A practical approach to getting research into practice

The JBI Approach to Evidence-Based Healthcare

As an extension from the JBI model, is the JBI Evidence Implementation Framework. While the JBI model is a conceptual model, the JBI Evidence Implementation framework is more a process model.The JBI Approach to Evidence-Based Healthcare

JBI’s approach to evidence-based healthcare is unique. JBI considers evidence-based healthcare as decision-making that considers the feasibility, appropriateness, meaningfulness and effectiveness (FAME) of healthcare practices. This approach is encompassed in the JBI Model of Evidence-based Healthcare (EBHC).

The JBI Model of Evidence-based Healthcare

The JBI Model of Evidence-based Healthcare provides an overarching framework for implementation in healthcare. Although there is only one section specifically labelled “evidence implementation” within the model, this component should not be viewed in isolation from the entire framework.

The JBI Model of EBHC demonstrates the intersection between identifying health needs, generating evidence to address those needs, and then synthesising this evidence to inform evidence transfer and implementation activity.  (Jordan, Z  et al. 2019)

The evidence implementation wedge from the JBI Model of Evidence-based Healthcare

As an extension from the JBI model, is the JBI Evidence Implementation Framework. While the JBI model is a conceptual model, the JBI Evidence Implementation framework is more a process model.

The JBI Evidence Implementation Framework as a process model, aligned with the JBI approach to EBHC

The JBI Evidence Implementation framework is a pragmatic and practical seven-phased approach to assist with the ‘planning’ and ‘doing’ of getting evidence into practice, focusing on clinicians as change agents for implementing evidence in clinical and policy settings (Porritt, K et al. 2023) (Lizarondo, L et al. 2021)

The JBI approach to evidence implementation

The JBI Approach to Evidence Implementation Framework is grounded in the audit, feedback, and re-audit process, i.e. reviewing practices against best practice recommendations and determining compliance to such recommendations, implementing strategies to improve compliance and re-assessment of practice to evaluate changes (improvements in practice). (Porritt, K et al. 2020)

An important element of implementing change to practice in the framework is a structured approach to the identification and management of barriers to change, which JBI calls GRiP (Getting Research into Practice). GRiP involves identifying barriers and enablers to compliance and developing and implementing strategies to address those barriers.

The JBI Evidence Implementation Framework

Although the framework is portrayed as a series of phases, evidence implementation is not a clean, linear process but rather activities or processes that occur simultaneously or in different sequences. It is a recursive process with defined stages/phases that impact each other in complex ways.

Phase 1: Identify the practice area

Phase 2: Engage change agents

Phase 3: Assess context and readiness for change

Phase 4: Review practice against evidence-based audit criteria

Phase 5: Implement changes to practice using GRiP

Phase 6: Re-assess practice using a follow-up audit

Phase 7: Consider sustainability of the project

Central components of the JBI Evidence Implementation Framework

The central components of evidence implementation (shown in the JBI Model of EBHC in the outer wedges of Evidence Implementation in Figure 2 and in the centre of the Framework in Figure 4) are:

• Context analysis

• Facilitation of change

• Evaluation of process and outcome

Context analysis is a strategic first step in the process of evidence-based practice change. Context analysis includes understanding how ready the organisation for change/implementation.

Facilitation is a useful approach to support change within an organisation. The complexity and challenging nature of change or implementation projects requires a facilitator or driver of the change. (Lizarondo & McArthur 2017)

Evaluation is required to determine the impact of change and inform future activities, data on processes and outcomes that should be collected.

JBI Evidence Implementation Training Program - April 2025

The JBI Evidence Implementation Training Program empowers health professionals to improve patient outcomes and provides proven approaches to implementing evidence into practice.

This is an evidence-based implementation program comprising of two, 5-day intensive training workshops and an evidence implementation project undertaken in the workplace over the intervening months. Participants are facilitated by JBI Research Fellows as they develop, implement and report on their projects.

The program commences on the 7th of April 2025 and has only one intake for this year.

