Jbi Evidence Implementation最新文献

{"title":"A roadmap for organization-wide implementation of evidence-based medicine: an overview of reviews.","authors":"Kim van der Braak, Pauline Heus, Claudia C Orelio, Getty Huisman-de Waal, Dirk T Ubbink, Maarten J van der Laan, Lotty Hooft","doi":"10.1097/XEB.0000000000000649","DOIUrl":"10.1097/XEB.0000000000000649","url":null,"abstract":"<p><strong>Aims: </strong>The aim of this overview is to provide a roadmap for the organization-wide implementation of evidence-based medicine (EBM) by synthesizing evidence across three key implementation process steps: outcome measurement, contextual analysis, and strategy selection.</p><p><strong>Methods: </strong>A systematic overview of reviews was conducted following an a priori protocol (osf.io/65zn2). Reviews that provided information on EBM implementation, published from 2013 to 2023, were retrieved from MEDLINE (Ovid), Embase (Ovid), and CINAHL (EBSCOhost). An implementation process model, a conceptual framework for organizational readiness, and a taxonomy for implementation strategies were used to synthesize the findings.</p><p><strong>Results: </strong>The overview screened 8,726 reviews, of which 100 were included. Reviews related to outcome measurement (n = 50) all reported provider-level outcomes (e.g., knowledge and skills) and identified up to 204 instruments. Four instruments were consistently recommended: EBPQ, EPIC, Fresno Test, and HS-EBP. The results of reviews on contextual analysis (n = 57) were structured according to five Organizational Readiness concepts and 22 themes. Organizational (n = 51) and personal factors influencing EBM implementation (n = 48) were discussed most. Reviews reporting implementation strategies (n = 40) mainly investigated educational strategies (n = 38). Other strategies, such as infrastructure changes, were less commonly evaluated.</p><p><strong>Conclusions: </strong>This overview of reviews identifies actionable insights for the organization-wide implementation of EBM, including validated provider-level measurement instruments, a comprehensive overview of contextual factors, and effective strategies to support implementation. Critical evidence gaps concerned non-educational strategies as well as the assessment of organizational and patient-level outcomes. By connecting insights across all stages of the implementation process, our synthesis offers health care organizations a structured roadmap to design, implement, and evaluate sustainable EBM initiatives.</p><p><strong>Spanish abstract: </strong>https://links.lww.com/IJEBH/A692.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148913715","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":"Implementation of an evidence-based diabetic foot risk stratification pathway in a surgical outpatient setting: a best practice implementation project.","authors":"Ya-Wen Lu, Hui-Ching Hsu, Hsin-Chung Tsai","doi":"10.1097/XEB.0000000000000650","DOIUrl":"10.1097/XEB.0000000000000650","url":null,"abstract":"<p><strong>Background: </strong>Diabetic foot ulcers are a severe complication of diabetes. Despite international guidelines, preventive risk assessment remains inconsistent in outpatient settings.</p><p><strong>Objectives: </strong>The project aimed to improve early identification and risk stratification of diabetic foot in a plastic surgery outpatient department in Taiwan through the implementation of evidence-based practices.</p><p><strong>Methods: </strong>This best practice implementation project utilized the JBI Evidence Implementation Framework. A baseline audit of 30 patient records was conducted to evaluate current practice against best practice recommendations. Barriers were identified using JBI's GRiP (Getting Research into Practice) tool. Improvement strategies included developing a standard operating procedure, embedding risk assessment forms in the electronic health record, and staff training. A follow-up audit of 38 records evaluated post-implementation compliance.</p><p><strong>Results: </strong>Baseline compliance was 0% for standardized risk classification and staff training. Following the implementation of targeted strategies over 5 months, compliance improved to 100% across all six audit criteria. However, short-term clinical outcomes revealed persistent adverse events, including one death, four hospitalizations, and two amputations, highlighting a gap between process compliance and immediate outcome improvement.</p><p><strong>Conclusions: </strong>The project successfully established a high-reliability preventive process for diabetic foot care in an outpatient setting. However, the persistence of adverse outcomes suggests that process improvement must be coupled with longitudinal follow-up and robust post-assessment care pathways to effectively reduce amputation rates.