Jbi Evidence Implementation最新文献

{"title":"Reducing hyperkalemia in hemodialysis: a nurse-led quality improvement project using the clinical translation model.","authors":"Yanhua Jiang, Chunhua Sun, Xuan Shen, Binbin Chen, Yifan Jin, Rongrong Pan, Qing Yu, Yili Zhang","doi":"10.1097/XEB.0000000000000628","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000628","url":null,"abstract":"<p><strong>Introduction: </strong>Despite guidelines, hyperkalemia remains a major risk in hemodialysis patients due to an evidence-practice gap.</p><p><strong>Aim: </strong>This study aimed to implement evidence-based hyperkalemia management, reduce the incidence of hyperkalemia, and evaluate its implementation effects.</p><p><strong>Methods: </strong>Using the Fudan University Evidence-Based Nursing Center's Clinical Translation Model and the Ottawa Model of Research Use, best evidence was integrated into practice. Strategies included revised protocols, assessment tools, and education. Outcomes were measured pre- and post-implementation.</p><p><strong>Results: </strong>Staff and patient knowledge scores significantly increased. Adherence to all 39 quality indicators improved. After 6 months, patient compliance increased, pre-dialysis serum potassium levels decreased, hyperkalemia incidence dropped from 61.7% to 34.4%, and adverse events declined.</p><p><strong>Conclusions: </strong>This nurse-led, model-guided implementation project successfully bridged the evidence-practice gap, enhancing competency and compliance while significantly reducing hyperkalemia rates and associated risks, providing a replicable model for improving hemodialysis patient safety.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A649.</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":"148551028","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":"Harnessing data science and artificial intelligence to advance implementation research and practice.","authors":"Jeffery Chan, Elijah Tyedmers, Maria Gonzalez, Skye Mckay, Shuang Liang, Gabriella Tiernan, Carolyn Mazariego, Joseph Elias, Andrea Torres Robles, Natalie Taylor","doi":"10.1097/XEB.0000000000000635","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000635","url":null,"abstract":"<p><p>Implementation science aims to bridge the gap between research evidence and routine health care practice by understanding and optimizing the integration of evidence-based interventions. In this paper, we identify seven persistent challenges limiting implementation progress, including (1) overwhelming volume of implementation materials (e.g., reports, interviews, surveys); (2) contextual variability; (3) complex interactions between contextual factors, interventions, and outcomes; (4) interest holder engagement constraints; (5) equity and access barriers; (6) insufficient or biased data; and (7) concerns around data security, trust, and ethics. We explore how advances in data science and artificial intelligence (AI) offer promising solutions to these challenges by enhancing evidence extraction and synthesis, contextual analysis, interest holder engagement, and adaptation throughout the implementation process. Using a live project in precision oncology as a practical example, we demonstrate how AI tools, such as large language models, clustering algorithms, and sentiment analysis, can support implementation research and practice, from concept (e.g., barriers, facilitators, strategies), extraction, and barrier identification to process mapping. We also introduce ImpleMATE, an AI-enabled platform that integrates implementation science knowledge with dynamic learning health system workflows, enabling continuous knowledge extraction, decision support, and feedback for implementation improvement. While AI offers significant potential to accelerate and scale up implementation efforts, we emphasize the need for ethical oversight, transparency, and human collaboration to ensure responsible, equitable, and impactful application in practice.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A661.</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":"148550999","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":"Identifying the potential scalability of an opioid stewardship framework to improve practice in remote and rural hospitals in Queensland, Australia.","authors":"Champika Pattullo, Peter Donovan, Lisa Hall, Karen Lee","doi":"10.1097/XEB.0000000000000634","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000634","url":null,"abstract":"<p><strong>Aims: </strong>Scaling up opioid stewardship interventions without compromising their effectiveness is complex and requires careful consideration. Furthermore, scaling up within resource-constrained rural and remote hospitals is even more complex given the additional challenges of geographical isolation, transient workforce, and population-specific needs. This multi-method study assessed the potential scalability of the Opioid Stewardship Framework across Queensland, Australia, addressing risks associated with hospital-initiated opioid use and post-discharge harms.</p><p><strong>Methods: </strong>The Intervention Scalability Assessment Tool (ISAT) was used to guide the scalability assessment. A variety of approaches was used, including a document review, an online survey, qualitative interviews, and a focus group. The assessment process sought to identify factors influencing the likelihood of successful scale-up.</p><p><strong>Results: </strong>Ten participants from six hospitals across urban, regional, remote, and rural localities took part. This included pharmacists, medical staff, and people in clinical and senior management roles. The participants rated the importance of the problem and the effectiveness of the Framework highly, while infrastructure and cost considerations received lower ratings. The lower ratings in some domains reflected concerns that dedicated support was essential for successful implementation, particularly in rural/remote settings.