Register for the JBI Evidence Implementation Training Program.

Where to find more information

In her JBI LIVE presentation on the role of facilitators in getting research into practice, Dr Lucylynn Lizarondo provides an explanation of each of the 7 phases.

22:13 Facilitation during pre-implementation

24:38 Phase 1: Identify practice area/problem

32:54 Phase 2: Engage change agents

35:47 Phase 3: Assess context and readiness for change

39:04 Facilitation during implementation plan deployment

42:59 Phase 4: Review practice against audit criteria

44:52 Phase 5: Implement change through GRiP

48:02 Phase 6: Reassess practice

52:03 Facilitation and sustainability

53:46 Phase 7: Consider sustainability

57:54 JBI resources and tools for evidence implementation

The JBI Evidence Implementation Network is home to a wealth of information, activities and resources.

JBI's YouTube channel has an evidence implementation playlist

Adam Cooper provides an explanation of the JBI Model of EBHC in the video below. For explanations in languages other than English, go to the JBI Model of EBHC playlist on JBI's YouTube channel

References and resources

JBI Manual for Evidence Implementation. Porritt K, McArthur A, Lockwood C, Munn Z (Editors). JBI Handbook for Evidence Implementation. JBI, 2020. https://doi.org/10.46658/JBIMEI-20-01

JBI's approach to evidence implementation: a 7-phase process model to support and guide getting evidence into practice Porritt, K; McArthur, A; Lockwood, C; Munn, Z. JBI Evidence Implementation. 21(1):3-13, March 2023. DOI: 10.1097/XEB.0000000000000361

Facilitation of evidence implementation within a clinical fellowship program: a mixed methods study. Lizarondo, L; McArthur, A; Lockwood, C; Munn, Z. JBI Evidence Implementation 19(2):p 130-141, June 2021. DOI: 10.1097/XEB.0000000000000252

Facilitation as a component of evidence implementation: a multinational perspective. Lizarondo, L; McArthur, A; Moola, S; Albornos-Muñoz, L; Badeaux, J; Bennett, M; Püschel, V; González-Monasterio, E; Mwita, C; Perrenoud, B; Porche, D; Rodrigues, R; Stannard, D. JBI Evidence Implementation. 20(3):180-188, September 2022 DOI: 10.1097/XEB.0000000000000321

Strategies for Effective Facilitation as a Component of an Evidence-Based Clinical Fellowship Program, Lizarondo, L & McArthur, A. J Contin Educ Nurs. 2017. Vol, no. 48, pp. 10.

JBI series paper 3: The importance of people, process, evidence, and technology in pragmatic, healthcare provider-led evidence implementation. Lockwood, C; Munn, Z; Jordan, Z; Pilla, B; Puschel, V; Borges dos Santos, K; Abornos-Munoz, L; Kent, B; Mu, Pei-Fan; Khalil, H; McArthur, A; Porritt, K; Cooper, A; Sfetcu, Raluca; Lizarondo, L. Journal of Clinical Epidemiology. April 21, 2022 DOI:://doi.org/10.1016/j.jclinepi.2022.04.007

Turning the flywheel: mobilizing the JBI model of evidence-based healthcare. Jordan, Z; Pilla, B; Porritt, K; Munn, Z; Aromataris, E; Lockwood, C. JBI Evidence Implementation 21(1):p 96-100, March 2023. DOI: 10.1097/XEB.0000000000000342

The updated Joanna Briggs Institute Model of Evidence-Based Healthcare. Jordan, Z; Lockwood, C; Munn, Z; Aromataris, E. International Journal of Evidence-Based Healthcare 17(1):p 58-71, March 2019. | DOI: 10.1097/XEB.0000000000000155

Redeveloping the JBI Model of Evidence Based Healthcare. Jordan, Z; Lockwood, C; Munn, Z; Aromataris, E. International Journal of Evidence-Based Healthcare 16(4):p 227-241, December 2018. | DOI: 10.1097/XEB.0000000000000139