Jbi Evidence Implementation最新文献

{"title":"Relational factors influencing implementation in aged care: a literature review.","authors":"Alice Windle, Gillian Harvey, Carol Davy","doi":"10.1097/XEB.0000000000000523","DOIUrl":"10.1097/XEB.0000000000000523","url":null,"abstract":"<p><strong>Introduction: </strong>There are widespread efforts to implement change and innovation to improve care for older people in aged care. Relational factors are among the key determinants of implementation in care settings, and are an emerging area of implementation research attention.</p><p><strong>Aim: </strong>This study aimed to identify relational factors that influence implementation in aged care.</p><p><strong>Methods: </strong>We conducted inductive descriptive qualitative content analysis of studies included in a recent comprehensive scoping review of implementation in aged care.</p><p><strong>Results: </strong>We identified a variety of relational factors that influence implementation. Collaboration among stakeholders was a key factor, in particular between disciplines, and among the aged care staff as well as with external service providers. We found that managers' support was vital, as was clear and frequent communication between stakeholders. Implementation was aided by established, cohesive, trusting, non-hierarchical relationships, as well as shared values and visions.</p><p><strong>Conclusions: </strong>A range of factors in the socio-relational context can influence implementation in aged care. Assessing these factors and tailoring implementation strategies accordingly can promote successful implementation to improve care for older people.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A384.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001781","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":"Stakeholder engagement: supporting innovation in aged care.","authors":"Carol Davy, Alice Windle, Gillian Harvey","doi":"10.1097/XEB.0000000000000524","DOIUrl":"10.1097/XEB.0000000000000524","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to understand stakeholder engagement in aged care by examining four key objectives: who was engaged, how they were engaged, the factors that supported their engagement, and the outcomes realized from the process.</p><p><strong>Introduction: </strong>The aged care sector must innovate to meet increased service demand, staff shortages, insufficient funding, and rising client expectations. Effective innovation in this sector requires meaningful stakeholder engagement, yet the definitions and processes surrounding engagement are often ambiguous and criticized for being tokenistic.</p><p><strong>Eligibility criteria: </strong>We conducted a descriptive secondary analysis of data from a scoping review that examined factors affecting the implementation of innovations in community and residential aged care settings.</p><p><strong>Methods: </strong>Data were inductively coded based on the four key objectives. The findings were validated and interpreted in collaboration with a Research Advisory Group composed of aged care clients, staff, and sector representatives.</p><p><strong>Results: </strong>The majority of studies engaged aged care staff, with limited involvement of clients, families, and the community. Approaches encouraging open communication and collaboration fostered stronger participation and relationships. Clear information, resources, and leadership support improved outcomes, enhanced staff capability, and built stakeholder trust.</p><p><strong>Conclusions: </strong>Our study underscores the importance of meaningful stakeholder engagement in implementing innovations within the aged care sector. Expanding involvement to ensure clients, family members, and the wider community are involved could enhance outcomes. Adopting more interactive and inclusive approaches also fosters equitable participation, ensuring that diverse perspectives contribute to the success of these innovations.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A387.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974548","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":"Fit for purpose: selecting and adapting innovations for aged care.","authors":"Carol Davy, Alice Windle, Gillian Harvey","doi":"10.1097/XEB.0000000000000521","DOIUrl":"10.1097/XEB.0000000000000521","url":null,"abstract":"<p><strong>Aim: </strong>This review examines how innovation attributes can affect the implementation of innovations in aged care organizations.</p><p><strong>Introduction: </strong>Aged care organizations are increasingly implementing new care models and types of technology to improve care quality and sustain operational viability. However, selecting and implementing these innovations is complex, as integrating new practices within established systems requires careful consideration. Identifying specific attributes of innovations that influence implementation outcomes is essential to enhancing sustainability and success.</p><p><strong>Methods: </strong>We conducted a secondary data analysis of a comprehensive scoping review on factors affecting innovation implementation in aged care. Key innovation attributes based on Greenhalgh's Diffusion of Innovation in Service Organizations model were used as a framework for analysis.</p><p><strong>Results: </strong>Of the 192 studies in the original scoping review, 122 provided insights into innovation attributes that influence implementation. Key attributes identified included the innovation's impact on workloads, its relevance to roles, and the level of staff knowledge and confidence to adopt within their context. Additionally, the included studies highlighted the importance of sufficient ongoing support, compatibility with existing organizational values and systems, and the innovation's adaptability to specific care settings. Balancing these innovation attributes presents unique opportunities and challenges within the aged care sector.