Jbi Evidence Implementation最新文献

{"title":"Prevention and management of pre-operative thirst in patients undergoing elective surgery: a best practice implementation project.","authors":"Minzhi He, Zhiqian Wang, Ningning Zhou, Yanli Zhu, Mengdan Zhou, Song Xu","doi":"10.1097/XEB.0000000000000588","DOIUrl":"10.1097/XEB.0000000000000588","url":null,"abstract":"<p><strong>Introduction: </strong>Peri-operative thirst is the second most common source of distress among surgical patients, yet its clinical management remains suboptimal and unstructured.</p><p><strong>Objectives: </strong>This evidence implementation project aimed to improve the prevention and management of pre-operative thirst in patients undergoing elective sequential gynecological surgery at a public tertiary hospital in Hangzhou, China.</p><p><strong>Methods: </strong>This project employed a before-and-after study design guided by the JBI Evidence Implementation Framework, utilizing the JBI Practical Application of Clinical Evidence System (PACES) and Getting Research into Practice (GRiP) tool. A baseline audit was conducted using 21 evidence-based audit criteria to assess compliance with best practices. Barriers to compliance were identified, and targeted strategies were implemented. Three follow-up audits were conducted to evaluate compliance improvement and strategy sustainability at 3, 6, and 9 months post implementation.</p><p><strong>Results: </strong>The baseline audit revealed an overall compliance rate of 5.29%. Following the implementation of targeted strategies, three sequential follow-up audits demonstrated progressive and sustained improvement: overall compliance increased to 40.65%, 76.19%, and 92.19% at 3, 6, and 9 months, respectively. In the final follow-up audit, 16 of the 21 criteria (76.2%) achieved full compliance (100%).</p><p><strong>Conclusion: </strong>This project improved surgical nurses' management of pre-operative thirst and promoted hospital-wide, evidence-based practice. The evidence-based recommendations reduced the gap between current and best practices, thereby enhancing both the quality of care and patient satisfaction. Future practice should embed the new protocols into routine workflows and address the specific challenges in pre-operative fasting for sequential surgery patients.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A553.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785952","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":"Management of immune-related dermatologic toxicities in cancer patients receiving PD-1/PD-L1 blockade: a best practice implementation project.","authors":"Lanfang Zhang, Zhijun Li, Shaoyan Huang, Peijuan Chen, Ling He, Mengya Du, Yang Lu, Jing Cai, Yanni Wu","doi":"10.1097/XEB.0000000000000584","DOIUrl":"10.1097/XEB.0000000000000584","url":null,"abstract":"<p><strong>Introduction: </strong>Immune checkpoint inhibitors (ICIs) have been widely used as an important approach to treat tumors. However, about 30% patients receiving ICIs develop immune-related dermatologic toxicities (IDTs), which may lead to treatment interruption and poor prognosis.</p><p><strong>Objectives: </strong>This evidence implementation project was carried out in the Department of Radiation Oncology at Nanfang Hospital in Guangzhou, China and aimed to improve the management of IDTs in cancer patients treated with PD-1/PD-L1 inhibitors.</p><p><strong>Methods: </strong>The project used the JBI Evidence Implementation Framework, which is based on an audit and feedback process. Criteria for audits were derived from JBI Best Practice Evidence Summaries. The baseline audit was used to identify gaps in compliance with best practices and barriers and facilitators of implementation. After the implementation of change strategies, a follow-up audit was conducted to measure changes in compliance.</p><p><strong>Results: </strong>Gaps between evidence and practice were noted for six of the criteria, and five barriers to implementation were identified. The follow-up audit revealed that compliance with audit criteria 1-5, 7, and 8 reached 100%, while criterion 6 partially improved from 36.7% to 50%.</p><p><strong>Conclusions: </strong>The results indicate that this project improved compliance with evidence-based practices for the management of IDTs by standardizing clinical practices and improving the quality of nursing management.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A550.