</p><p><strong>Spanish abstract: </strong>https://links.lww.com/IJEBH/A696.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148913787","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":"Improving nurses' compliance with evidence-based falls prevention practices in urology settings: a best practice implementation project.","authors":"Ileana Paula Ionel, Gina Agnes Ciucă, Justin Aurelian, Claudia Elena Dobre, Viorica Nedelcu, Doina Carmen Mazilu","doi":"10.1097/XEB.0000000000000647","DOIUrl":"10.1097/XEB.0000000000000647","url":null,"abstract":"<p><strong>Introduction: </strong>Falls represent multifactorial adverse events and are a major challenge in the care of patients with urological conditions.</p><p><strong>Aim: </strong>The aim of this evidence implementation project was to improve fall prevention practices in three urology wards of a specialized hospital in Romania.</p><p><strong>Methods: </strong>The project followed the JBI Evidence Implementation Framework and involved a baseline audit, an implementation period, and a follow-up audit. The audit questionnaire comprised nine audit criteria, derived from a JBI Best Practice Evidence Summary. The population samples included 120 patients and 30 nurses.</p><p><strong>Results: </strong>The results of the follow-up audit showed improved compliance with the nine audit criteria, with values ranging between 42% and 100%. High compliance rates (over 80%) were noted for criteria regarding the existence of evidence-based procedures, staff education, and the provision of information on falls prevention to patients. However, more modest results were obtained for criteria regarding multidisciplinary interventions implemented according to individual risk factors (42%-50%) and the involvement of the patients in setting goals and planning treatment (45%-55%).</p><p><strong>Conclusions: </strong>The implementation of evidence-based practices was associated with improved compliance with falls prevention standards. However, as patient outcome data were not assessed, the impact on fall incidence remains to be determined. Sustained efforts are required to improve compliance for audit criteria with modest results and to maintain the gains achieved.</p><p><strong>Spanish abstract: </strong>https://links.lww.com/IJEBH/A690.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148833346","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":"Improving self-management support for patients with chronic obstructive pulmonary disease in an acute care chest ward: a best practice implementation project.","authors":"Sing-Jyun Lin, Roger Yun-Chain Yau, Chun-Ling Chen, Yu-Chien Chuang, Ya-Wen Lee","doi":"10.1097/XEB.0000000000000646","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000646","url":null,"abstract":"<p><strong>Introduction: </strong>Chronic obstructive pulmonary disease (COPD) remains a leading global cause of morbidity and mortality. Although evidence-based self-management programs are well established, their implementation in routine hospital care is often limited by contextual and behavioral barriers, resulting in suboptimal compliance with recommended practices.</p><p><strong>Objectives: </strong>This project aimed to improve patients' COPD self-management through the implementation of evidence-based practices in a hospital in Taiwan.</p><p><strong>Methods: </strong>The project was guided by the JBI Evidence Implementation Framework and used the JBI Practical Application of Clinical Evidence System (PACES) and the Getting Research into Practice (GRiP) tool. A baseline audit was conducted to compare current practices with recommended practices. Participants included 32 ward nurses and 30 patients. Factors hindering compliance were identified and educational and workflow strategies were implemented, including staff training, bedside micro-teaching, and digital reinforcement through the ward's official messaging platform. A follow-up audit measured changes in compliance.</p><p><strong>Results: </strong>Compliance improved across all criteria, increasing from 16.7%-56.7% at baseline to above 90% at follow-up. Nurses' knowledge and perception scores increased from 57.7 to 95.6 points and mean patient COPD Assessment Test scores improved from 6.6 to 4.9, indicating reduced symptom burden. No 30-day emergency department revisits occurred.</p><p><strong>Conclusions: </strong>This project improved adherence to evidence-based COPD self-management practices and strengthened nurses' capacity for evidence-based education. Repeated bedside micro-teaching sessions (each < 5 min) and digital reinforcement effectively supported patient learning and confidence. Embedding these approaches into staff training and ongoing audits demonstrates a feasible and transferable model for sustaining evidence-based COPD care in acute care settings.