Faculty of Health and Medical Sciences, The Joanna Briggs Institute, University of Adelaide, Adelaide, South Australia, Australia.
Int J Evid Based Healthc. 2018 Dec;16(4):227-241. doi: 10.1097/XEB.0000000000000139.
In 2005, Pearson et al. presented a developmental framework of evidence-based practice that sought to situate healthcare evidence and its role and use within the complexity of practice settings globally. A decade later, it was deemed timely to re-examine the Model and its component parts to determine whether they remain relevant and a true and accurate reflection of where the evidence-based movement is today.
A two-phase process was employed for this project. Phase 1 involved a citation analysis, conducted using the index citation of the original source article on the Joanna Briggs Institute (JBI) Model by Pearson et al. The databases searched were Web of Science and Google Scholar from year of publication (2005) to July 2015. Duplicates and articles in languages other than English were removed, and all results were imported and combined in an Excel spreadsheet for review, coding and interpretation. Phase 2 (model revision) occurred in two parts. Part 1 involved revision of the Model by an internal working group. This revised version of the Model was then subjected to a process of focus group discussion (Part 2) that engaged staff of the Joanna Briggs Collaboration during the 2015 annual general meeting. These data were recorded then transcribed for review and consideration.
The citation analysis revealed that the Model was primarily utilized to conceptualize evidence and evidence-based healthcare, but that language used in relation to concepts within the Model was variable. Equally, the working group and focus group feedback confirmed that there was a need to ensure the language utilized in the Model was internationally appropriate and in line with current international trends. This feedback and analysis informed the revised version of the JBI Model.
Based on the citation analysis, working group and focus group feedback the new JBI Model for Evidence Based Healthcare attempts to utilize more internationally appropriate language to detail the intricacies of the relationships between systems and individuals across different settings and the need for contextual localization to enable policy makers and practitioners to make evidence-based decisions at the point of care.
2005 年，Pearson 等人提出了循证实践的发展框架，试图将医疗保健证据及其在全球实践环境中的作用和使用置于复杂的环境中。十年后，人们认为重新审视该模型及其组成部分是及时的，以确定它们是否仍然相关，以及是否真实准确地反映了循证运动的现状。
该项目采用了两阶段的过程。第一阶段涉及引文分析，使用 Pearson 等人在 Joanna Briggs 研究所（JBI）模型上的原始来源文章的索引引文进行。搜索的数据库是 Web of Science 和 Google Scholar，从出版年份（2005 年）到 2015 年 7 月。去除重复项和非英语语言的文章，将所有结果导入并合并到 Excel 电子表格中进行审查、编码和解释。第二阶段（模型修订）分为两部分。第一部分是由内部工作组对模型进行修订。然后，对修订后的模型进行焦点小组讨论（第二部分），在 2015 年年度大会期间， Joanna Briggs 协作的工作人员参与了讨论。记录了这些数据，然后进行了转录以供审查和考虑。
引文分析表明，该模型主要用于概念化证据和循证医疗保健，但与模型中概念相关的语言使用是可变的。同样，工作组和焦点小组的反馈也证实，需要确保模型中使用的语言在国际上是适当的，并符合当前的国际趋势。这一反馈和分析为修订后的 JBI 模型提供了信息。
基于引文分析、工作组和焦点小组的反馈，新的 JBI 循证医疗保健模型试图使用更具国际适用性的语言来详细描述不同环境下系统和个人之间关系的复杂性，以及需要进行情境本地化，以使决策者和从业者能够在护理点做出循证决策。