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785746","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":"An integrated, multidisciplinary, early identification, and triage program for university students at risk of anxiety and depression: a best practice implementation project.","authors":"Sarah J Templeton, Andrea L Canada","doi":"10.1097/XEB.0000000000000498","DOIUrl":"10.1097/XEB.0000000000000498","url":null,"abstract":"<p><strong>Introduction: </strong>Rising mental health issues among university students in the United States may significantly affect their academic progress, contributing to a variety of negative outcomes, ranging from poor academic performance to forced attrition.</p><p><strong>Objective: </strong>This study evaluated the implementation of an evidence-based practice (EBP) interdisciplinary approach to universal proactive mental health screening and triage at a university student health center (SHC).</p><p><strong>Methods: </strong>Using the Knowledge to Action framework, a comprehensive program was developed to identify and triage university undergraduate students at risk of mental health conditions, to address a gap between current practice and emerging EBP. Potential barriers to implementation were identified and strategies were developed to improve the translation of knowledge to practice. A retroactive chart audit was used to evaluate the effectiveness of practice improvements.</p><p><strong>Results: </strong>EBP interventions were implemented to proactively identify and triage mental health concerns in students, with positive results. Provider compliance with assessment and referral was 100%. Further studies are needed to assess long-term effectiveness.</p><p><strong>Conclusion: </strong>Our results confirm the usefulness of a comprehensive, proactive mental health program for detecting and triaging undergraduate students at risk of anxiety and/or depression. This interdisciplinary approach has the potential to address mental health issues among college students in a timely fashion and to best steward limited campus resources.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A327.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":"236-245"},"PeriodicalIF":1.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537995","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":"Comparing theory-driven and intuition-based approaches to inform implementation strategies in practice: an exploratory two-arm cluster-randomized head-to-head implementation trial.","authors":"Julia Steinberg, Priscilla Chan, Sarsha Yap, April Morrow, Gabriella Tiernan, Yoon-Jung Kang, Emily He, Elizabeth Kennedy, Jasmine Jansen, Rhiannon Edge, Deborah Debono, Bonny Parkinson, Sam Egger, Michael David, Skye McKay, Desiree Hilton, Lucien Sankey, Amy Pearn, Rohan Rahman, Rebecca Venchiarutti, Cassandra Nichols, Sascha Karunaratne, Daniel Steffens, Natasha Egoroff, Natalie J Lott, Leanna Titterton, Alexander Engel, Anthony J Gill, Annabel Goodwin, Marion Harris, James G Kench, Nicholas Pachter, Peter Pockney, Abiramy Ragunathan, Courtney Smyth, Michael Solomon, James Wei Tatt Toh, Marina Wallace, Karen Canfell, Finlay Macrae, Kathy Tucker, Emily Hogden, Natalie Taylor","doi":"10.1097/XEB.0000000000000557","DOIUrl":"10.1097/XEB.0000000000000557","url":null,"abstract":"<p><strong>Introduction: </strong>To explicitly assess the impact of theory in implementation strategies, it is essential to isolate theoretical components while controlling other variables.</p><p><strong>Aim: </strong>This exploratory two-arm cluster-randomized implementation trial compared theory-driven versus intuition-based approaches to the development of strategies to improve risk-appropriate tumor testing and referral to genetics services for Lynch syndrome (LS), a hereditary cancer predisposition condition.</p><p><strong>Methods: </strong>Seven major Australian hospitals received an identical, seven-step implementation approach, with the only difference being either the use of theory-driven or intuition-based implementation strategy development, which was randomly assigned (theory n = 4; intuition n = 3). The theory-driven approach was guided by the Theoretical Domains Framework (step 4) and matched Behavior Change Techniques (step 5), with all other steps identical between both trial arms. The primary outcome was the rate of risk-appropriate LS tumor testing and referral within 2 months of colorectal cancer (CRC) resection, using data from January 1, 2017 to September 30, 2021 (n = 3,321 patients). Secondary outcomes included the proportion of risk-appropriate patients with a genetic referral.</p><p><strong>Results: </strong>The theory-driven arm showed a modest but non-significant improvement in the primary outcome of risk-appropriate LS pathway completion (adjusted risk ratio [aRR]=1.22, 95% CI: 0.92- 1.61, p  = 0.1713); however, this was driven by one large hospital, with null effect when excluding that hospital (aRR = 1.00, 95% CI: 0.86-1.18, p  = 0.9639) and heterogeneous results across different hospitals. For patients with high LS risk tumor test results, the theory-driven arm showed a significantly lower proportion without a genetics referral (secondary outcome: aRR = 0.50, 95% CI: 0.41-0.61, p  < 0.0001).