Jbi Evidence Implementation最新文献

{"title":"A realist-informed conceptualization of lived experience engagement in implementation science: the how and the why.","authors":"John A Bourke, Natasha Layton, Rachelle A Martin","doi":"10.1097/XEB.0000000000000602","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000602","url":null,"abstract":"<p><p>Successful implementation in health care depends on understanding that interventions operate within complex adaptive systems shaped by context, relationships, and power. Lived experience perspectives provide critical insights into contextual determinants that influence implementation success, such as barriers, facilitators, and sociocultural dynamics. However, lived experience engagement is often inconsistently operationalized and insufficiently theorized within implementation research.Inclusive implementation begins with an equitable research design and continues through intervention development, the selection of implementation strategies, and the evaluation of implementation outcomes. Embedding lived experience across these stages may trigger mechanisms that increase the likelihood of improved acceptability, feasibility, fidelity, and sustainability, while strengthening relevance and reach across populations and settings.This paper presents a principle-based, realist-informed approach to integrating lived experience into implementation science. Drawing on established frameworks, including the Consolidated Framework for Implementation Research (CFIR), i-PARIHS, RE-AIM, and Proctor's implementation outcomes, the paper conceptualizes lived experience engagement as a context-sensitive process. This process introduces resources capable of triggering mechanisms that operate through three generative principles: navigating power, building relational resilience, and adopting a learning mindset. We propose that these mechanisms are activated through evidence-informed implementation strategies such as shared governance, facilitation, equitable remuneration, capacity-building, and iterative learning cycles.Evaluation of lived experience engagement is essential for understanding whether inclusive approaches lead to meaningful change. This requires examining processes within the research group, external influences, and broader system-level factors. Evaluating lessons learned, impact achieved, and long-term sustainability ensures that lived experience engagement contributes not only to better implementation, but also to more equitable and effective health care.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A598.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147983905","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":"Managing auditory hallucination symptoms in patients with schizophrenia in China: a best practice implementation project.","authors":"XiaoChao Jin, Tianbai Shen, YanMei Wang, JiaJia Cai, Ziyan Dai, Li Li, ZhongYing Shi, Chuxian Huang","doi":"10.1097/XEB.0000000000000595","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000595","url":null,"abstract":"<p><strong>Introduction: </strong>Auditory hallucinations, persistent and distressing symptoms in patients with schizophrenia, are often poorly controlled by antipsychotics. Structured non-pharmacological interventions remain limited in routine clinical practice.</p><p><strong>Aim: </strong>This study aimed to identify the challenges in translating evidence for managing auditory hallucinations in patients with schizophrenia, develop change strategies, and evaluate the effectiveness of best evidence application.</p><p><strong>Methods: </strong>Using an evidence translation model, this study applied best practice evidence to inpatients with schizophrenia admitted to the general psychiatry ward of a tertiary psychiatric hospital in Shanghai. The intervention was conducted in four phases: evidence acquisition, baseline review, practice change, and outcome evaluation. This study compared the implementation rates of audit indicators for auditory hallucination symptom management by nurses; their knowledge, attitude, and practice levels regarding relevant knowledge; and the of auditory hallucination symptoms in patients with schizophrenia between the baseline review period (June-October 2023) and the post-evidence-based practice period (January-May 2024).</p><p><strong>Results: </strong>The baseline review included 35 nurses and 61 patients, while the evidence-based practice included 35 nurses and 72 patients. After implementing evidence-based strategies, statistically significant improvements compared with baseline values (p < 0.05) were noted in the compliance rates of 30 audit indicators; nurses' knowledge, attitude, and practice levels regarding auditory hallucination symptom management; and severity of patients' auditory hallucinations.</p><p><strong>Conclusions: </strong>The application of best evidence in managing auditory hallucinations in patients with schizophrenia can enhance nursing practices, including nurses' knowledge and confidence, and effectively reduce the severity of patients' auditory hallucinations.