</p><p><strong>Spanish abstract: </strong>https://links.lww.com/IJEBH/A688.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148874843","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":"Knowledge mobilization in a pandemic: mixed methods evaluation of the National Collaborating Centre for Methods and Tools' COVID-19 evidence support.","authors":"Maureen Dobbins, Emily C Clark, Trish Burnett, Kristin Rogers, Sarah E Neil-Sztramko","doi":"10.1097/XEB.0000000000000639","DOIUrl":"10.1097/XEB.0000000000000639","url":null,"abstract":"<p><strong>Introduction: </strong>During the COVID-19 pandemic, the National Collaborating Centre for Methods and Tools created a Rapid Evidence Service (RES) and Rapid Review Repository (RRR) to address public health decision-making challenges. Few evaluations have assessed if and/or how rapid reviews influenced decision-making.</p><p><strong>Aims: </strong>This study sought to (1) explore the reach, quality, use, and impact of the RES and RRR; and (2) identify enabling or hindering factors.</p><p><strong>Methods: </strong>A convergent mixed methods study including a cross-sectional study and a qualitative descriptive evaluation was conducted among decision-makers and evidence synthesis organizations. The findings from each data collection method were merged thematically to draw conclusions.</p><p><strong>Results: </strong>A total of 44 individuals participated. Thirty-eight were public health decision-makers and six represented evidence synthesis organizations. The findings demonstrate that RES reviews reached decision-makers across Canada and globally, were used in decision-making, and influenced decisions. The RRR helped reduce duplication of reviews, promoted collaboration, and supported sharing of emerging evidence. Collectively, quality, credibility, trustworthiness, and usefulness influenced satisfaction, which emerged as a critical driver of reach, use, and impact.</p><p><strong>Conclusions: </strong>The RES and RRR supported evidence-informed decision-making during the pandemic. Previously established relationships and product satisfaction with decision-makers were critical in enabling reach at the outset of the pandemic, while maintaining satisfaction during the pandemic was key to ongoing reach and for reviews to be used to influence decisions. These findings provide direction on actions to prepare for the next public health crisis.</p><p><strong>Spanish abstract: </strong>https://links.lww.com/IJEBH/A669.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799778","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 transmural allied healthcare pathway (TULIP): a multi-methods process evaluation.","authors":"Juul W M van Grootel, Suzanne Wiertsema, Johanna M van Dongen, Femke van Nassau, Edwin Geleijn, Romain J Collet, Annette M van Bemmel, Marike van der Schaaf, Raymond Ostelo, Marike van der Leeden","doi":"10.1097/XEB.0000000000000648","DOIUrl":"10.1097/XEB.0000000000000648","url":null,"abstract":"<p><strong>Introduction and aims: </strong>The transmural allied healthcare pathway (TULIP) was developed to improve interprofessional collaboration and continuity of care during hospital-to-home transitions for patients with complex care needs. This process evaluation aimed to examine the implementation and integration of TULIP into routine care.</p><p><strong>Methods: </strong>This study was a multi-methods process evaluation guided by the RE-AIM framework, assessing the reach, effectiveness, adoption, implementation, and maintenance of TULIP. Data were collected through interviews, focus groups, and surveys with professionals, patients, and managers across hospital, geriatric rehabilitation centers, and primary care settings.</p><p><strong>Results: </strong>Reach included 84 healthcare professionals across hospital, geriatric rehabilitation, and primary care settings; patient enrollment was limited due to a small eligible population. Effectiveness showed a slight improvement in the consistency of care delivery among active users, with no significant changes in perceived collaboration or work performance, although limited intervention uptake may have constrained the assessment of potential effects. Adoption varied across professionals and settings and relied heavily on the implementation researcher, indicating limited organizational ownership. Implementation was hindered by intervention complexity, differing task perceptions among professionals, and challenges in cross-setting coordination and patient eligibility. Maintenance was considered unlikely without structural organizational support, integration into existing workflows, and a clearly perceived need among professionals.</p><p><strong>Conclusions: </strong>The sustainable implementation of TULIP requires stronger organizational commitment, clearer roles and responsibilities, and integration into routine workflows to support the continuity of care during hospital-to-home transitions.