Felix Muehlensiepen, Henrikje Stanze, Susann May, Kerstin Stahlhut, Carolin Helm, Hassan Tarek Hakam, Małgorzata M Bała, Tina Poklepović Peričić, Tereza Vrbová, Jitka Klugarova, Robert Prill
{"title":"Cross-disciplinary advance care planning in oncology and palliative care amidst a pandemic: a best practice implementation project.","authors":"Felix Muehlensiepen, Henrikje Stanze, Susann May, Kerstin Stahlhut, Carolin Helm, Hassan Tarek Hakam, Małgorzata M Bała, Tina Poklepović Peričić, Tereza Vrbová, Jitka Klugarova, Robert Prill","doi":"10.1097/XEB.0000000000000445","DOIUrl":"10.1097/XEB.0000000000000445","url":null,"abstract":"<p><strong>Introduction: </strong>Advance care planning (ACP) ensures that patients receive medical care aligned with their values, goals, and preferences, especially regarding end-of-life decisions in serious chronic illnesses.</p><p><strong>Objective: </strong>This project aimed to introduce and promote evidence-based ACP in oncology and palliative care at a midsized hospital near Berlin, Germany, during the COVID-19 pandemic.</p><p><strong>Methods: </strong>This project was guided by the JBI Evidence Implementation Framework and used a mixed methods audit cycle. A baseline audit was conducted using qualitative interviews and workshops with representatives from all the health care disciplines involved in oncology and palliative care at the hospital. The findings were compared with eight best practice recommendations. Targeted strategies aimed at the key stakeholders involved in ACP practice were then implemented. Finally, a semi-quantitative questionnaire was used in a follow-up audit with the same participants as in the baseline audit.</p><p><strong>Results: </strong>The baseline audit revealed a high level of familiarity with the concept of ACP. However, there was a lack of a uniformly accepted definition and understanding of ACP among the health care professionals, leading to a lack of coordination in task distribution. The follow-up audit revealed improvements with regard to education and training in ACP (Criterion 1: 50% to 100%) and organizational support to facilitate ACP conversations (Criterion 3: 87.5% to 100%). Other audit criteria compliance rates remained unchanged.</p><p><strong>Conclusion: </strong>Clinical education and team-based process analysis can facilitate ACP implementation across disciplines in oncology and palliative care facilities. However, the project did not succeed in implementing lasting changes in clinical processes and best practice ACP due to the COVID-19 pandemic. Such an endeavor would demand considerable resources and time, both of which were constrained during the pandemic.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A236.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"FAME in implementation: adopting evidence into practice.","authors":"Yan Hu, Lei Xu","doi":"10.1097/XEB.0000000000000472","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000472","url":null,"abstract":"","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maria Pagano, Irene Cappadona, Francesco Corallo, Davide Cardile, Augusto Ielo, Giangaetano D'Aleo, Maria Cristina De Cola, Placido Bramanti, Rosella Ciurleo
{"title":"Comparison of two audit and feedback approaches: descriptive analysis of personal and contextual dynamics.","authors":"Maria Pagano, Irene Cappadona, Francesco Corallo, Davide Cardile, Augusto Ielo, Giangaetano D'Aleo, Maria Cristina De Cola, Placido Bramanti, Rosella Ciurleo","doi":"10.1097/XEB.0000000000000428","DOIUrl":"10.1097/XEB.0000000000000428","url":null,"abstract":"<p><strong>Introduction: </strong>Audit and feedback (A&F) is a systematic intervention that can be used to improve the quality of health care. The EASY-NET Network Project proposes an innovative A&F model.</p><p><strong>Aim: </strong>This study aimed to describe the newly proposed A&F model. An analysis was conducted, examining the participants' attitudes and their individual and interpersonal mechanisms to understand how they influence the work context and vice versa.</p><p><strong>Methods: </strong>Two A&F models were compared, involving emergency and rehabilitation health workers, who were divided into two groups. The classic A&F model was compared with a new model, using a desk audit followed by interactive feedback. Communication training was provided to the audit team by psychologists before commencement of the project. The experimental group underwent psychological screening using two standardized tools (COPE-NVI and ProQoL) to evaluate personal and relational dynamics using the context-mechanism-outcome (CMO) paradigm.</p><p><strong>Results: </strong>The exchange of ideas among health professionals is more effective when using face-to-face feedback than written feedback. The COPE-NVI and ProQoL questionnaires highlighted the difficulties experienced by health care professionals in implementing effective coping strategies to deal with stressful events.</p><p><strong>Conclusions: </strong>Identifying signs of stress in health care workers is essential for improvement strategies to be implemented and for establishing new, optimal conditions. Remote feedback makes it possible to overcome logistical barriers and, in the future, this method can be used for inter-organizational collaboration.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A203.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11540272/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140923556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Selina Allu, Mary Beaucage, Maoliosa Donald, Manuel Escoto, Joanne Kappel, Louise Morrin, Steven D Soroka
