Jbi Evidence Implementation最新文献

{"title":"Assessing sedation levels in patients on mechanical ventilation in an intensive care unit: a best practice implementation project.","authors":"Thalyta Flores, Karina Miyakawa do Nascimento, Elisa Borges Colonnezi, Regina Claudia da Silva Souza, Karina Sichieri","doi":"10.1097/XEB.0000000000000532","DOIUrl":"10.1097/XEB.0000000000000532","url":null,"abstract":"<p><strong>Introduction: </strong>Protocols for assessing sedation levels are important strategies in intensive care units (ICUs). Such protocols promote multidisciplinary knowledge, proper sedation monitoring, choice of appropriate sedatives, and the use of non-pharmacological interventions.</p><p><strong>Objective: </strong>This project aimed to improve sedation level assessments in patients under mechanical ventilation in the adult ICU of a private hospital in São Paulo, Brazil.</p><p><strong>Method: </strong>The project used the JBI Evidence Implementation Framework, together with JBI's Practical Application of Clinical Evidence System (PACES) and Getting Research into Practice (GRiP) method. The JBI approach is grounded in an audit and feedback strategy, together with a structured approach to addressing barriers to best practices. A baseline audit was conducted to evaluate current practices against five best practice criteria. A follow-up audit was then carried out to evaluate changes in compliance with the evidence-based strategies.</p><p><strong>Results: </strong>Forty-four patient records were analyzed during the baseline and follow-up audits. The main barriers found among nurses were low compliance with sedation level assessments, no daily sedation targets, inadequate knowledge of sedation assessment using the RASS, and low engagement in training sessions. Strategies were implemented to address these barriers, including the development of a protocol and nursing team training. The follow-up audit showed improvement in three criteria (3, 4, and 5). However, compliance with Criterion 1 decreased from 100% to 71%, potentially resulting from changes in patient record registration. Criterion 2 remained at 47%, indicating that further improvements were necessary.</p><p><strong>Conclusion: </strong>This project improved sedation assessment practices in ICU patients under mechanical ventilation, with a 60% increase in compliance with best practices.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A403.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":"496-505"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145293726","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":"Designing for sustainability: an 8-year mixed methods evaluation of a timely drug administration initiative.","authors":"Sarah Ej Moon, Anne Hogden, Nazlee Siddiqui, Kathy Eljiz","doi":"10.1097/XEB.0000000000000581","DOIUrl":"10.1097/XEB.0000000000000581","url":null,"abstract":"<p><strong>Background: </strong>Sustaining improvements from large-scale quality initiatives in hospital settings remains a persistent challenge. When such improvements fade, patient safety risks may re-emerge. Despite their importance, long-term post-implementation evaluations of large-scale hospital initiatives are scarce.</p><p><strong>Aim: </strong>This study aimed to identify long-term insights into the sustainability of a large-scale hospital initiative designed to improve timely drug administration.</p><p><strong>Methods: </strong>A mixed methods case study was conducted on an Australian hospital-wide initiative implemented in 2014-2015. Quantitative data included rates of unintentional drug omissions before, during, and after the initiative. Qualitative data were collected through 13 individual semi-structured interviews with stakeholders, including implementation team members, hospital staff, and managers. Thematic analysis was conducted inductively and then categorized deductively using an evidence-based sustainability framework. Mixed methods data were integrated for interpretation.</p><p><strong>Results: </strong>Drug omission rates showed potential medium-term improvement; however, long-term outcomes were inconclusive due to changes in national audit methodology. The initiative included multifaceted interventions co-produced with staff, focusing on system change (e.g., prescription ordering) and staff behavior change (e.g., education). Eight years after the initiative's completion, system-based interventions remained embedded with sustained benefits; however, behavioral interventions did not continue after the initiative. Interview participants identified key enablers and barriers to sustaining change, offering valuable lessons for future hospital initiatives.