An Evidence-based Approach to Decrease Early Post-operative Urinary Retention Following Urogynecologic Surgery

Barbara L. Buchko, DNP, RN; Leslie E. Robinson, MD


Urol Nurs. 2012;32(5):260-264. 

In This Article

Evidence-based Practice Model

The Johns Hopkins Nursing evidence-based practice model (JHNEBP) and guidelines (see Figure 1) was used as a framework to guide the synthesis and translation of evidence into practice (Newhouse, Dearholt, Poe, Pugh, & White, 2007). This conceptual model is composed of the three cornerstones of nursing: practice, education, and re search. The model directs that both research and non-research evidence form the basis for clinical decisionmaking. The model also illustrates that internal and external factors must be considered before practice can be changed.

Figure 1.

The Johns Hopkins Nursing Evidence-Based Practice Conceptual Model
© The Johns Hopkins Hospital/The Johns Hopkins University.
Source: Newhouse et al., 2007. Reprinted with permission.

There are three phases to the JHNEBP model known as the PET process (see Figure 2). The first phase is the identification of an answerable question. The second phase of the model includes a systematic review and synthesis of both research and non-research evidence. Translation is the final phase in the JHNEBP model. The evidence-based practice team determines if it is feasible to implement the recommended practice changes. Translation includes implementation of the practice change as a pilot study, measurement of outcomes, and dissemination of findings.

Figure 2.

The PET Process
Source: Newhouse et al., 2007. Reprinted with permission.