</p><p><strong>Conclusion: </strong>The Framework shows promise for scale-up in remote and rural settings, as it aligns with the broader strategic and political context of opioid safety. However, the moderate to low scores across several implementation and resource-related domains highlight a range of potential issues that would need to be addressed prior to scale-up, including specific allocation for dedicated implementation support.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A660.</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":"148551022","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":"Preventing and managing nasoenteric tube obstruction in adults receiving enteral nutrition: a best practice implementation project.","authors":"Rurong Duan, Jianing Yin, Beibei Zheng, Lingzhi Cai, Ganying Huang, Mengying Yu, Xiaohong Lu, Juyan Xie, Su Liu, Yujing Chen, Li Ning","doi":"10.1097/XEB.0000000000000625","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000625","url":null,"abstract":"<p><strong>Introduction: </strong>Nasoenteric tube obstruction is a common factor in unplanned extubation in patients on enteral nutrition, with existing preventive measures being ineffective.</p><p><strong>Aim: </strong>This project aimed to improve compliance with evidence-based practices for preventing and managing nasoenteric tube obstruction.</p><p><strong>Methods: </strong>This project was guided by the seven-phase JBI Evidence Implementation Framework. This framework is grounded in an audit and feedback process, along with a structured approach to identifying and managing barriers to compliance with best practices. This project was conducted in a tertiary hospital in China, utilizing 29 audit criteria for both baseline and follow-up audits. A total of 73 patients was included (35 at baseline and 38 at follow-up) during both audits.</p><p><strong>Results: </strong>The baseline audit showed low compliance (0% to <60% for most criteria) and an 11.43% tube obstruction rate. Following evidence-based interventions, the follow-up audit demonstrated marked improvement, with compliance for key criteria rising sharply (e.g., from 0% to 96.0%) and many others exceeding 80%.</p><p><strong>Conclusions: </strong>The audit and feedback strategy improved compliance with best practice recommendations. Future audits are needed to promote the sustainability of these practices.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A643.</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":"148551066","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":"Early exercise rehabilitation among patients with acute heart failure: a best practice implementation project.","authors":"Yanan Wang, Lifang Fan, Hui Zhou, Shenxinyu Liu, Yuelan Zhu, Alexa McArthur","doi":"10.1097/XEB.0000000000000622","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000622","url":null,"abstract":"<p><strong>Introduction: </strong>Early exercise rehabilitation is crucial for minimizing complications, enhancing self-care abilities, and optimizing outcomes in patients with acute heart failure.</p><p><strong>Objectives: </strong>This study implemented evidence-based practices to improve early exercise rehabilitation in patients with acute heart failure in a cardiovascular department in Suzhou, China.</p><p><strong>Methods: </strong>The project followed the seven-phase JBI Evidence Implementation Framework, which uses audit and feedback as well as structured tools to identify barriers, enablers, and implementation strategies. A pre-implementation gap survey was conducted to assess current practice against evidence-based recommendations, followed by the implementation of strategies to improve adherence to the newly developed early exercise rehabilitation protocol. The project concluded with a follow-up audit to determine any improvements in practice.</p><p><strong>Results: </strong>The survey revealed an overall protocol adherence rate ranging from 0% to 57.14%. Four barriers were identified, and various strategies were implemented to enhance adherence. The follow-up audit demonstrated an improvement in adherence, ranging from 30% to 88%, post-project implementation.</p><p><strong>Conclusions: </strong>The project demonstrated improved adherence to evidence-based early exercise rehabilitation protocols among patients. However, sustained efforts are necessary to ensure the long-term adoption of best practices, including regular nurse training sessions, managerial supervision, and periodic audits of early exercise rehabilitation programs.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A631.</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":"148551073","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":"Acceptability, feasibility, and sustainability of proactive patient rounding: a mixed methods implementation study in an Australian local health district.","authors":"Abdelrahman Al-Anati, Luke Molloy, Hind Elmir, Georgina Watts, Constance Lafleur, Steven A Frost","doi":"10.1097/XEB.0000000000000623","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000623","url":null,"abstract":"<p><strong>Introduction: </strong>Proactive patient rounding (PPR) is widely promoted as a patient safety strategy; however, evidence regarding its acceptability, feasibility, and sustainability in routine practice remains limited, particularly within the Australian context.</p><p><strong>Aim: </strong>This study aimed to evaluate the acceptability, feasibility, and sustainability of PPR implementation in an Australian local health district from the perspectives of clinical and managerial staff.