</p><p><strong>Conclusion: </strong>This study provides long-term insights into designing and sustaining large-scale changes in hospital settings. The findings highlight the importance of system-level interventions, staff engagement, and ongoing leadership support. The study offers actionable strategies for health care managers and professionals to enhance the sustainability of improvement efforts.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A549.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":"609-624"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515901","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 nutritional screening of patients aged over 75 years admitted to internal medicine wards: a best practice implementation project.","authors":"Marta Arnaldos-Esteban, Delia González-de la Cuesta, Mamen Ostáriz-Cárcamo, Marta Carmona-Mozota, Isabel Antolín-Asensio, Beatriz Molinero-González-de la Cuesta, Carmen Rebollo-Pina, Laura Albornos-Muñoz","doi":"10.1097/XEB.0000000000000569","DOIUrl":"10.1097/XEB.0000000000000569","url":null,"abstract":"<p><strong>Introduction: </strong>Malnutrition, resulting from insufficient nutritional intake or poor dietary choices, significantly affects hospitalized patients, leading to longer hospital stays and increased health care costs. The European Nutrition for Health Alliance and subsequent initiatives have emphasized the importance of nutritional screening.</p><p><strong>Objectives: </strong>This study aimed to improve nutritional screening among patients aged over 75 years admitted to internal medicine wards by assessing compliance with best practices and identifying and addressing barriers to effective implementation of recommended practices.</p><p><strong>Methods: </strong>Using the JBI Evidence Implementation Framework, the project involved a structured audit and feedback process across seven phases. Baseline audit data were collected from all patients aged over 75 years admitted to internal medicine wards over 1 month. The JBI Practical Application of Clinical Evidence System (PACES) and Getting Research into Practice (GRiP) audit and feedback tools were used to identify barriers and develop strategies to address them. A follow-up audit was conducted 6 months post-implementation to measure changes in compliance with recommended practices.</p><p><strong>Results: </strong>The follow-up audit showed a significant improvement in compliance with best practices, which increased from 22.62% at baseline to 48.26%, reflecting the effectiveness of the targeted interventions. Nurses reported enhanced knowledge and confidence in conducting screenings, although gaps in documentation practices remained.</p><p><strong>Conclusion: </strong>This project successfully improved compliance with nutritional screening practices, highlighting the importance of stakeholder engagement, training, and support. Future efforts should focus on sustaining these improvements through enhanced training and interdisciplinary collaboration, with the aim of improving the outcomes of patients at risk of malnutrition.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A521.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":"24 3","pages":"539-546"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473045","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 oral mucositis in head and neck cancer patients undergoing radiotherapy: a best practice implementation project.","authors":"Thainara Rocha de Sousa, Manuela de Santana Pi Chillida, Juliana Nery de Souza-Talarico, Eduardo Baldon Pereira, Camila Cristina de Carvalho, Jéssica Louzano Dionísia, Flávia de Oliveira Motta Maia","doi":"10.1097/XEB.0000000000000544","DOIUrl":"10.1097/XEB.0000000000000544","url":null,"abstract":"<p><strong>Introduction: </strong>Oral mucositis is an inflammatory toxic reaction that can affect up to 100% of patients undergoing radiotherapy for head and neck cancer.</p><p><strong>Objective: </strong>This study aimed to promote best practices for the assessment, prevention, and management of oral mucositis in patients undergoing radiotherapy for head and neck cancer.</p><p><strong>Method: </strong>The study adhered to the seven-phase JBI Evidence Implementation Framework, which is grounded in an audit and feedback process. The study was conducted from October 2022 to August 2023 in the radiotherapy department of a university hospital in Brazil. Eight evidence-based criteria were established to assess compliance with recommendations before and after implementation. Data were analyzed using JBI PACES. Barriers, strategies, and resources were identified using the JBI GRiP approach and improvement strategies were implemented. A follow-up audit was conducted to measure changes in compliance.