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A573.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147983906","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":"Self-management of patients with chronic obstructive pulmonary disease: a best practice implementation project.","authors":"Liping Liao, Qiuhong Guo, Yansi Luo, Qing Yuan, Tingting He, Zhen Xiao, Lifen Wang, Ping Wang, Ping Li, Lijuan Qiu, Yan Guo, Xia Shu, Jing Zhong, Yun-Hua Li, Ju Wu","doi":"10.1097/XEB.0000000000000597","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000597","url":null,"abstract":"<p><strong>Background: </strong>People with chronic obstructive pulmonary disease (COPD) experience high prevalence and mortality rates, along with episodes of exacerbation, poorer quality of life, and increased hospital readmission. These aspects place a considerable burden on the economy and society. Despite the availability of COPD self-management guidelines, a gap between recommendations and practice persists.</p><p><strong>Objective: </strong>This project aimed to improve self-management among patients with COPD by implementing evidence-based practices in a tertiary hospital in China.</p><p><strong>Methods: </strong>The JBI Evidence Implementation Framework was used to structure this project into three phases of work. Phase 1 focused on contextual issues related to barriers and understanding roles and readiness for change. Phase 2 consisted of a baseline audit of six evidence-based criteria. Strategies were implemented to improve patient self-management plans, patient education, application of action planning tools, cognitive behavior related to dyspnea fear, and inter-disciplinary teamwork. Phase 3 comprised follow-up audits to determine any improvements.</p><p><strong>Results: </strong>Five of the six criteria demonstrated significant improvement in the follow-up results, increasing from 86.25% to 100%. This included self-management plans (95%), symptom control and exacerbation management instructions (100%), comprehensive patient education (91.25%), action plans (86.25%), and incorporation of cognitive-behavioral strategies (90%). The last criterion on prescribing corticosteroids and antibiotics for patients at risk of exacerbation showed a smaller improvement (16.25%).</p><p><strong>Conclusion: </strong>This best practice implementation project significantly improved adherence to COPD self-management practices. The findings demonstrate that the JBI Evidence Implementation Framework is a feasible and effective approach for strengthening COPD self-management and has strong potential for wider implementation and sustainability in clinical practice.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A572.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147983907","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":"Measuring guideline-concordant care when recommendations require clinical judgment: a mixed methods approach.","authors":"Vera Camões-Costa, Jennifer Neil, Danielle Mazza, Justin Kenardy, Bianca Brijnath, Duncan Mortimer, Joanne Enticott, Sharon Reid, Alexander Collie, Samantha Chakraborty","doi":"10.1097/XEB.0000000000000603","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000603","url":null,"abstract":"<p><strong>Introduction: </strong>General practitioners (GPs) face challenges in diagnosing and managing work-related mental health conditions. In Australia, this prompted the development of a national clinical guideline (the Guideline) to support high-quality care. However, measuring the implementation of recommendations that require clinical judgment remains methodologically challenging.</p><p><strong>Objective: </strong>This study describes an approach to developing and testing a guideline-specific tool to assess concordance with recommendations in the context of an implementation trial.</p><p><strong>Methods: </strong>We used an exploratory sequential mixed methods design. Semi-structured interviews were conducted with 20 individuals with lived experience of work-related mental health conditions. The interview data informed personas and case studies, which were converted into 18 video vignettes simulating GP-patient consultations. Each vignette was mapped to a checklist of clinical indicators from the Guideline and paired with one multiple-choice and two short-answer questions. A scoring rubric (0-3 points per vignette) was developed and pilot-tested with three groups: GPs familiar with the Guideline, GPs unfamiliar with it, and medical/research students. Vignette content and questions were refined for internal consistency before use in a national implementation trial.</p><p><strong>Results: </strong>Internal consistency was acceptable (Cronbach's α = 0.74). In the IMPRovE trial, participants completed three vignettes per time point (score range: 0-9). Inter-rater reliability was almost perfect (Cohen's κ = 0.92) from 873 responses across 97 GPs.