JBI APPROACH
TO EVIDENCE-BASED HEALTHCARE

The JBI Model

The JBI Model of Evidence-based Healthcare was developed in 2005 and updated in 2016.

• The inner circle represents the pebble of knowledge while the 'inner wedges' provide the Institute’s conceptualisation of the steps involved in the process of achieving an evidence-based approach to clinical decision-making.
• The 'outer wedges' operationalise the component parts of the model and articulate how they might be actioned in a pragmatic way.
• The arrows indicate that the flow can be bi-directional.

Centred Red Pebble

The inner circle represents evidence-based healthcare. Health professionals require evidence to substantiate a wide range of activities and interventions. When making clinical decisions, health professionals are concerned with whether their approach is Feasible, Appropriate, Meaningful and Effective (FAME).

Global Health

Global Health: Defined as collaborative, trans-national research and action that places a priority on improving health and achieving health equity for all people worldwide

Evidence Generation

The evidence generation wedge of the Model identifies discourse (or narrative), experience and research as legitimate means of knowledge generation. It recognises that the results of well-designed research studies grounded in any methodological position, anecdotes or personal opinion and expertise are all deemed valid methods of generating evidence to inform policy and practice.

Evidence Synthesis

Evidence synthesis is the evaluation or analysis and collation of research evidence and opinion on a specific topic to aid in decision-making in healthcare. The three main components of this wedge are systematic reviews, evidence summaries and guidelines.

Evidence Transfer

Fundamental to the process of evidence-based decision-making is the ability of those at the point of care to access synthesised research evidence. Evidence transfer is the coactive, participatory process to advance access to and uptake of evidence in local contexts. It is a causal phenomenon consisting of factors that enable, facilitate and support evidence implementation that is more than just a single interaction. It incorporates active dissemination, systems integration and education.

Evidence Implementation

Evidence implementation is a purposeful and enabling set of activities designed to engage key stakeholders with research evidence to inform decision-making and generate sustained improvement in the quality of healthcare delivery. Components of evidence implementation include a context analysis, the facilitation of practice change and evaluation of process and outcome.