</p><p><strong>Results: </strong>In the follow-up audit, six of the eight criteria achieved 100% compliance. These included standardized initial and follow-up oral cavity assessments, treatment of oral mucositis based on damage, education about oral mucositis, oral hygiene protocols, and standardized assessment for malnutrition. The criterion related to the involvement of a multidisciplinary team in treating oral mucositis reached 90% compliance, while the criterion for referring malnourished patients to a nutritionist showed 66.7% compliance.</p><p><strong>Conclusions: </strong>The high level of compliance with the best practice criteria demonstrates the feasibility of using evidence in clinical practice. The project highlights that strategies and resources can be used to overcome barriers, such as the active involvement of a multidisciplinary team, education, and systematizing the evaluation, prevention, and management of oral mucositis.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A442.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":"517-528"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769657","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":"Identification of implementation strategies for community health management of cardiovascular-kidney-metabolic (CKM) syndrome using the CFIR-ERIC matching tool: a mixed methods study.","authors":"Huajun Sun, Yingxuan Wang, Hong Chen, Yaxin Zhang, Yue Du","doi":"10.1097/XEB.0000000000000555","DOIUrl":"10.1097/XEB.0000000000000555","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to identify the barriers and facilitators of the implementation of community health management for cardiovascular-kidney-metabolic (CKM) syndrome in China, and develop a priority strategy combination.</p><p><strong>Methods: </strong>This mixed methods study was conducted in Tianjin, China and involved 14 stakeholders and 228 medical personnel. Semi-structured interviews explored domains of the Consolidated Framework for Implementation Research (CFIR). Interview transcripts were double-coded via directed content analysis. The CFIR-ERIC Matching Tool was used to create matching strategies to address prioritized barriers. The Best-Worst Scaling method was used to further refine implementation strategies.</p><p><strong>Results: </strong>The CFIR Outer Setting, Inner Setting, Intervention Characteristics, and Implementation Process domains were facilitating factors. The Inner Setting, Intervention Characteristics, and Implementation Process domains also emerged as key barriers impeding CKM syndrome health management. Developing a formal implementation blueprint, accessing new funding, promoting adaptability, and identifying and preparing champions may contribute to a more effective and sustainable approach to the community health management of CKM syndrome.</p><p><strong>Conclusions: </strong>This study identified critical barriers and facilitators influencing community health management of CKM syndrome in China. The proposed strategies-systematic implementation protocols, multi-source funding, contextually tailored approaches, and institutional advocacy-address core obstacles, offering an innovative paradigm for chronic disease management in developing countries.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A477.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":"559-573"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146203370","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 chemotherapy drug extravasation in adults from the general surgery ward: a best practice implementation project.","authors":"Tzu-Chieh Wang, Chia-Te Chen, Yun-Ying Chang, Yi-Ju Chen","doi":"10.1097/XEB.0000000000000554","DOIUrl":"10.1097/XEB.0000000000000554","url":null,"abstract":"<p><strong>Introduction: </strong>Chemotherapy drug extravasation (CDE) is a well-documented complication associated with a significant potential for severe adverse outcomes.</p><p><strong>Objective: </strong>This project aimed to implement evidence-based strategies to prevent CDE in hospitalized adults in the general surgery ward.</p><p><strong>Methods: </strong>This project used the JBI Evidence Implementation Framework, together with the JBI Practical Application of Clinical Evidence System (PACES) system. A baseline audit was conducted with 27 nurses and 30 patients, using six evidence-based criteria to measure initial compliance with best practices. JBI's Getting Research into Practice (GRiP) approach was then used to identify barriers and implement strategies, including objective structured clinical examination (OSCE), medium fidelity simulation (MFS), interprofessional education, and patient-centered educational materials. A follow-up audit was then conducted to assess improvements in compliance with best practices following the intervention.</p><p><strong>Results: </strong>The baseline audit revealed compliance rates ranging from 3%-76% for the six criteria. Following the implementation of best practices, all six criteria rose to 93%-100% compliance. Moreover, nursing staff demonstrated improvements in knowledge and skills related to CDE. Importantly, no cases of CDE were reported during the post-implementation period.