{"title":"Collaborative implementation science: a Can-SOLVE CKD case example.","authors":"Selina Allu, Mary Beaucage, Maoliosa Donald, Manuel Escoto, Joanne Kappel, Louise Morrin, Steven D Soroka","doi":"10.1097/XEB.0000000000000435","DOIUrl":"10.1097/XEB.0000000000000435","url":null,"abstract":"<p><strong>Abstract: </strong>Research is critical for uncovering new and effective therapies for better health outcomes, yet there remains a significant lag between identifying evidence-based interventions and implementing them into practice. Research teams can often be experienced in evidence generation, but less so in evidence implementation, underscoring the need for more customized tools to support them in this latter step. The implementation stage can be especially challenging given how strategies must be tailored to the unique end users and contexts of a given intervention. Therefore, our patient-oriented kidney research network sought to create an \"Implementation Toolkit\" and \"Pathway to Implementation\" guide to help research teams and their operational and clinical partners in implementing their interventions. Importantly, the tools were created using input and feedback from diverse groups, including patient partners, implementation science experts, researchers, operational leaders, and policymakers, all of whom play role in supporting the implementation of health interventions. Our tools are widely applicable to diverse teams, regardless of the intervention or innovation being implemented.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A214.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Diana Santos, Daniela Cardoso, Ana Filipa Cardoso, Filipa Margarida Duque, Beatriz Fernandes, Rosário Sousa, António Fernando Amaral
{"title":"Barriers and facilitators of evidence-based practice in the Portuguese context: perceptions of formal nursing leaders.","authors":"Diana Santos, Daniela Cardoso, Ana Filipa Cardoso, Filipa Margarida Duque, Beatriz Fernandes, Rosário Sousa, António Fernando Amaral","doi":"10.1097/XEB.0000000000000451","DOIUrl":"10.1097/XEB.0000000000000451","url":null,"abstract":"<p><strong>Introduction: </strong>Formal nursing leaders play an important role in promoting and sustaining evidence-based practice (EBP) in the clinical context, particularly by creating a conducive environment for change and increasing clinicians' awareness of the positive results of EBP. However, nursing leaders encounter both barriers and facilitators in their work; therefore, it is important to understand their perceptions on this topic.</p><p><strong>Objective: </strong>The objective of this study was to understand the perceptions of formal nursing leaders about barriers and facilitators for EBP.</p><p><strong>Methods: </strong>A descriptive exploratory study with a qualitative approach was conducted. A convenience sample was obtained, consisting of formal nursing leaders from three Portuguese health care institutions. Data were collected through semi-structured interviews. Content analysis was conducted using MAXQDA Analytic Pro 2022 software.</p><p><strong>Results: </strong>Seventeen formal nursing leaders were interviewed. Five categories of EBP barriers were identified: (1) scarce resources and inefficient resource management; (2) non-conducive organizational culture; (3) distance between academia and the clinical context; (4) demotivation; and (5) resistance to change. Seven categories of EBP facilitators were identified: (1) availability of resources and efficient resource management; (2) conducive organizational culture; (3) partnerships between academia and the clinical context; (4) motivation and commitment; (5) leadership; (6) organization that regulates professional practice; and (7) multidisciplinary meetings.</p><p><strong>Conclusions: </strong>This study identified barriers and facilitators for EBP through the perceptions of formal nursing leaders. Collaborative multidisciplinary efforts by leaders, direct care professionals, academics, and researchers should be conducted to overcome barriers and strengthen facilitators for EBP.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A242.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brandi B Keith, Linda Upchurch, Michelle Palokas, Robin Christian
{"title":"Improving communication among nursing staff at a children's hospital in the southern United States: a best practice implementation project.","authors":"Brandi B Keith, Linda Upchurch, Michelle Palokas, Robin Christian","doi":"10.1097/XEB.0000000000000438","DOIUrl":"10.1097/XEB.0000000000000438","url":null,"abstract":"<p><strong>Introduction: </strong>Ineffective communication between health care professionals is one of the leading causes of medical errors and can result in adverse events and patient harm. Improving the effectiveness of communication in health care is a worldwide necessity.</p><p><strong>Objective: </strong>The aim of this project was to promote evidence-based practices regarding general communication principles among the nursing staff in one unit of a children's hospital in the southern United States.</p><p><strong>Methods: </strong>The project used JBI's Evidence Implementation Framework, together with two JBI audit tools (Practical Application of Clinical Evidence System and Getting Research into Practice). A baseline audit was conducted, followed by the implementation of targeted strategies. The project was completed with a follow-up audit to determine changes in practice.