</p><p><strong>Conclusion: </strong>Theory-driven implementation led to stronger improvements in a secondary outcome. Primary outcome evidence was inconclusive. While theory-driven approaches led to some improvements in a secondary outcome, there was no conclusive difference in the primary outcome. A published process evaluation reports on the contextual factors influencing results at each site, as well as theoretical alignment of intuitive strategies and their proposed mechanisms of action. This trial design offers a template for isolating and evaluating the contribution of theory to implementation strategies.</p><p><strong>Trial registration: </strong>Australian New Zealand Clinical Trials Registry, ACTRN12618001072202. Registered June 27, 2018 https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=375348&isReview=true.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A491.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":"372-387"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285879","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 of a capacity-building program to enhance evidence-based practice of cognitive rehabilitation providers: a pilot study.","authors":"Jennifer Fleming, Sarah Prescott, Emmah Doig, Anna Copley, Caitlin Hamilton, Emma Finch, Julie D Henry","doi":"10.1097/XEB.0000000000000501","DOIUrl":"10.1097/XEB.0000000000000501","url":null,"abstract":"<p><strong>Introduction: </strong>Cognitive rehabilitation is a complex and challenging area of brain injury rehabilitation practice, and specialized training programs are needed to upskill practitioners to ensure effective, evidence-based interventions. We developed a cognitive rehabilitation capacity-building program (CogCap) to address this need.</p><p><strong>Aims: </strong>The aims of this study were to pilot the CogCap program with a multidisciplinary group of cognitive rehabilitation providers; to evaluate whether it improved participants' self-ratings of knowledge, skills, and confidence in cognitive rehabilitation; and to explore their perceptions and experiences of the program.</p><p><strong>Methods: </strong>CogCap was evaluated in a pilot study with 12 cognitive rehabilitation providers, who included occupational therapists, speech pathologists, and psychologists working in brain injury rehabilitation. CogCap components included online self-paced learning modules, workshops, and expert masterclasses completed over a 3-month period. Measures included degree of participation in CogCap components; pre- and post-self-ratings of knowledge, skills, and confidence; and qualitative interviews of CogCap participants about their experience.</p><p><strong>Results: </strong>There were high levels of engagement with the workshops and significant improvements, with large effect sizes in perceived knowledge ( d  = 0.81, p  < 0.05), skills ( d  = 0.65, p  < 0.05), and confidence ( d  = 1.30, p  < 0.01). Four themes were derived from the qualitative interview data: (1) learning through the program, (2) engaging in the program, (3) enhancing practice, and (4) supporting future change.</p><p><strong>Conclusions: </strong>The pilot evaluation provides preliminary evidence of CogCap's effectiveness and acceptability to cognitive rehabilitation providers. Larger scale implementation and evaluation is recommended.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A334.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":"350-359"},"PeriodicalIF":1.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chlorhexidine gluconate bathing to reduce hospital-acquired infections in adult intensive care units: a best practice implementation project.","authors":"Chin Yuan Tsan, Wei Ling Hsiao, Yun Wen Yung, Yu Jen Chu, Pei Fan Mu","doi":"10.1097/XEB.0000000000000520","DOIUrl":"10.1097/XEB.0000000000000520","url":null,"abstract":"<p><strong>Introduction: </strong>Hospital-acquired infections (HAIs) have a significant effect on the quality of patient care as well as increasing hospital costs in adult intensive care units (ICUs). The ICU infection rate at the study hospital (10.6‰) exceeded acceptable standards.</p><p><strong>Aim: </strong>This study aimed to reduce the HAI rate in the adult ICU through chlorhexidine gluconate (CHG) bathing, in line with evidence-based practices.