</p><p><strong>Conclusion: </strong>Our findings indicate that successful innovation implementation in aged care requires a nuanced understanding of the innovation attributes that may improve the likelihood of successful implementation. This secondary review offers a practical framework for evaluating innovation suitability, supporting decision-makers in selecting innovations that align with the specific needs and context of aged care settings.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A383.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884038","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":"Fall prevention interventions in community-dwelling older people with cognitive impairment: a systematic review.","authors":"Sumattana Glangkarn, Pelden Chejor, Rujira Nonsa-Ard, Kasama Wongprachum, Sirapat Khodseewong, Chaiwut Bourneow, Davina Porock","doi":"10.1097/XEB.0000000000000522","DOIUrl":"10.1097/XEB.0000000000000522","url":null,"abstract":"<p><strong>Introduction: </strong>Falls are a major health concern for older adults, particularly those with cognitive impairment. Many factors contribute to the risk of falls, making it a complex issue to manage.</p><p><strong>Aim: </strong>This systematic review aimed to identify and describe the implementation strategies used for fall prevention in community-dwelling older people with cognitive impairment.</p><p><strong>Eligibility criteria: </strong>The review included studies on fall prevention interventions for community-dwelling adults aged > 50 years with cognitive impairment. Eligible studies were primary research, including experimental, quasi-experimental, qualitative, and mixed methods designs, with detailed implementation strategies. Systematic reviews, protocols, editorials, opinions, commentaries, and conference papers were excluded.</p><p><strong>Methods: </strong>This review followed the JBI methodology for systematic reviews of effectiveness and was reported in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Five databases were searched for studies published in English after 2000: MEDLINE (EBSCOhost), CINAHL Ultimate (EBSCOhost), PsycINFO (EBSCOhost), Scopus, and Web of Science Core Collection. Data on implementation strategies and outcomes were extracted and synthesized using the ERIC framework and Proctor's implementation taxonomy.</p><p><strong>Results: </strong>Twenty-one studies met the eligibility criteria. Twenty-four implementation strategies were identified, with 15 directly fitting the ERIC list and 9 additional strategies emerging. The most common strategies were engaging consumers (i.e., patients and family members or caregivers) (n = 13), adapting and tailoring to context (n = 9), and training and educating stakeholders (n = 8). Implementation outcomes were reported inconsistently across studies. Several implementation strategies were often used, but their combined effects on fall prevention outcomes were not clearly reported.</p><p><strong>Conclusions: </strong>This review indicates that engaging consumers, particularly family members, was the most common implementation strategy to prevent falls. The review also highlights new strategies, such as providing culturally appropriate interventions and using dementia-trained instructors. Lastly, the review identifies the need for clearer reporting of implementation strategies and outcomes in future studies.</p><p><strong>Review registration: </strong>PROSPERO CRD4202454689.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A380.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790425","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":"Chlorhexidine gluconate bathing to reduce hospital-acquired infections in adult intensive care units: a best practice implementation project.","authors":"Chin Yuan Tsan, Wei Ling Hsiao, Yun Wen Yung, Yu Jen Chu, Pei Fan Mu","doi":"10.1097/XEB.0000000000000520","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000520","url":null,"abstract":"<p><strong>Introduction: </strong>Hospital-acquired infections (HAIs) have a significant effect on the quality of patient care as well as increasing hospital costs in adult intensive care units (ICUs). The ICU infection rate at the study hospital (10.6‰) exceeded acceptable standards.</p><p><strong>Aims: </strong>This study aimed to reduce the HAI rate in the adult ICU through chlorhexidine gluconate (CHG) bathing, in line with evidence-based practices.</p><p><strong>Methods: </strong>This project followed the JBI Evidence Implementation Framework, supported by JBI's Practical Application of Clinical Evidence System (PACES) and the JBI Getting Research into Practice (GRiP) tool. Rogers' Diffusion of Innovations Theory was used to guide the change process. The study was conducted in a hospital in northern Taiwan. Baseline and follow-up audits were conducted involving 450 patients and 321 nurses across 12 adult ICUs. The audit criteria were derived from evidence-based recommendations.</p><p><strong>Results: </strong>Post-implementation audit compliance rates improved significantly. Daily bathing of ICU patients with CHG increased from 24% to 96%; education of nursing staff on CHG bathing increased from 30.5% to 100%; documentation of patient hypersensitivities and allergies to CHG increased from 40% to 98%; and use of non-chlorhexidine soap and water for patients allergic to CHG increased from 76% to 100%. Following implementation of the project, the monthly incidence density of HAIs decreased markedly from 10.6‰ to 6.1‰.</p><p><strong>Conclusions: </strong>The implementation of best practices significantly reduced HAIs in adult ICUs across the hospital. Key success factors included information technology, flat-structure communication, a top-down strategy, accountable management, and a centralized materials supply. These factors facilitated adoption of the project simultaneously across multiple units.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A378.