</p><p><strong>Conclusions: </strong>This project highlights the importance of improving nurses' competency in CDE management through OSCE and MFS. Additionally, the development of patient-centered educational materials enhanced patients' understanding of chemotherapy extravasation risks, thereby contributing to improved patient safety and quality of care.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A480.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":"529-538"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146203383","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":"Co-design, implementation, and evaluation of a nested diabetes model of care for adults with cystic fibrosis: a mixed methods pre-post implementation study.","authors":"Shanal Kumar, Daniel Smith, Vanessa Moore, Angela Matson","doi":"10.1097/XEB.0000000000000551","DOIUrl":"10.1097/XEB.0000000000000551","url":null,"abstract":"<p><strong>Background: </strong>Cystic fibrosis (CF) is a genetic disease with increasing life expectancy due to advances in treatment. However, this increased life expectancy has led to new health challenges, especially diabetes. Nearly 25% of adults with CF develop diabetes, but only a minority receive endocrinology care.</p><p><strong>Objective: </strong>This study aimed to co-design, implement, and evaluate a nested diabetes model of care (MOC) for adults with CF and diabetes in a single tertiary adult CF center in Australia.</p><p><strong>Methods: </strong>We used several implementation frameworks to co-design the MOC with consumer and provider end-users. Following MOC implementation, we used database-driven analytics to evaluate changes in the primary clinical outcome (HbA1c) pre and post study at 1 year. A mixed methods approach was used to evaluate secondary clinical and non-clinical outcomes.</p><p><strong>Results: </strong>The MOC promoted multidisciplinary collaboration and streamlined patient journeys, leading to high engagement. Thus, 76.7% of the entire CF cohort with confirmed diabetes was reviewed within the first year of operationalization. Engagement with the MOC was associated with a statistically significant decline in HbA1c (-0.54% vs +0.33%, p- value 0.004) and a 0.22% [95% CI 0.19 -0.32] per month increment in percent predicted forced expiratory volume (ppFEV1).</p><p><strong>Conclusion: </strong>Our co-designed MOC demonstrated high engagement as well as improving glycemic management and lung function in adults with CF and diabetes. Our approach to CF diabetes care may reduce the treatment burden in the order of initiating a new diabetes medication while concurrently enhancing end-user experiences of health care.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A473.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":"547-558"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146203115","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":"Hybrid effectiveness-implementation studies in mental health: three practical examples.","authors":"Rosa Lorente-Català, Azucena García-Palacios","doi":"10.1097/XEB.0000000000000592","DOIUrl":"10.1097/XEB.0000000000000592","url":null,"abstract":"<p><p>Traditional research in mental health often involves a delay between the research advancements and their practical application, making it difficult to access evidence-based psychological practices (EBPP). Hybrid studies bridge the gap between mental health research and practice by integrating effectiveness and implementation research. This paper illustrates lessons learned from three hybrid designs promoting EBPP:The choice of hybrid study was influenced by contextual demands and available resources, with urgency sometimes leading to the selection of Hybrid type III studies. Hybrid designs enrich outcomes by considering various agents and contextual factors, with frameworks aiding in the understanding of complex processes and promoting equity.Hybrid studies offer flexible designs to address multiple research questions, facilitating early barrier detection and implementation success. Challenges such as funding disparities and recruitment difficulties persist.</p><p><strong>Registration: </strong>Hybrid type I: NCT06230237; https://clinicaltrials.gov/study/NCT06230237 (registration date: 2024, January 18)Hybrid type II: NCT05294614; https://clinicaltrials.gov/study/NCT05294614 (registration date: 2022, March 23)Hybrid type III: NCT06297460; https://clinicaltrials.gov/study/NCT06297460 (registration date: 2024, March 6).</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A570.