</p><p><strong>Results: </strong>Baseline data revealed 61% adherence with four audit criteria for effective communication in health care. Barriers included a lack of education of nursing staff regarding communication skills and less than optimal use of a structured communication tool. Targeted strategies to address the barriers included providing an educational module on communication to nursing staff and moving the structured communication tool to a more convenient location to increase its use. The post-implementation data revealed 81% adherence with the four audit criteria, a 20% increase from baseline results.</p><p><strong>Conclusions: </strong>Optimizing communication and monitoring the use of a structured communication tool has the potential to decrease the risk of medical errors among health care providers.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A217.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Travis Brown, Elizabeth Roberts, Lucylynn Lizarondo, Alexa McArthur, Pravala Basnet, Monica Basukoski, Stephanie Cheng, Bernadette Findlay, Jessica Gao, Ranjit Kanagaraj Joshua, Rosa Jun, Rosemary Kennedy, Michelle Laing, Margaret Lawler, Rachel Ling, Yin Lo, Craig Lockwood, Andrea Mandla, Cate Milnes, Michele Louise Rule, Joanna Taylor, Anna Thornton
{"title":"Improving the quality of medication administration practices in a tertiary Australian hospital: a best practice implementation project.","authors":"Travis Brown, Elizabeth Roberts, Lucylynn Lizarondo, Alexa McArthur, Pravala Basnet, Monica Basukoski, Stephanie Cheng, Bernadette Findlay, Jessica Gao, Ranjit Kanagaraj Joshua, Rosa Jun, Rosemary Kennedy, Michelle Laing, Margaret Lawler, Rachel Ling, Yin Lo, Craig Lockwood, Andrea Mandla, Cate Milnes, Michele Louise Rule, Joanna Taylor, Anna Thornton","doi":"10.1097/XEB.0000000000000446","DOIUrl":"10.1097/XEB.0000000000000446","url":null,"abstract":"<p><strong>Introduction: </strong>Medication safety is an important health priority that focuses on preventing harm from medication-related events. Unsafe medication administration practices can lead to errors, which can cause avoidable injury (or harm) to patients.</p><p><strong>Objectives: </strong>This paper reports on an evidence implementation project conducted in a large tertiary hospital in Australia to improve nursing compliance with best practice recommendations for medication administration.</p><p><strong>Methods: </strong>The project was guided by JBI's seven-phase approach to evidence implementation, using audit and feedback and a structured framework to identify barriers, enablers, and implementation strategies.</p><p><strong>Results: </strong>The project resulted in improved compliance with best practice recommendations. This was achieved through multimodal strategies, including education, improved access to resources, and targeted feedback and discussion sessions to encourage culture and behavior change.</p><p><strong>Conclusions: </strong>The project improved nurses' medication administration practices, specifically in performing independent second checks. Collaborative efforts of the project leads facilitated the review of medication administration policy and the development of staff education resources. Patient engagement remains an area for improvement, along with the potential need for further ongoing medication education.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A237.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141628111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chen Tian, Yajie Liu, Liangying Hou, Jingwen Jiang, Ying Li, Jianing Liu, Ziying Ye, Qianji Cheng, Yan Ma, Jinling Ning, Jiajie Huang, Yong Wang, Yiyun Wang, Bo Tong, JiaLe Lu, Long Ge
{"title":"Knowledge mapping of barriers and strategies for clinical practice guideline implementation: a bibliometric analysis.","authors":"Chen Tian, Yajie Liu, Liangying Hou, Jingwen Jiang, Ying Li, Jianing Liu, Ziying Ye, Qianji Cheng, Yan Ma, Jinling Ning, Jiajie Huang, Yong Wang, Yiyun Wang, Bo Tong, JiaLe Lu, Long Ge","doi":"10.1097/XEB.0000000000000455","DOIUrl":"10.1097/XEB.0000000000000455","url":null,"abstract":"<p><strong>Objective: </strong>This study provides a comprehensive overview of the knowledge structure and research hotspots regarding barriers and strategies for the implementation of clinical practice guidelines.</p><p><strong>Methods: </strong>Publications on barriers and strategies for guideline implementation were searched for on Web of Science Core Collection from database inception to October 24, 2022. R package bibliometrix, VOSviewer, and CiteSpace were used to conduct the analysis.</p><p><strong>Results: </strong>The search yielded 21,768 records from 3,975 journals by 99,998 authors from 3,964 institutions in 186 countries between 1983 and 2022. The number of published papers had a roughly increasing trend annually. The United States, the United Kingdom, and Canada contributed the majority of records. The University of Toronto, the University of Washington, and the University of Sydney were the biggest node in their cluster on the collaboration network map. The three journals that published the greatest number of relevant studies were Implementation Science , BMJ Open , and BMC Health Services Research . Grimshaw JM was the author with the most published articles, and was the second most co-cited author. Research hotspots in this field focused on public health and education, evidence-based medicine and quality promotion, diagnosis and treatment, and knowledge translation and barriers. Challenges and barriers, as well as societal impacts and inequalities, are likely to be key directions for future research.</p><p><strong>Conclusions: </strong>This is the first bibliometric study to comprehensively summarize the research trends of research on barriers and strategies for clinical practice guideline implementation. A better understanding of collaboration patterns and research hotspots may be useful for researchers.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A247.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mahmut Enes Kayaalp, Hassan Tarek Hakam, Jitka Klugarová, Miloslav Klugar, Tina Poklepović Peričić, Małgorzata M Bała, Roland Becker, Robert Prill