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700128","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":"Critical actions for embedding research evidence into practice: how to get the most out of your implementation scientist.","authors":"Carolyn Mazariego, Hossai Gul, Shuang Liang, Angela Kelly-Hanku, Bernadette Brady, Sabine Allida, Rachel Baffsky, Gemma McErlean, Carmen Crespo, Michael Hodgins, Lauren Christie, David Peiris, Deborah Debono, Freya MacMillan, Caleb Ferguson, Nicole Heneka, Sarah G Kennedy, Hueiming Liu, April Morrow, Guillaume Fontaine, Merran Findlay, Sandy Middleton, David Lim, Nicola Straiton, Natalie Taylor","doi":"10.1097/XEB.0000000000000518","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000518","url":null,"abstract":"<p><strong>Abstract: </strong>Implementation science has been gaining traction over the last decade to support health care systems in adopting and sustaining evidence-based interventions, programs, and policies. Given the inherent complexity of implementation research and practice, and their associated methodologies, implementation scientists play a central role in translating research into practice. However, many health care system stakeholders often struggle to understand how best to collaborate with implementation scientists. This commentary discusses the significant benefits of such collaboration, outlining ten critical actions drawn from the collective experience of 25 implementation scientists with over 173 years of combined expertise. This project was conducted under the SPHERE Implementation Science Platform, as part of the Sydney Partnership for Health, Education, Research and Enterprise (SPHERE).The ten recommendations for working with an implementation scientist to optimize implementation efforts include the following: (1) involve implementation scientists early during intervention design, (2) recognize the unique nature and value of implementation science data, (3) integrate implementation assessments into the research plan, (4) foster collaborative partnerships inclusive of implementation science, (5) differentiate between factors affecting implementation and wider constraints, (6) work with implementation scientists to address implementation challenges, (7) prioritize implementation scale and sustainment, (8) embrace that implementation requires continuous learning and adaptation, (9) promote knowledge exchange between implementation science and subject matter experts, and (10) focus on capability- and capacity-building for implementation within the system. By following these recommendations, researchers, clinicians, decision-makers, and implementation scientists can foster impactful collaborations that enhance the translation of research into clinical practice and improve the quality of health care delivery.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A374.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555379","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":"Telehealth for the management of patients with type 2 diabetes in remote areas of Taiwan: a best practice implementation project.","authors":"Shwu-Feng Tsay, Hsiu-Chun Chang, Pei-Fan Mu, Pei-Lin Chou, Yu-Chu Lin, Jin-Hung Lin","doi":"10.1097/XEB.0000000000000519","DOIUrl":"10.1097/XEB.0000000000000519","url":null,"abstract":"<p><strong>Introduction: </strong>Telehealth services integrate technology with specialized medical care, and can be used to improve blood sugar management and reduce complications in patients with type 2 diabetes.</p><p><strong>Objectives: </strong>This study aimed to improve telemedicine care for patients with type 2 diabetes in public health centers in remote Indigenous communities in Taiwan through evidence-based practices. This included increasing the rates of ophthalmic examinations and enhancing the capacity of health care providers.</p><p><strong>Methods: </strong>This project followed the JBI Evidence Implementation Framework and was supported by the JBI Practical Application of Clinical Evidence System (PACES). Baseline and follow-up audits were conducted among health care providers and patients with type 2 diabetes to measure compliance with best practices and determine any improvements in practice after implementation. HbA1c levels in patients with type 2 diabetes were analyzed using paired sample t -tests, with statistical significance set at p  < 0.05.</p><p><strong>Results: </strong>The follow-up audit revealed that compliance rates for the six audit criteria improved, with Criteria 1-5 increasing from 62.5% to 87.5% or 100%. Additionally, Criterion 6 improved from 37.5% to 62.5%. The HbA1c values of the patients showed pre- and post-intervention means of 7.8291% and 7.3236%, respectively.</p><p><strong>Conclusions: </strong>Using a coaching leadership model along with JBI audit criteria to enhance the knowledge and skills of health care providers was essential for the success of the project. This approach resulted in significant advancements in caring for people with type 2 diabetes.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A377.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":"301-311"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555380","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":"Compression therapy in patients with venous leg ulcers: a best practice implementation project.","authors":"María Jesús Samaniego Ruiz, Nieves Valero Moll, Miguel Muñoz Gálvez, Marina Gallego Jiménez, Laura Albornos Muñoz","doi":"10.1097/XEB.0000000000000433","DOIUrl":"10.1097/XEB.0000000000000433","url":null,"abstract":"<p><strong>Introduction and objectives: </strong>Venous leg ulcers are the most common ulcerations of the lower extremities. Compression is the most important consideration and the gold standard treatment for venous leg ulcers. This implementation project aimed to promote best practices in the management of venous leg ulcers in a rural community-care setting.</p><p><strong>Methods: </strong>This project was guided by the JBI Evidence Implementation Framework, which is grounded in audit and feedback processes, along with a structured approach to identifying and managing barriers to compliance with recommended best practices.