</p><p><strong>Conclusions: </strong>This study offers a rigorous, context-sensitive method for evaluating guideline-concordant care where recommendations require clinical judgment. Successfully implemented in a national trial, this approach offers a replicable method for evaluating guideline implementation where recommendations require nuanced clinical judgment.</p><p><strong>Improve trial registration: </strong>ACTRN12620001163998, November 2020.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A597.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147949742","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 single logic model capturing clinical, service, and implementation interventions using a practical example in pediatric precision medicine.","authors":"Skye McKay, Joseph Elias, Carolyn Mazariego, Elijah Tyedmers, April Morrow, Claire E Wakefield, David S Ziegler, Justin D Smith, Natalie Taylor","doi":"10.1097/XEB.0000000000000600","DOIUrl":"10.1097/XEB.0000000000000600","url":null,"abstract":"<p><strong>Introduction: </strong>The Implementation Research Logic Model (IRLM) is a key tool for guiding evidence-based health care implementation. However, multilevel interventions are inherently complex, making it challenging to distinguish the inter-relationships between clinical and implementation interventions.</p><p><strong>Aims: </strong>To address this, we developed the Clinical, Service, and Implementation Intervention Research Logic Model (CSII-RLM) to support the co-design and implementation of ProCure, a database that supports clinicians with off-label therapy applications in pediatric precision medicine.</p><p><strong>Methods: </strong>We deductively coded and analyzed a qualitative dataset using the Consolidated Framework for Implementation Research (CFIR), generated from 17 pediatric health care professional semi-structured interviews. We entered the synthesized data into the IRLM Clinical Intervention template and made adaptations to allow for a more comprehensive fit of the data, resulting in the CSII-RLM. We incorporated worked examples and developed algorithms to demonstrate application and functionality.</p><p><strong>Results: </strong>The new intermediary \"Service Intervention\" successfully defined ProCure as a separate, supporting intervention within the broader context of pediatric precision medicine. Worked examples demonstrate how the CSII-RLM distinguishes between clinical and service-level interventions and helps to capture and understand real-world implementation. Novel algorithms further support the development and understanding of causal pathways for each intervention.</p><p><strong>Conclusions: </strong>The CSII-RLM is a promising tool that can assist the design and implementation of service interventions to support complex clinical interventions within the health care setting. The application of the CSII-RLM has been demonstrated in the implementation planning phase of ProCure and will continue to be tested and refined throughout its implementation.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A582.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934704","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":"Pelvic floor muscle exercises in preventing urinary incontinence among mothers after delivery in a maternity ward: a best practice implementation project.","authors":"Isabel Xin Wei Tan, Leta Wei Ling Loh, Sarah Beevee Binte Abdul Jabbar, Tiffany Mei Ling Woo, Mien Li Goh","doi":"10.1097/XEB.0000000000000590","DOIUrl":"10.1097/XEB.0000000000000590","url":null,"abstract":"<p><strong>Introduction: </strong>Pelvic floor muscles can undergo significant trauma and physical changes during childbirth. This may result in urine leaking involuntarily in postnatal mothers after normal vaginal delivery. Pelvic floor muscle exercises (PFME) have been found to be beneficial in preventing urinary incontinence after delivery.</p><p><strong>Objectives: </strong>This project aimed to prevent and reduce urinary incontinence among postnatal mothers who received PFME education prior to discharge. This was achieved through the implementation of best practice recommendations.</p><p><strong>Methods: </strong>This project was guided by the JBI Evidence Implementation Framework which comprises a baseline audit, analysis of barriers, tailored strategies, and follow-up audit to assess impact and sustainability. The maternity ward midwives and nurses were trained how to educate the participants about PFME. Urinary incontinence symptoms were evaluated using the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form. Two follow-up audits were conducted to measure changes in compliance with best practices.</p><p><strong>Results: </strong>The percentage of mothers who received training on PFME was 53.3% at baseline, 50% at follow-up audit 1, and 60% at follow-up audit 2. The percentage of mothers who received a physical copy of the patient information leaflet increased from 80% at baseline to 90% in follow-up audit 1, and 96.7% in follow-up audit 2. In addition, mothers who performed PFME after discharge reported fewer urine incontinence symptoms.