{"title":"Intra-articular knee injections in patients with primary osteoarthritis in a tertiary clinical setting: a best practice implementation project.","authors":"Mahmut Enes Kayaalp, Hassan Tarek Hakam, Jitka Klugarová, Miloslav Klugar, Tina Poklepović Peričić, Małgorzata M Bała, Roland Becker, Robert Prill","doi":"10.1097/XEB.0000000000000474","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000474","url":null,"abstract":"<p><strong>Aims: </strong>This project aimed to improve physicians' adherence to evidence-based practices regarding the selection and administration of intra-articular knee injections for patients with osteoarthritis. The project also aimed to empower patients by increasing their awareness of these evidence-based practices.</p><p><strong>Introduction: </strong>In the management of knee osteoarthritis, intra-articular injections are commonly used when initial treatments prove inadequate. However, issues such as patients' demand for rapid relief and variability in physicians' familiarity with optimal practices often lead to suboptimal treatment decisions and potential adverse outcomes.</p><p><strong>Methods: </strong>This project followed the JBI Evidence Implementation Framework, which is grounded in an audit, feedback, and re-audit process. Initially, physicians were surveyed on the topic under consideration, and hospital records were reviewed. Subsequently, targeted interventions were implemented, including briefings and the distribution of informative flyers.</p><p><strong>Results: </strong>The baseline audit indicated low adherence with all audit criteria. Various parameters, such as adherence to best clinical practices, informed decision-making by patients, and the recommendation of alternative treatment modalities, were significantly lacking. Following the interventions, substantial improvements were observed, including higher rates of adherence to best clinical practices by physicians for multiple criteria, such as stepwise referral to conservative therapy options and the content of intra-articular injections.</p><p><strong>Conclusions: </strong>Adherence to best clinical practices can be improved through educational briefings for physicians on the most current evidence-based treatment practices for injectable substances in knee osteoarthritis. The active engagement of patients, facilitated by informative flyers and physician assistance, contributed to better involvement in their treatment choices. However, the participation of health care institutions and providers as well as lifelong education practices may be necessary for more comprehensive and sustainable changes.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A277.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prevention and management of medical adhesive-related skin injuries in tumor patients with peripheral central venous catheters: a best practice implementation project.","authors":"Huang Tang, Xuemei Zhong, Caixia Wu, Yunfei Fan, Qinghua Li, Qingxia Chen, Xiaojin Li, Jing Ruan, Chunxia Xia","doi":"10.1097/XEB.0000000000000476","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000476","url":null,"abstract":"<p><strong>Introduction: </strong>Peripheral central venous catheters are common vascular access devices used in patients with tumors. To prevent catheter shedding and displacement, it is essential to use medical adhesives to secure the catheters. Repeated adhesion and removal of medical adhesives can weaken the barrier function of the skin, leading to medical adhesive-related skin injuries (MARSI), which can increase the patients' pain and medical expenses.</p><p><strong>Objectives: </strong>The objective of this project was to utilize the best evidence to prevent and manage MARSI in tumor patients with peripheral central venous catheters.</p><p><strong>Methods: </strong>This evidence-based audit and feedback project was theoretically informed by the JBI Evidence Implementation Framework. The framework involves seven phases in which a project team was established; measurable criteria were selected; baseline data were collected; improvement strategies were implemented to address gaps in compliance; a follow-up audit was conducted to assess improvements in compliance; and sustainability measures were considered. The project also used the JBI Practical Application of Clinical Evidence System (PACES) for project management, including data collection and analysis. The JBI Getting Research into Practice (GRiP) approach was also used to support implementation and compliance.</p><p><strong>Results: </strong>In the baseline audit, the compliance rate for the nine audit criteria was low. In the follow-up audit, the compliance rate significantly improved, with each audit criterion exceeding a minimum of 80%, and four audit criteria reaching 100%. Knowledge of MARSI among nurses and patients significantly improved (p < 0.05) and the incidence of MARSI among patients with peripheral central venous catheters decreased.</p><p><strong>Conclusions: </strong>This project successfully enhanced nurses' compliance with MARSI prevention and management and increased the knowledge and skills of both nurses and patients about MARSI.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A285.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}