</p><p><strong>Results: </strong>Compliance with best practices increased for most audit criteria. The use of compression therapy increased from 16.7% to 60%, documentation increased from 6.7% to 50%, replacement of compression bandages from 6.7% to 60%, patient education from 0% to 46.7%, and holistic assessment from 0% to 13%. However, compliance for individualized interventions to promote adherence remained at 0%.</p><p><strong>Conclusions: </strong>This project succeeded in introducing compression therapy as a basic treatment for venous ulcers. However, continued improvement in the care for venous ulcers and guarantee of long-term implementation of evidence are necessary.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A212.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":"256-264"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238375","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":"Interruption reduction during oral medication rounds among nurses in hematology-oncology wards: a best practice implementation project.","authors":"Jia Wen Siah, Crystal Kai Tian Cheng, Chloe Leyi Choy, Poh Chi Tho, Siew Ping Lang","doi":"10.1097/XEB.0000000000000457","DOIUrl":"10.1097/XEB.0000000000000457","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of the project was to reduce interruptions during oral medication rounds among nurses working in hematology-oncology wards by improving compliance with best practices by 20%.</p><p><strong>Introduction: </strong>Medication errors can adversely affect patient safety. Hence, understanding the underlying contributors to medication errors is necessary. Nurses are the ones who administer medications to patients; however, in clinical areas, interruptions are prevalent and could contribute to medication errors. It is therefore recommended that interventions be implemented to minimize interruptions.</p><p><strong>Methods: </strong>This project was conducted in two hematology-oncology wards from March 2022 to March 2023. Target participants were nurses who served medications in the morning. The project followed an evidence-based audit and feedback methodology using the seven-phase JBI Evidence Implementation Framework. JBI's Practical Application of Clinical Evidence System (PACES) was used to support the audit and feedback process. An interruption reduction bundle consisting of three best practices was implemented.</p><p><strong>Results: </strong>At baseline, only 24% of medications administered occurred without interruption. One month after implementation, there was a 51% improvement in compliance. Six months after implementation, compliance increased to 58%. Nine months post-implementation, the compliance rate remained at 59%. Absolute interruption counts decreased from 47 (baseline), to 27 (1 month post-implementation), to 24 (6 months post-implementation), to 16 (9 months post-implementation). All types of interruptions decreased when comparing the baseline with the latest post-implementation result.</p><p><strong>Conclusions: </strong>The project used evidence-based interventions in a bundle, effectively reducing interruptions during oral medication rounds, and sustaining positive results.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A256.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":"274-281"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019196","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":"A mixed methods study on the barriers and enablers of implementing the Spinal Cord Injury Physiotherapy Clinical Guideline in clinical practice.","authors":"Leanne Rees, Mark McDonald, David Berlowitz, Marnie Graco","doi":"10.1097/XEB.0000000000000510","DOIUrl":"10.1097/XEB.0000000000000510","url":null,"abstract":"<p><strong>Introduction: </strong>Physiotherapy is integral in the care of people with spinal cord injury (SCI). However, physiotherapy management in SCI is potentially challenging due to the low prevalence of SCI, complexity of presentations, and broad scope of physiotherapy interventions.</p><p><strong>Objective: </strong>This study aimed to explore barriers and enablers of using a physiotherapy clinical guideline as perceived by therapists who deliver physical therapies to people with SCI in local health care settings.</p><p><strong>Method: </strong>Following guideline dissemination, therapists were invited to participate in a survey. The survey examined barriers and enablers of following the recommendations in the physiotherapy guideline. Guided by the Theoretical Domains Framework, the survey asked participants to rate their agreement with 18 statements and to answer free-text questions about barriers and enablers. Data analysis adopted a mixed methods approach, including triangulation of quantitative and qualitative data.</p><p><strong>Results: </strong>Fifty-three therapists responded to the survey, representing regional and metropolitan health care settings, as well as public and private sectors. All respondents believed that delivering an intervention according to the guideline was worthwhile. The quantitative and qualitative findings highlighted several conditions under which therapists may find it difficult to follow guideline recommendations. These included potential conflict between patient expectations of therapy and care recommended by the guideline.</p><p><strong>Conclusion: </strong>The findings offer insights into how therapists can be supported to provide evidence-based physical therapies to people with SCI in rehabilitation settings. Recommendations include targeting therapists who see few people with SCI, such as those who work in regional settings; delivering education alongside that of SCI psychosocial care; and including people with SCI as co-educators.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A363.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":"334-344"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732495","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}