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The Joanna Briggs Institute: A world of evidence at the bedside

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1 The Joanna Briggs Institute: A world of evidence at the bedside
The Joanna Briggs Institute is an international not-for-profit, multi-disciplinary research and development organization within the Faculty of Health Sciences at the University of Adelaide, South Australia. Members are the lifeblood of this organization. The needs of those who work in and use health services drives and influences the work undertaken by JBI and the resources we develop. There are a variety of ways that you can become involved with the activities of the Institute and access our diverse range of resources. Whether your interests relate to developing evidence-based information, disseminating that information to staff, using evidence-based information to guide clinical decision making, or teaching evidence-based practice principles to students there is a JBI resource for you. This presentation aims to provide you with a brief overview of JBI, our approach and what our resources can do for you.

2 The JBI Model of Evidence-based Health Care
The JBI approach to evidence-based health care is unique. JBI regards evidence-based health care as a cyclical process. Global health care needs, as identified by clinicians or patients/consumers, are addressed through the generation of research evidence that is effective, but also feasible, appropriate and meaningful to specific populations, cultures and settings. This evidence is collated and the results are appraised, synthesised and transferred to service delivery settings and health professionals who utilise is and evaluate its impact on health outcomes, health systems and professional practice.

3 Therefore, in order to provide those who work in and use health systems globally with world class
information and resources, the JBI: Considers international evidence related to the feasibility, appropriateness, meaningfulness and effectiveness of health care interventions (evidence generation - the purple section) Includes these different forms of evidence in a formal assessment called a systematic review (evidence synthesis - the green section) Globally disseminates information in appropriate, relevant formats to inform health systems, health professionals and consumers (evidence transfer - the blue section) Has designed programs to enable the effective implementation of evidence and evaluation of its impact on health care practice (evidence utilisation - the red section) This is all done with due consideration of the context in which care is delivered, individual client preference and the professional judgement of the health professional (the red pebble in the middle) with the hope of improving global health outcomes (the yellow section). Where gaps in knowledge exist, this is fed back in to the purple section. Thus, it is the needs of JBI members that drives the content we deliver.

4 International Collaboration
The Joanna Briggs Institute now has 38 Collaborating and Affiliate Centres across the world. In addition to this there are nearly 20 additional groups who conduct work with JBI. These Centres are located in American, Australia, Canada, China, England, Honk Kong, Korea, Myanmar, Philippines, Scotland, Singapore, South Africa, Spain, Taiwan, Thailand and Wales! The work conducted by collaborating centres relates to evidence synthesis (systematic reviews), evidence transfer (evidence summaries and recommended practices for JBI COnNECT +) or linguistic translation. It is these important relationships that ensure the work of the Institute remains internationally relevant and meaningful to health professionals, educators and consumers across the world.

5 Access JBI Databases External Databases
JBI Events (JBI Colloquium and JBI International Convention) JBI Education and Training Providing access for all staff to a comprehensive database of evidence reviews and best practice guidelines has never been easier. As a JBI member, or a subscriber to JBI COnNECT+, you have access to a wide range of databases in one central location that you can search for evidence to support your practice. You can access summarised research in a format that is easy to locate, understand and distribute to staff. BUT - JBI is more than just a database!!! You can also attend JBI events, education and training at a discounted price exclusive to members.

6 Benefits Health Professionals Education Providers and Students
Consumers Benefits to Health Professionals: Access to high quality databases, journals and other publications enhances the capacity of staff to locate current evidence to inform practice. Health professionals will find the Best Practice information sheets, Evidence Summaries and Recommended Practices a useful addition to their practice. They can be used in the practice setting (I.e. in treatment rooms in clinics, nurses stations and doctors offices in hospital wards, nurses stations in residential care facilities or in the cars of community/school health staff) as a quick reference guide to a wide range of interventions. Benefits to Education Providers and Students: Education providers and students can utilise this knowledge to gather information on a wide variety of topics relating to the management and conduct of a broad spectrum of clinical issues. Benefits to Consumers: Consumers of health care are often faced with making difficult decisions about their treatment. Consumer information developed by the Joanna Briggs Institute ensures that consumers are provided with the same information as health professionals to assist in more informed, evidence-based decision making.

