Joanna Briggs

1
Joanna Briggs You!

• Tony Stankus, Life Sciences Librarian
  Professor, Designated Nursing Information
  Specialist

2
Who was joanna briggs?

• Joanna Briggs (1805-1880)was the first Matron
  (Head Nurse) of the Royal Adelaide Hospital in
  Australia. (Her husband was the first
  pharmacist).
• She started with a staff of 3 nurses and built it
  up to 21 by her retirement.
• She was arguably the most prominent nurse in
  Australia in her lifetime.
• Today her hospital, the Royal Adelaide employs
  1,850 nurses.

3
Was joanna briggs a particularly notable pioneer
in evidence-based nursing?

• No, although she might have been if she lived
  later on.
• That honor belongs Alan Pearson, a Professor of
  Nursing at the University of Adelaide, Australia.
• He got the idea from Dr. Archie Cochrane, a
  Scots physician, who thought that examining
  clinical trials in terms of their methods and
  then pooling the results whenever justified (a
  metadata approach ) would give physicians a
  better sense of what was proven vs. not
  proven to use in actual patient care.

4
How do cochrane Joanna Briggs compare?

• Primarily MD-oriented
• Tradition of regarding Double-Blind Randomized
  Clinical Trial (DBRCT) as the only standard
  really worth respecting
• 3,000 rigorous studies
• Does not link full-text to other EBM databases.
  (You have to be a subscriber to the other
  databases to get to them full-text.)

• Primarily Nursing-oriented
• While considering DBRCT to be the gold standard,
  they will report other studies based on
  qualitative less-than-perfect design-or-stats
  real-time patient-care outcomes.
• A few hundred studies, not all rigorous.
• Links to other EBM full-text databases, including
  to Cochrane!
• Tools to help you promote and apply EBN and try
  out your own EBN studies have them rated!

• Cochrane

• Joanna Briggs

5
Joanna briggs has some nurse--patient---centered
thinking that is generally ignored in much
evidence-based-medicine

• Evidence is just the first component of whether
  or not a research finding is actually useful to
  the nurse or to the patient.
• Context Does the study deal with a proposed
  treatment that is actually capable of being done
  by nurses in a specific setting on a busy
  hospital in-patient floor, or in a walk-in
  clinic, or in a patients home with a visiting
  nurse?
• Patient Preference Does the patient have a say
  in their choice of treatment?
• Judgment Does the nurse, based on his or her own
  assessment of the patient, have a say in whether
  or not, the treatment is appropriate?

6
Joanna briggs converts these considerations into
a report card with

• 5 subjects Feasability, Appropriateness,
  Meaningfulness, Effectiveness, Economic Evidence
• 4 levels of confidence in the data in a report
• 3 possible grades of practical recommendation