The Joanna Briggs Institute, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, South Australia, Australia.
Int J Evid Based Healthc. 2019 Mar;17(1):58-71. doi: 10.1097/XEB.0000000000000155.
The Joanna Briggs Institute Model for Evidence-Based Healthcare was first conceptualized in 2005. This developmental framework for evidence-based practice situated healthcare evidence, in its broadest sense, and its role and use within complex healthcare settings. The Model was recently reviewed with a view to understanding its utility by health professionals, researchers and policy makers, and the analysis revealed a need to reconsider the composition and language of the Model to ensure its currency on the international stage.
The current article proposes a revised Joanna Briggs Institute Model for consideration by the international community. It seeks to clarify the conceptual integration of evidence generation, synthesis, transfer and implementation, linking how these occur with the necessarily challenging dynamics that contribute to whether translation of evidence into policy and practice is successful. It also accounts for the role of different types of evidence, both research and text and opinion, and how evidence contributes to achieving improved health outcomes globally. In addition, it is centered on the importance of accounting for evidence of feasibility, appropriateness, meaningfulness and effectiveness.
The Model has been an important part of the Institute's development, both from a scientific and organizational perspective. Given the changing international discourse relating to evidence and its translation into policy and practice over the course of the last decade, it was opportune to revisit the Model and assess its ongoing applicability in its current form. Some alterations have been made for consideration in the hope that the Model reflects the Institute's current conceptualization of evidence-based healthcare (EBHC) and to increase its relevance and use pragmatically.
循证卫生保健的 Joanna Briggs 研究所模式于 2005 年首次提出。这个循证实践的发展框架将最广泛意义上的卫生保健证据及其在复杂卫生保健环境中的作用和用途置于特定位置。最近对该模型进行了审查，以了解卫生专业人员、研究人员和政策制定者对其的使用情况，分析结果表明需要重新考虑模型的组成和语言，以确保其在国际舞台上的时效性。
本文提出了一个经修订的 Joanna Briggs 研究所模式，供国际社会审议。它旨在澄清证据产生、综合、转移和实施的概念整合，将这些过程与促成证据转化为政策和实践的必然挑战动态联系起来。它还考虑了不同类型的证据（研究证据和文本及观点证据）的作用，以及证据如何有助于实现全球健康结果的改善。此外，它还侧重于考虑可行性、适当性、有意义性和有效性证据的重要性。
该模式从科学和组织的角度一直是研究所发展的重要组成部分。鉴于过去十年中与证据及其转化为政策和实践相关的国际话语不断变化，重新审视该模式并评估其在当前形式下的持续适用性是适时的。已经进行了一些修改以供审议，希望该模式反映研究所目前对循证卫生保健的概念化，并提高其相关性和实用性。