</p><p><strong>Conclusions: </strong>The project results showed that urinary incontinence had decreased among postnatal mothers who had practiced PFME. Sustainability plans involve regular audits, educating new nurses, and nursing leadership support for an evidence-based culture.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A569.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844825","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 education for villagers at a health center in Gotvand, Iran: a best practice implementation project.","authors":"Amin Talebpour, Elham Pirabbasi, Seyedeh Narjes Marashi, Mohammad Zakaria Pezeshki, Maryam Asadi","doi":"10.1097/XEB.0000000000000567","DOIUrl":"10.1097/XEB.0000000000000567","url":null,"abstract":"<p><strong>Introduction: </strong>Individuals living in rural areas and low-income communities are at an increased risk of nutrient-poor diets and associated metabolic disorders, including obesity, cardiovascular disease, and type 2 diabetes.</p><p><strong>Aim: </strong>This study aimed to enhance the nutritional education process, identify barriers and facilitators to improving compliance, and develop strategies to address areas of non-compliance for villagers in Gotvand, Iran.</p><p><strong>Methods: </strong>In accordance with the JBI Evidence Implementation Framework, this clinical audit study was conducted in 2023 at a health center in Gotvand, Iran. Forty adult villagers referred to the health center took part in a baseline audit to evaluate compliance with recommended practices. After 1 month, a follow-up audit was conducted, during which 20 villagers were randomly selected and their data analyzed. Data collection methods included direct observation and interviews.</p><p><strong>Results: </strong>The baseline results indicated that face-to-face interviews or experiential learning approaches had the highest compliance rate (70%), followed by other strategies in addition to nutrition education (60%). Training aimed to increase nutritional knowledge recorded a compliance rate of 55%, while self-monitoring to facilitate nutrition education by individuals had the lowest rate at 33%. After the 1-month follow-up, compliance rates improved significantly, revealing audit scores of 100% for Criteria 1-3, and 94.4% for Criterion 4.</p><p><strong>Conclusions: </strong>The findings suggest that employing local educators, using educational packages (including illustrated pamphlets), and conducting face-to-face sessions are effective strategies for delivering nutritional education in rural areas, taking into account local community knowledge, language differences, and cultural context.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A517.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844660","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 patient safety and satisfaction in the peri-operative setting of a general private hospital in Iran; interventions for nursing staff: a best practice implementation project.","authors":"Behrouz Amini, Shahram Dabiri Oskoei, Maryam Soleimanpour, Mahdieh Esmaeilnezhad, Bahram Jafarinodeh, Azam Badrgholi Tabrizi, Sakineh Hajebrahimi, Fariba Pashazadeh, Neda Kabiri, Amin Talebpour","doi":"10.1097/XEB.0000000000000598","DOIUrl":"10.1097/XEB.0000000000000598","url":null,"abstract":"<p><strong>Introduction: </strong>Compliance with surgical safety checklists remains a concern worldwide and is responsible for more than half of in-hospital complications.</p><p><strong>Objective: </strong>The aim of this implementation project was to assess and promote compliance with evidence-based practices regarding custom surgical safety checklists and safe staffing levels in a general private hospital in Iran.</p><p><strong>Methods: </strong>This evidence implementation project was conducted in the peri-operative setting of a general private hospital in Tabriz, Iran. The project adhered to the JBI Evidence Implementation Framework and used the JBI Practical Application of Clinical Evidence System (PACES) and the Getting Research into Practice (GRiP) audit and feedback strategy to develop three audit criteria for the baseline and two follow-up audits.</p><p><strong>Results: </strong>The baseline and follow-up audits revealed that compliance for Criterion 1 (customization of checklists for specialized surgical procedures) decreased from 79% at baseline to 68% at the first follow-up audit but improved to 90% at the second follow-up audit. The compliance rate for Criterion 2 (demand-based staffing level in the peri-operative area) improved from 55% at baseline to 93% at the first follow-up and 100% at the second follow-up. Lastly, the compliance rate for Criterion 3 (staff competence in the peri-operative area) increased from 75% to 100% at both follow-ups 1 and 2.</p><p><strong>Conclusions: </strong>The implementation of educational and policy-related strategies led to improved compliance across all audit criteria. However, future audit cycles and implementation strategies are needed to sustain improvements.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A576.