Introduction to the Joanna Briggs
Institute
www.joannabriggs.edu.au
The Joanna Briggs Institute
• Evidence Based Practice
• Research Institute since
1996
• Royal Adelaide Hospital and
the University of Adelaide
• Not-for-profit
• 70+ Centres and Groups,
>7000 members in over 47
countries
• Global Leader
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The Joanna Briggs Institute
• International collaboration of health scientists,
health professionals and health researchers
• To improve global health through providing
point-of-care access to:
– Evidence databases
– Decision support systems
– Implementation, evaluation and continuous
improvement tools
www.joannabriggs.edu.au
Home of:
Process and
Implementation sub group
www.joannabriggs.edu.au
JBI Vision
• Evidence-informed Best Practice as a central
characteristic of all health services.
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JBI Mission
• To be the leader in producing, disseminating and
providing a framework for the use of the best
available research evidence to inform health
decision-making to improve health outcomes
globally.
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The Joanna Briggs Institute
www.joannabriggs.edu.au
Programs
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Centers
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Networks
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Members
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Our History
• Launched as The Joanna Briggs Institute for
Evidence Based Nursing in 1996
– 8 staff
– 5 Centers across Australia
• Rapid growth!
• Now part of the Faculty of Health Sciences at the
University of Adelaide
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The Joanna Briggs Institute
www.joannabriggs.edu.au
Europe
1. Belgi an Interuniversity Coll aborati on for Evidence-Based Practice (BICEP)
2. Romanian Centre for Evidence-Based Nursing and Midwifery
3. Scottis h Centre fo r Evidence-Based Care of Older People Glas gow
4. Th e Wales C entre for Evidence-Based Care
5. The Scottish C entre for Multi -Professional Practice Aberdeen
6. Th e Spanish C entre for Evidence-Based Health Care
7. Th e University of N otti ngham Centre for Evidence-Based Nursing and
Midwifery
8. Th e University of West London Centre for Evidence Based Nursing and
Midwifery
9. Th e Romanian Centre for Evidence Based Public Health
10. Portugal Centre for Evidence Based Practice
11. Finnish C entre for Evidence-Based Health Care
12. Centr o Studi EBN Italy
13. BEST: Bureau d’Echange des Savoirs pour des p raTi ques exemplaire s de
soins Switzerland
14. Danish Centr e of Systematic Revi ews in Nursing
15. Napier University ESG Edinburgh
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The Americas
1. Brazilian Centr e for Evidence-Based Healthcare
2. Indiana Centre for Evidence-Based Health care USA
3. Queen’s Joanna Briggs Collaborating Centr e Canada
4. Texas Christia n University – Harris College of Nursing and Sciences Centr e for
Evidence-Based Practic e and Research USA
5. New Jersey Centre for Evidence-Based Nursing USA
6. Joanna Briggs Insti tute of Okla homa USA
7. UCSF Centr e for Evidence-based Pati ent Care Quality USA
8. Th e Louisiana Centre for Evidence Based Nursing at LS UHSC School of
Nursing USA
9. St Elizabeth Health Care ESG Canada
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Africa/Gulf States
1. Cameroon Centre for Evidence Based Health Care (CCEBHC)
2. Ethiopian Malaria Alert Centre: Jimma University, Jimma
3. Kenya Medical Re search Insti tute (KEMRI) Centre for G eographic Medicine
Research-Coast, Kilifi
4. Kintampo Health Research Centre (Ghana), Kintam po, Ghana
5. South Africa n Centre fo r Evidence Based Nursing and Midwifery: University of
KwaZulu-Natal, Durban
6. Uganda Centre for Evidence Based Practice (Public Health):Makere University
School of Public Health – Kampala
7. Sidra Centre for Women’s and Pediatric Evidence Based Health care Qatar
8. Witwaters rand Centre for Evidence based Practice : Johannesburg
9. Malaria Alert Center ESG Malawi
10. Ibadan ESG Nigeria
11. Oyo State ESG Nigeria
12. Kigali Health Institute ESG Rwanda
13. Tanzania ESG
14. University of Bots wana ESG
15. University of Stellenbosch ESG South Afric a
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Asia
1. Th e Hong Kong Centre for Evidence-Based Nursing
2. National Health care Group HSOR Collaborating Centre for Evidence-Based
Health Services Management Singapore
3. Yangon Centre for Evidence-Based Health Care Myanmar
4. Fudan Evidence-Based Nursing Centre Peoples Republic of China
5. Yonsei Evidence-Based Nursing Centre of Korea
6. Taiwan Joanna Briggs Instit ute Collaborating Centre
7. Th e Thail and Centre for Evidence-Based Nursing a nd Midwifery
8. Centre for Evidence-Based Practi ces in Mental Health Care Singapore
9. Th e Singapore National University Hospital Centre for Evidence-based Nursing
10. The Tai wanese Centre for Evidence-Based Health Care
11. The Centre for Reviews on Health Research and Movement Science Philippi nes
12. The Japan Centre for Evidence Based Practice
13. Peking University Centre fo r evidence based nursing and midwifery
14. UST Hospital Depart ment of Anesthesiol ogy ESG Philipp ines
15. Nati onal University Cancer Insti tute ESG Singapore