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148820078","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":"Evaluation and management of pain in patients in the emergency trauma room: a best practice implementation project.","authors":"Amanda Ximenes, Adriana Nori, Gabriella Novelli Oliveira, Maria Aparecida Medeiros, Karina Sichieri, Vilanice Alves de Araujo Püschel","doi":"10.1097/XEB.0000000000000643","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000643","url":null,"abstract":"<p><strong>Introduction: </strong>Pain is a frequent complaint in emergency departments (ED), particularly among polytrauma patients, who often experience high levels of pain. The Advanced Trauma Life Support protocol is widely used to assess such patients, prioritizing life-threatening conditions through the ABCDE approach. However, pain documentation is often insufficient, and analgesia administration is frequently delayed, even in conscious patients able to report their pain.</p><p><strong>Objectives: </strong>This project aimed to promote evidence-based practices for pain assessment and management in an emergency trauma room.</p><p><strong>Methods: </strong>The project followed the seven-phase JBI Evidence Implementation Framework. A baseline audit assessed 211 patient records against seven audit criteria and barriers to best practices were identified. After the implementation of improvement strategies, a follow-up audit measured changes in compliance with best practices.</p><p><strong>Results: </strong>Key barriers included lack of pain documentation, absence of a reliable assessment scale, no reassessment after analgesia or before ED discharge, and delays in analgesic administration. To address these, a protocol for systematic pain evaluation was implemented, ensuring analgesia aligned with recorded scores, alongside training for medical and nursing teams. The follow-up audit demonstrated marked improvement across all criteria. Compliance exceeded 70% for pain documentation upon arrival in the ED using a validated tool and for analgesia administration based on recorded scores. Reassessment after analgesia and prior to discharge remained below 60%, likely reflecting structural challenges within the ED. Time to first analgesic dose was reduced, indicating progress in timely administration.</p><p><strong>Conclusion: </strong>The implementation strategies proved effective, improving the systematic care provided in the emergency trauma room of the ED, in alignment with best practices for the assessment and management of pain in polytrauma patients.</p><p><strong>Spanish abstract: </strong>https://links.lww.com/IJEBH/A674.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799760","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":"Clinical assessment and management of bone health in non-metastatic breast cancer patients: a best practice implementation project.","authors":"Huihui Zhao, Chunlan Zhou, Yanni Wu, Jianyu Dong, Jingyun Guo, Lanlan Ma, Yuanyang Peng, Hui Yang, Wenji Li","doi":"10.1097/XEB.0000000000000587","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000587","url":null,"abstract":"<p><strong>Introduction: </strong>Non-metastatic breast cancer survivors are at higher risk of developing musculoskeletal diseases, including bone metastases, bone loss, pain, osteoporosis, and fractures. Bone health issues may affect patients' quality of life and even reduce survival. Effective assessment and management of bone health can prevent bone loss and bone metastasis.</p><p><strong>Objective: </strong>This project aimed to enhance the adoption of evidence-based assessment and management of bone health in non-metastatic breast cancer patients.</p><p><strong>Methods: </strong>The project was conducted using the seven-phase JBI Evidence Implementation Framework and the JBI Getting Research into Practice (GRiP) method. Fifteen criteria were developed to measure compliance with recommended practices. The sample size was 50 patients in both the baseline and follow-up audits. Barriers and facilitators to implementation were identified through (GRiP) analysis.</p><p><strong>Results: </strong>The results demonstrated improved compliance with all 15 audit criteria. The four barriers were mostly addressed through multiple strategies, significantly contributing to the successful results.</p><p><strong>Conclusions: </strong>This evidence-based implementation project improved compliance with best practice recommendations for assessing and managing bone health in non-metastatic breast cancer patients. The sustainability of the audit criteria should be evaluated in the future.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A557.