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Translational Science: Evidence Based Practice

Johns Hopkins Evidence Based Practice Model (c) 
(click to enlarge)

Five steps of EBP. Click on each box for more information on each step:

ASKACQUIREAPPRAISEAPPLYASSESS

ASK

Step 1: Formulate a well-built question.

Consisting of the following components:

PICOT

  • Population/Patient/Problem
  • Intervention
  • Comparison
  • Outcome
  • Time

Resources on PICOT Question

ACQUIRE

Step 2: ID articles and other evidence-based resources that answer the question.

By using LLU library resources:

  • LLUH employees may request a library account by completing the online Patron Registration Form and email it.
  • Get assistance from a research librarian to search for articles. Click here (Link to librarian PDF file)  for more information.
  • Use EndNote to organize your article references.

APPRAISE

Step 3: Critically appraise the existing evidence to assess its validity.

Use the following criteria to appraise your evidence:

Level of Evidence Description
Level I Meta-analysis of multiple randomized controlled studies or established clinical practice guidelines
Level II Individual experimental studies
Level III Quasi-experimental studies
Level IV Descriptive, comparative, correlational studies, and qualitative work
Level V Program evaluation, quality or performance improvement projects, case reports
Level VI Opinions of respected authorities or of an expert committee, including their interpretation of non-research-based information

APPLY

Step 4: Apply the evidence.
  • Obtain pre-data to serve as baseline.
  • Implement intervention. 

ASSESS

Step 5: Re-evaluate the application of evidence & areas for improvement.
  • Obtain post-data to evaluate effectiveness of intervention.
  • Identify areas for improvement, if needed.

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