</p><p><strong>Methods: </strong>A convergent parallel mixed methods implementation study was conducted across the South Western Sydney Local Health District. Acceptability, feasibility, and sustainability were evaluated using an electronic survey assessing perceptions of training, communication, engagement, documentation, resources, and perceived value of PPR, alongside semi-structured interviews exploring staff experiences of implementation, barriers, enablers, and long-term integration. Quantitative data were analyzed descriptively, while qualitative data underwent reflexive thematic analysis. Findings were integrated using a joint display approach informed by the CFIR, while reporting followed the GRAMMS guidelines.</p><p><strong>Results: </strong>A total of 115 nurses and managers completed the survey, followed by 11 in-depth interviews. Acceptability of PPR was reflected in high levels of perceived importance for patient safety and reported training (78%) and communication regarding benefits (76%). Feasibility challenges included limited staff involvement (30%), low perceived ownership (36%), documentation burden (70%), and low-to-moderate resource adequacy. Sustainability was influenced by leadership support, local adaptation, safety huddles, and clinical champions. Four qualitative themes were identified: resistance to routine, leadership as a driver, constraints in practice, and sustainability through adaptation.</p><p><strong>Conclusions: </strong>PPR was considered an acceptable patient safety intervention but demonstrated variable feasibility and sustainability in practice. Leadership engagement, inclusive communication, adequate resourcing, and streamlined documentation processes are critical to sustaining PPR over time.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A638.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392119","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":"Nutritional screening, assessment, and management of peri-operative gastric cancer patients: a best practice implementation project.","authors":"Weihua Liu, Chunyu Zhu, Wenxin Ma, Jing Li, Wei Zhang, Tingting Yang, Xiaozhen Sun, Hongmei Zhang, Yujie Wang","doi":"10.1097/XEB.0000000000000631","DOIUrl":"10.1097/XEB.0000000000000631","url":null,"abstract":"<p><strong>Introduction: </strong>Patients with gastric cancer in the peri-operative period often face a high risk of malnutrition, which is closely related to poor prognosis. Currently, clinical practice pays insufficient attention to this issue. The existing evidence suggests that improving the quality of nutritional screening, assessment, and management can significantly reduce the incidence of malnutrition and its related adverse outcomes.</p><p><strong>Objectives: </strong>This project aimed to implement evidence-based practices to improve the quality of nutritional screening, assessment, and management of peri-operative gastric cancer patients in a tertiary hospital in central China.</p><p><strong>Methods: </strong>This project was guided by the JBI Evidence Implementation Framework and used the JBI PACES tool to establish six review criteria for the baseline and follow-up audits. The CFIR framework was used to identify barrier factors, and the CFIR-ERIC implementation strategy matching tool was used to develop targeted strategies. Meanwhile, the GRiP method was used to organize resources and develop improvement plans. To assess the compliance of baseline and follow-up audits with best practices, this study used nursing records, medical records, and direct patient interviews as data sources.</p><p><strong>Results: </strong>The project led to substantial improvements in evidence-based nutritional practices. Compliance with regular nutrition screening increased from 9.4% to 96.9%, while peri-operative nutritional support rose from 6.3% to 96.9%. Additionally, the use of a validated nutrition assessment tool, quantitative nutritional evaluation, and individualized dietary support before and after surgery improved from 0% to 87.5%. Notably, the use of a validated nutrition screening tool consistently achieved a 100% compliance rate.</p><p><strong>Conclusions: </strong>This evidence-based practice project improved health care professionals' compliance with best practices for nutritional screening, assessment, and management of peri-operative gastric cancer patients.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A656.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370425","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":"End-of-life care among terminally ill patients in the emergency department: a best practice implementation project.","authors":"Piaoyu Yang, Li Feng, Wanting Zhou, Jili Zheng, Yuxia Zhang","doi":"10.1097/XEB.0000000000000526","DOIUrl":"10.1097/XEB.0000000000000526","url":null,"abstract":"<p><strong>Introduction: </strong>The increasing number of older adults visiting emergency departments (EDs) near the end of life highlights the need for palliative and end-of-life care in this setting, despite the ED's focus on acute care.</p><p><strong>Aim: </strong>This study implemented evidence-based end-of-life care for terminally ill adult patients in the ED in a medical center in Shanghai, China.</p><p><strong>Methods: </strong>This project followed JBI Evidence Implementation Framework. A baseline audit was conducted to measure current practices against best practice recommendations. Barriers to evidence-based practices were identified, improvement strategies were implemented, and a follow-up audit was conducted to determine changes in compliance.</p><p><strong>Results: </strong>The results showed significant improvement in adherence to best practice recommendations. For Criterion 1 (staff training), compliance rose from 77.5% to 100% and knowledge scores increased from 9.68 ± 1.945 to 12.30 ± 2.239 ( p  < 0.001). For Criterion 2 (patients screened and/or assessed for palliative care needs), compliance increased from 50% to 100%. For Criterion 3 (ED protocol for end-of-life care), compliance rose from 0% to 100%. For Criterion 4 (palliative or end-of-life patients transitioned to the appropriate service), compliance increased from 0% to 30%. For Criterion 5 (strategies promoting a suitable environment), compliance increased from 70% to 90%.