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":"652-668"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147870114","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":"Editorial perspective: quality improvement to close the research-practice gap - anterior cruciate ligament surgical research injury prevention exemplar.","authors":"Craig S Lockwood, Aleksandra Królikowska, Alexa McArthur, Vanesa Bochkezanian, Lucylynn Lizarondo, Robert Prill","doi":"10.1097/XEB.0000000000000636","DOIUrl":"10.1097/XEB.0000000000000636","url":null,"abstract":"<p><strong>Background: </strong>This editorial discusses challenges with inconsistent translation of evidence into routine clinical practice in health care. To illustrate the challenge and point toward solutions, we consider the field of anterior cruciate ligament injury management, which is characterized by intensive study of surgical approaches.</p><p><strong>Methods: </strong>We conducted a critical analysis of publications in Knee Surgery, Sports Traumatology, and Arthroscopy from January 2025 to March 2026 (n = 821). EndNote records were filtered for terms associated with research translation and implementation science.</p><p><strong>Results: </strong>Of 296 term occurrences, \"model\" appeared 165 times, predominantly referring to statistical analysis or artificial intelligence rather than implementation frameworks. \"Implementation\" appeared 20 times, with only two papers explicitly addressing implementation science concepts. Terms such as \"theory,\" \"determinant,\" \"behavior,\" and \"transfer\" yielded zero results.</p><p><strong>Conclusions: </strong>A substantial gap exists between clinical research and implementation-focused approaches in the anterior cruciate ligament surgery literature. We argue that efficacy studies should be accompanied by structured implementation frameworks, and that these should be integrated within existing organizational safety and quality improvement mechanisms. Process frameworks provide accessible entry points for connecting evidence-based recommendations to audit cycles, accreditation requirements, and clinical governance systems. This integration may better support systematic translation of anterior cruciate ligament research into routine practice settings.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A662.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":"24 3","pages":"460-465"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473608","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":"Does context really matter? A multi-site qualitative study identifying shared factors influencing the uptake of a digital fall prevention platform.","authors":"Emma Maddock, Philippa Niven, Joy Parkinson, Jane Li, Melisa Grujovski, Michael Fahy, Tracey Webster, Uyen Phan, Rajiv Jayasena, Alana Delaforce","doi":"10.1097/XEB.0000000000000570","DOIUrl":"10.1097/XEB.0000000000000570","url":null,"abstract":"<p><strong>Background: </strong>Patient falls remain a major concern in hospitals, leading to serious harm and significant costs. Although various fall prevention interventions exist, the factors influencing their successful implementation, especially across different hospital contexts, are poorly understood.</p><p><strong>Aim: </strong>This study applied implementation theory to explore factors affecting the implementation of the Rauland Concentric Care digital fall prevention platform in two contextually different Australian hospitals.</p><p><strong>Methods: </strong>Qualitative data were collected through semi-structured interviews and small focus groups with nurses: 12 participants from four wards in a newly built 300-bed rural referral hospital, and ten participants from three wards in a 400-bed community hospital. Data were coded using the Consolidated Framework for Implementation Research (CFIR), and barrier/enabler statements were developed through consensus. The most frequently cited factors were identified and compared across sites.</p><p><strong>Results: </strong>Despite contextual differences, three common factors that influenced implementation emerged: Patient Needs and Resources (Hospital 1: n = 12; Hospital 2: n = 10), Design Quality and Packaging (Hospital 1: n = 11; Hospital 2: n = 10), and Knowledge and Beliefs About the Intervention (Hospital 1: n = 10; Hospital 2: n = 8). These findings suggest that certain factors consistently affected the implementation of the Rauland Concentric Care digital fall prevention platform across hospital settings.</p><p><strong>Conclusion: </strong>Hospitals planning to implement this digital platform may benefit from proactively addressing these three key factors. As adoption expands across Australia, future research should explore whether these findings hold true in other health care settings.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":"590-608"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147445639","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}