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3 Director Implementation Science of the Joanna Briggs Institute, Adelaide, Australia. Evidence-based practice (EBP) or evidence-based healthcare (EBHC) is a recurring discourse in academia, among health professionals, and at national and international events. However, there is still a lot of misunderstanding of the concepts involved leading to many practical questions. What does ‘evidence’ mean in health care and, in particular, in nursing practice? What is knowledge translation and how is it relevant to EBP? How do we identify and access the best evidence in health? Why is implementing evidence for the nursing profession slow and difficult? These are questions that may leave the reader curious, if not yet familiar with these terms, or because they want to know how to implement the best available evidence in practice. Our purpose here is to awaken the reader about the concepts involved in the EBP and the Joanna Briggs Institute ( JBI) Model of Evidence-based healthcare. EBHC is defined as “clinical decision-making that considers the feasibility, appropriateness, meaningfulness and effectiveness of healthcare practices...informed by the best available evidence, the context in which the care is delivered, the individual patient, and the professional judgment and expertise of the health professional”(1). This concept is at the center of Joanna Briggs Institute’s Model of EBHC. By evidence, we of course mean knowledge created through good quality research in any discipline or specialty, but we also mean ‘knowledge’ (sometimes referred to as ‘expert opinion’) that expert nurses gain through the accumulation of education and experience(2). The terms EBP, EBHC and knowledge translation are embodied in the JBI model(1). While evidence is generated by primary research this evidence is hard to find, may be even harder to understand, and the volume of papers being published make it difficult for health professionals to keep up to date. Evidence synthesis brings the evidence on important topics or questions together, increasing the accessibility of high quality research findings from many otherwise individual pieces of research through systematic reviews, summaries of evidence and guidelines(1). Publishing synthesized evidence is not enough to inform practice change, therefore we also aim to transfer findings from synthesis through education, active dissemination and integration of evidence into information systems such as electronic medical records. Evidence transfer is only a part of the Knowledge Translation cycle and is defined as “a process that helps communicate or convey the results of research or evidence, or brings evidence to the forefront. It is focused on ensuring people are aware of, have access to and understand evidence”(3). Synthesis and Transfer are methods of increasing accessibility and awareness of evidence and nurses ability to use it, but practice change also requires implementation(4). Effective implementation is based upon an analysis of the local context, promotes facilitation of change (facilitation may be by academics, clinicians or researchers training in EBHC and clinical leadership) and includes evaluation of the process and outcomes in order to objectively measure the benefits to nursing practice and patient outcomes(5). Translating knowledge: Joanna Briggs Institute’s expertise

Transladando conhecimentos: a expertise do JBI