that is available is fundamental to the movement of evidence into practice.
In addition to synthesis science, JBI is actively engaged in evidence transfer, defined as “the act of transferring knowledge to individual health professionals, health facilities and health systems globally by means of journals, other publications, electronic media, education and training and decision support systems” (Pearson et al., 2005, p 213). JBI defines evidence implementation as the “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” (Jordan, Lockwood, Aromataris, & Munn, 2016, p. 10). Evidence implementation considers local culture and context, facilitates practice change through multifaceted interventions, and engages in evaluation of both the process and the outcome. In this manner, evidence implementation strives to build capacity and reinforce local infrastructure for sustainable practice change.
To learn more about JBI and the JBI Model of Healthcare and Evidence Based Practice, visit http://joannabriggs.org
Jordan, Z., Lockwood, C., Aromataris, E., Munn, Z. (2016). The updated JBI model for evidence-based healthcare. The Joanna Briggs Institute. Retrieved from http://joannabriggs.org/assets/docs/approach/The_JBI_Model_of _Evidence_-_Healthcare-A_Model_Reconsidered.pdf
Pearson A, Wiechula R, Court A and Lockwood C (2005) The JBI Model of Evidence-based Healthcare, International Journal of Evidence Based Healthcare, 3(8): 207-215