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Australasia
1. Th e New South Wales C entre for Evidence-Based Health care
2. Centre for Evidence-Based Practi ce South Australia
3. Australi an Centre for Community Care University of Queensland
4. Th e Australi an Centr e for Rural and Remote Evidence-Based Practic e
Queensland
5. Th e Joanna Briggs Insti tute Aged Care Unit South Australia
6. CSIRO Food and Health South Australia
7. Th e Queensland Centre for Evidence-Based Nursing and Midwifery
8. Th e Australi an Centr e for Evidence-Based Primary Health Care South Australia
9. Th e Western Australian C entre for Evidence Infor med Healthcare Practice
10. The Australian Capital Regional Centre for Evidence-Based Nursing and
Midwifery Practice
11. Centr e for Chronic Disease Management Monash University Victoria
12. Deakin University Centre for Quality and Risk Management in Health Victoria
13. Dementi a Collaborative Research Centre Queensland ESG
14. Royal Perth Hospital ESG Western Australia
15. University of N ewcastle Evidence Based Health Care Gr oup ESG New South
Wale s
16. Royal Adelaide Hospital EUG South Austral ia
17. St John of God Murdoch EUG Western Australia
18. Sisters of St Joseph EUG New South Wales
19. Aged Care Quality Association EUG South Australia
20. SomerCare Rainbow Chimers EUG Victoria
21. Rural Health Care Practi ce EUG Queensland
22. Catherine Mc Auley EUG Victoria
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Our Global Membership Program via OVID
• Well accepted that improving safety and quality is directly
related to:
– Strengthening clinical governance
– Basing practice on evidence
• Most health systems do not have evidence based cultures
because of:
– Information overload/growing information base (e.g. MEDLINE ~ 18
million citations)
– Poor point-of-care access to summarized evidence
– Systems not evidence-oriented (e.g. policies, documentation)
– Clinical services (structure, processes and outcomes) not routinely
audited
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Access to clinical decision support and
tools/resources to facilitate evidence informed
practice
• Priority of most health systems to move towards access to
resources at the point of care
• Resources such as:
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Cochrane Library
Databases (PUBMED, CINAHL, ProQuest; EBSCO Host etc)
Guidelines (e.g. AHRQ)
Comprehensive, bundled services (JBI COnNECT+ brought to
you by OVID)
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Essential Steps in EBP
• To convert information needs into answerable
questions (to formulate the problem);
• To track down the best evidence with which to
answer these questions;
• To appraise the evidence critically to assess its
validity (closeness to the truth) and usefulness
(clinical applicability);
• To implement the results in practice;
• To evaluate performance.
(Sackett & Haynes, 1995)
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How our
Global
Collaboration
Gets Evidence
into Action
JBICOnNECT 
Clinical Online Network for
Care and Therapeutics
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Nodes Available:
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Aged Care
Cancer Care
Midwifery Care
Rehabilitation
Burns Care
Mental Health
Infection Control
Diagnostic Imaging
Wound Healing and
Management
• General Medicine
• Surgical Services
• Health Management
and Assessment
• Emergency and
Trauma
• Pediatrics
• Tropical and Infectious
Diseases
• Chronic Diseases
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Translation
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•
Spanish
Japanese
Simplified Chinese
Burmese (partial)
Portuguese (partial)
Italian (partial)
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Core Training Programs
• Evidence Based Clinical Fellowship Program
– ~ 120 Fellows now JBI Fellows Alumni
– From Australia, US, Saudi Arabia, UK, Singapore, China,
Brazil, Chile, Korea, Taiwan, Ethiopia, Kenya, Ghana,
Malawi, Uganda
• CSR TP
– Over 2000 trained since 2002
• Train the Trainer Programs for CSR and Fellowships
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Introduction to Evidence Informed Health
Care
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Evidence-based …..?
• Evidence-based medicine
– inception
– As EBHC, but specific to medical practice
• Evidence-based Nursing
• Evidence-based Policy Making
• Evidence-based….
EBHC incorporates all health professions!
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Evidence-based Medicine
• ‘the conscientious, explicit, and judicious use of
current best evidence in making decisions about
the care of individual patients. Evidence-based
clinical practice requires integration of individual
clinical expertise and patient preferences with the
best available external clinical evidence from
systematic research and consideration of available
resources’
(Guyatt et al. 2008:783)
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Evidence-based Health Care
• Evidence based health care
takes place when decisions
that affect the care of
patients are taken with due
weight accorded to all valid,
relevant information (Hicks, 1997)
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The JBI Model of Evidence-based
Healthcare
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