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148702562","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":"From hierarchy to collaborative authentic leadership: attributes and lessons from primary health care implementation in West Bengal, India.","authors":"Nirmalya Mukherjee, Paramita Bhattacharya, Sajda Khatoon, Somdeb Mukherjee, Bandana Mondal, Barsha Nandy, Craig Lockwood, Vanesa Bochkezanian","doi":"10.1097/XEB.0000000000000641","DOIUrl":"10.1097/XEB.0000000000000641","url":null,"abstract":"<p><p>This commentary argues that primary health care in marginalized settings improves when leadership shifts from hierarchical to collaborative-that is, authentic leadership. By \"collaborative authentic leadership,\" we mean a practice that combines the honesty and self-awareness of authentic leadership with the shared decision-making of collaborative leadership so that those closest to the community help shape the care it receives.Drawing on three JBI-informed projects in West Bengal-diabetes screening and diarrhea care via mobile medical units in Jalpaiguri, and antenatal care in Howrah sub-centers-this analysis shows how empowering frontline providers and using the JBI evidence implementation model bridges a baseline gap between remote service delivery and community alignment.This gap reflected a structural tension: top-down leadership silences the informal providers and accredited social health activists, who know communities best, leaving them present but powerless. Collaborative authentic leadership addresses this tension directly by distributing authority to those closest to the community, appointing diabetes ambassadors, mentoring younger mothers through experienced peers, training informal health care providers in evidence-based practice, and creating shared spaces for data review and decision-making. In each case, the shift to collaborative and authentic leadership was modest in resources but substantial in the redistribution of accountability and voice.This commentary explains a shift into practical, field-grounded, day-to-day leadership style, aligned with collaborative and authentic leadership, presenting transferable lessons for primary health care in similar low- and middle-income settings.</p><p><strong>Spanish abstract: </strong>https://links.lww.com/IJEBH/A670.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148594059","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":"Integrating informal caregivers into the rehabilitation of hospitalized adults in a geriatric rehabilitation department: a best practice implementation project.","authors":"Hélène Girard, Mehdi Laouadi, Béatrice Perrenoud","doi":"10.1097/XEB.0000000000000632","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000632","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this project was to improve collaboration between health care professionals and informal caregivers in a rehabilitation program for hospitalized older adults in a tertiary geriatric department in Switzerland through the implementation of best practice recommendations.</p><p><strong>Introduction: </strong>Informal caregivers are key partners for health care providers when an older patient is hospitalized. Their lack of inclusion in the rehabilitation process may limit the quality of care for the patient after discharge.</p><p><strong>Methods: </strong>The project used the JBI audit and feedback method and tools to implement best practice recommendations into practice. Nine audit criteria were developed based on a JBI evidence summary. A baseline audit was conducted, followed by a multicomponent implementation strategy, designed with the collaboration of informal caregiver partners. A follow-up audit was completed to determine improvements in practice.</p><p><strong>Results: </strong>Baseline data showed results below 50% compliance for five of the nine criteria, indicating the need for significant improvement. Analysis of the results highlighted nurse-related and organizational barriers. The follow-up results achieved improvements in eight criteria, with an increase of 50% or more for three criteria. Three other criteria did not meet the need of informal caregivers; therefore, their results demonstrated low improvement.</p><p><strong>Conclusions: </strong>Careful preparation of nurses through targeted education, clinical training, and discussions achieved positive results, in line with best practice recommendations. The involvement of informal caregivers to design the multicomponent implementation strategy was also a successful partnership. This was used to scale up evidence-based recommendations to other units in the geriatric rehabilitation department.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A657.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551083","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}