7 Appraise Conduct systematic Reviews
Join the JBI International Evidence Synthesis Network Appraise individual research papers Join the JBI International Appraisal Network If you are interested in learning how to assess the quality of research evidence, JBI has developed resources designed specifically to help with this process. Systematic reviews are an important part of the evidence based process as they review all of the current literature on a specific topic in a comprehensive and methodical way. The result of this process is reliable, current information that health professionals can use to make decisions about care. Many health professionals have little time to conduct systematic reviews (this is why JBI exists!). However, many will come across individual papers that they may wish to use to inform their practice. JBI offers a unique resource to assist in developing the skills and knowledge to assess the quality of individual papers and this has proved a particularly relevant resource for busy health professionals. As the Institute seeks not only to promote evidence based practice, but also to support its uptake, there are a variety of networks that professionals can join to link with other like-minded individuals and groups across the world to share ideas and experiences.

8 Benefits Health Professionals Education Providers and Students
Benefits to Health Professionals, Education Providers and Students: Health professionals and students interested in appraising a single research paper (perhaps as part of a journal club or class) or multiple research papers on a single topic will benefit from using these resources. The SUMARI suite (System for the Unified Management of the Assessment and Review of Information) will be of particular interest to those who want to conduct systematic reviews (particularly reviews that consider evidence other than effectiveness). All will find the skills and knowledge development achievable through the use of RAPid of particular relevance. The Rapid Assessment Protocol internet database (RAPid) is an online training course that provides a framework for critical appraisal of research). RAPid facilitates centralised activity with a core focus on critical appraisal skills, which are now considered fundamental to professional practice in healthcare.

9 Use Build your own practice manual and/or consumer sheet
Distribute evidence-based consumer pamphlets Audit and change your practice Collect prevalence data Join the JBI International Evidence Utilisation Network Most health professionals are familiar with the need to conduct regular audit, feedback and improvement cycles to improve the quality of care provided. Similarly, evaluating the effectiveness of any best practice program is an important part of continuous quality improvement. JBI recognises the importance of creating systems that enable you to develop organisational policy and practice manuals based on the best available evidence and programs to evaluate the effectiveness of those systems. As a JBI member of subscriber to JBI COnNECT+ you can access a range of resources to help disseminate, embed, use and evaluate evidence based practice in your clinical setting.

10 Benefits Health professionals Consumers
Benefits to Health Professionals: Health professionals, particularly those involved in quality improvement, safety and quality and clinical practice improvement, are generally familiar with the need to base practice on the best available evidence and all organizations have strategies and processes that focus on implementing evidence-based practice. The JBI Evidence Based Manual Builder and Consumer Pamphlet Builder are a great way to ensure that your staff and those who use your services have access to information that is based on the best available evidence. JBI PACES, JBI POOL and JBI COOL provide an opportunity to utilise a standardised system that will assist in measuring compliance of a specific clinical topic with what is considered ‘best practice’, to implement change where required and to re-assess compliance following that change.

11 Membership Corporate Membership Individual & Student Membership
Access to all content/resources in JBI COnNECT + (including databases, practice manual builder, consumer pamphlet builder and resources for clinical practice change) Opportunity to purchase hard copies of Best Practice annual volume and Practice Manuals Discounts on JBI events, education and training Individual & Student Membership Electronic access to Best Practice Information sheets, JBI Library of Systematic Reviews, International Journal of Evidence Based Healthcare and other publications Various membership options are available that enable access to JBI resources at different levels and prices to suit your needs and/or the needs of your organisation. Membership subscriptions can be made online via a secure connection or you can download a printable application form and send it to JBI via post or fax.

12 JBI Endorsement Independent recognition
Fulfilling accreditation criteria Marketing to clients, families and prospective employees If you are a JBI member or subscriber and you can demonstrate that you are actively utilising the resources available to you in JBI COnNECT+, you are eligible for JBI endorsement! JBI recognises that the key to clinical practice improvement is the development of infrastructure and processes that promote, facilitate and measure engagement in an evidence based approach to care and to evaluate its impact on performance and outcomes. Organizations with JBI Endorsement are able to demonstrate that their achievements in evidence based health care have been recognised by a body independent of their accrediting body as well as to clients, families and prospective employees.

13 For more information about anything in this presentation please visit the JBI website at the address on the screen.


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