</p><p><strong>Conclusions: </strong>This project resulted in positive changes, including the establishment of a formal end-of-life care protocol. Nursing team support and the range of end-of-life care interventions also improved. However, collaboration and referrals between hospitals and hospices remain challenging. Further audits are needed to assess improvements in care for end-of-life patients.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A395.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":"466-477"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240136","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":"Understanding improvements in self-efficacy and engagement with the Long-term care Information system For Evidence (LIFE) workshop in Japan.","authors":"Tomoko Ohura, Takehiko Doi, Takeru Oka, Fumio Sakimoto, Soichiro Matsuda, Mayumi Nishimura, Hiroyuki Shimada","doi":"10.1097/XEB.0000000000000593","DOIUrl":"10.1097/XEB.0000000000000593","url":null,"abstract":"<p><strong>Introduction: </strong>LIFE is a Japanese digital database introduced by the Ministry of Health, Labour and Welfare to promote evidence-based care for older adults. Training sessions to promote the dissemination of the Long-term care Information system For Evidence (LIFE) commenced in 2021 in Japan. However, participants' subsequent understanding of the system and their self-efficacy in using it remained unclear.</p><p><strong>Aim: </strong>This study aimed to clarify the participants' understanding and self-efficacy regarding LIFE on the day of training and 3 months after the training.</p><p><strong>Methods: </strong>A \"LIFE Workshop (Basic)\" was held in 2024 in Japan in the cities of Hakata, Sapporo, and Sendai. An online survey was administered to participants directly after the workshop, on the same day of the training session, and again, 3 months later. The survey included 12 items to gauge the participants' (and by extension, their work colleagues') understanding in self-efficacy and engagement with LIFE. An analysis was conducted of 42 matched data using a paired t -test, with the effect size calculated using Hedges' g.</p><p><strong>Results: </strong>Three months after training, participants' understanding of the LIFE outline improved significantly (from 5.12 (2.43) to 6.19 (1.71), p   <  .001, Hedges' g = -0.471, 95% confidence interval [CI] [-0.736 to -0.206]). Significant improvements were observed in the following areas: performing the tests and measurements used in LIFE; interpreting and using the tests and measurements; planning and submitting LIFE data; and using the system within the organization. From the respondents' perspective, no significant improvement was found in their colleagues' understanding, practices, or use of the system.</p><p><strong>Conclusions: </strong>When introducing new initiatives to existing services, support must be provided for the organizational structure and the personnel who will take on leadership roles.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":"625-633"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844799","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":"Preventing deep vein thrombosis among post-operative spinal orthopedic patients: a best practice implementation project.","authors":"Zhao Zhang, Li Wang, Jing Li, Lidan Yu, Lin Cui","doi":"10.1097/XEB.0000000000000528","DOIUrl":"10.1097/XEB.0000000000000528","url":null,"abstract":"<p><strong>Introduction: </strong>Although the mortality rate of deep vein thrombosis (DVT) patients in China decreased from 8.5% to 3.9% in the decade of 2007-2016, the incidence rate increased dramatically, with a six-fold increase in the number of patients. Inadequate prophylaxis of DVT in hospitalized patients is one of the main reasons for this increase in patient morbidity.</p><p><strong>Aim: </strong>This project aimed to minimize the occurrence of DVT in post-operative spinal orthopedic patients through the implementation of best practices.</p><p><strong>Methods: </strong>This project was conducted in the orthopedic department of a tertiary hospital in China. The project followed JBI's seven-phase Evidence Implementation Framework, which is grounded in an audit and feedback methodology. Four audit criteria were developed and a baseline audit was conducted to evaluate current practices against best practices. A follow-up audit measured changes in compliance with best practices.</p><p><strong>Results: </strong>After project implementation, the incidence of DVT decreased from 3.10% to 0.72%, while nurses' adherence to the audit criteria increased significantly (from 56.25%-96.90% to 74.9%-100%). The project succeeded in (1) increasing nurses' knowledge of DVT prevention and health promotion behaviors among post-operative spinal orthopedic patients; (2) improve the availability of necessary educational materials in the wards; and (3) introduce one-on-one DVT prevention guidance for patients.</p><p><strong>Conclusion: </strong>This best practice implementation project for patients undergoing orthopedic surgical improved nurses' knowledge of DVT prevention and standardized nurses' implementation of measures to reduce DVT. We will continue to conduct audits to review the long-term effectiveness of DVT prophylaxis in the department.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A396.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":"24 3","pages":"478-485"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473356","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}