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844796","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":"Patient hand hygiene in a residential aged care facility: a best practice implementation project.","authors":"Jannette Silvania, Michelle Palokas, Linda Upchurch","doi":"10.1097/XEB.0000000000000591","DOIUrl":"10.1097/XEB.0000000000000591","url":null,"abstract":"<p><strong>Introduction: </strong>Hand hygiene for both health care workers and patients is an important measure to prevent health care-associated infections in residential aged care facilities. Studies on health care workers' and patients' perceptions and behaviors have indicated that despite understanding its importance, patient hand hygiene is not a deliberate practice.</p><p><strong>Objective: </strong>This project aimed to promote evidence-based practices regarding patient hand hygiene in a residential aged care facility.</p><p><strong>Methods: </strong>Guided by the JBI Evidence Implementation Framework, six best practices were used as audit criteria. Baseline audits were conducted through observations, staff surveys, and electronic health record reviews. Barriers to best practices were identified and strategies were implemented to address those barriers. Follow-up audits were conducted and compared to baseline results.</p><p><strong>Results: </strong>The baseline results showed 64% compliance with the six best practice recommendations. Barriers included health care workers' lack of knowledge of the multimodal approach to patient hand hygiene, limited hand hygiene products, patients' inability to use products independently, and missing or inaccurate education documentation in the health record. Strategies to improve compliance included education for health care workers, increasing the availability and usability of hygiene products, and standardizing patient hand hygiene documentation in the electronic health record. Post-implementation audits showed a 12% increase in compliance, which rose to 76%.</p><p><strong>Conclusions: </strong>Through education initiatives, increased product accessibility, and standardized documentation, this evidence implementation project successfully improved adherence to best practices for patient hand hygiene in a residential aged care facility. Sustained efforts, including integration into staff orientation and competency programs, will be critical to maintaining these gains.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A567.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785749","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":"Improvement of pain management in burn patients: a best practice implementation project.","authors":"Kavous Shahsavarinia, Sajjad Ahmadi, Nooshin Milanchian, Fatemeh Abbasi, Farzad Rahmani, Behjat Derakhti, Sakineh Hajebrahimi, Hanieh Salehi-Pourmehr","doi":"10.1097/XEB.0000000000000571","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000571","url":null,"abstract":"<p><strong>Introduction: </strong>Effective pain management is crucial for burn patients in emergency departments due to the complex nature of burn pain.</p><p><strong>Objective: </strong>This project aimed to assess and improve compliance with best practices in burn pain management in the emergency department of a hospital in Iran.</p><p><strong>Methods: </strong>This project used the JBI Evidence Implementation Framework. We conducted baseline and follow-up audits over 3 months to identify barriers to compliance with best practices, implement targeted interventions, and re-evaluate practice.</p><p><strong>Results: </strong>Following the implementation of intervention strategies, the follow-up audit revealed significant improvements across all six criteria over a 3-month period. We observed increased compliance for individualized pain management plans (87.80% to 95.12%), appropriate pharmacological agent selection (95.12% to 100%), and multimodal pain management (80.49% to 92.68%). Furthermore, adherence to tailored opioid therapy significantly improved (60.98% to 85.37%), as did the practice of using fewer opioid types for effective pain management (48.78% to 80.49%). Patient education regarding pain medications also notably increased (68.29% to 90.24%). Barriers included lack of staff awareness concerning opioid administration and general best practices. These were addressed through standardized evidence-based training, educational workshops, and a simplified documentation checklist in Farsi.</p><p><strong>Conclusion: </strong>This project achieved substantial advancements in burn pain management practices, highlighting the success of individualized, evidence-based strategies. These positive outcomes underscore the need for continued education, rigorous protocol adherence, and active patient engagement to sustain and enhance the quality of care for this vulnerable patient population.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A522.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822603","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}