</p><p><strong>Methods: </strong>This project followed the JBI Evidence Implementation Framework, supported by JBI's Practical Application of Clinical Evidence System (PACES) and the JBI Getting Research into Practice (GRiP) tool. Rogers' Diffusion of Innovations Theory was used to guide the change process. The study was conducted in a hospital in northern Taiwan. Baseline and follow-up audits were conducted involving 450 patients and 321 nurses across 12 adult ICUs. The audit criteria were derived from evidence-based recommendations.</p><p><strong>Results: </strong>Post-implementation audit compliance rates improved significantly. Daily bathing of ICU patients with CHG increased from 24% to 96%; education of nursing staff on CHG bathing increased from 30.5% to 100%; documentation of patient hypersensitivities and allergies to CHG increased from 40% to 98%; and use of non-chlorhexidine soap and water for patients allergic to CHG increased from 76% to 100%. Following implementation of the project, the monthly incidence density of HAIs decreased markedly from 10.6‰ to 6.1‰.</p><p><strong>Conclusions: </strong>The implementation of best practices significantly reduced HAIs in adult ICUs across the hospital. Key success factors included information technology, flat-structure communication, a top-down strategy, accountable management, and a centralized materials supply. These factors facilitated adoption of the project simultaneously across multiple units.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A378.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":"328-338"},"PeriodicalIF":1.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimizing cystic fibrosis-related diabetes screening in adults using the oral glucose tolerance test (OGTT): a single center mixed methods study.","authors":"Angela G Matson, Daniel Smith, Felicity Loel, Vanessa Moore, Karen Herd, Monica Wagenaar, Shanal Kumar","doi":"10.1097/XEB.0000000000000531","DOIUrl":"10.1097/XEB.0000000000000531","url":null,"abstract":"<p><strong>Background: </strong>Early diabetes detection can enhance metabolic outcomes, reducing future risks and complications. Effective diabetes screening remains crucial in the post cystic fibrosis (CF) modulator therapy era whereby treatment with Elexacaftor/Tezacaftor/Ivacaftor (ETI) will lead to an aging CF population. Therefore, adults living with CF will be at increased risk of metabolic complications, specifically diabetes. The oral glucose tolerance test (OGTT) remains a key validated diagnostic tool for diabetes in this population; however, uptake has been historically low.</p><p><strong>Aim: </strong>This study aimed to evaluate and address barriers to the uptake of OGTT screening for CF-related diabetes from a clinician and service perspective.</p><p><strong>Method: </strong>This single center mixed methods study comprised a survey, solution mapping workshops, and database-driven analytics, incorporating both qualitative and quantitative analyses. The study was conducted in a hospital in Brisbane, Australia from 2017 to 2023. We hybridized the Theoretical Domains Framework and the Capability, Opportunity, Motivation, and Behaviour (COM-B) change model to identify clinician- and service-level barriers to OGTT uptake. OGTT uptake was assessed at three time-points: T0 (2018-2019) Baseline/Pre-implementation, T1 (2020-2021) Post-implementation, and T2 (2022-2023) Post-implementation and ETI.</p><p><strong>Results: </strong>Three barriers to OGTT uptake were identified: (1) clinician capacity, (2) systematic processes, and (3) consumer engagement. Provider knowledge gaps on diabetes diagnostic criteria were addressed through education. A CF-related diabetes clinical pathway was developed and integrated into service procedures and clinical databases. Consumer engagement initiatives were implemented. In our cohort, OGTT screening significantly increased from 12.7% at T0 to 38.5% at T1 (p < 0.001), stabilizing at 33.5% at T2 (p < 0.001).</p><p><strong>Conclusions: </strong>OGTT screening significantly improved following the implementation of behavior-based solutions. Our findings indicate that addressing key barriers at a service level using a multifaceted interventional approach can change end-user perspectives and behavior.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A405.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":"24 2","pages":"388-397"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700460","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":"Glycemic control in critically ill patients: a best practice implementation project.","authors":"Mengjuan Jing, Fan Yan, Hao Li, Chunpeng Li, Xiaojing Wei, Weihua Liu, Liming Li, Hongmei Zhang","doi":"10.1097/XEB.0000000000000505","DOIUrl":"10.1097/XEB.0000000000000505","url":null,"abstract":"<p><strong>Introduction: </strong>Prior studies have shown that about half of critically ill patients in intensive care units (ICUs) have abnormal blood glucose. Both hyperglycemia and hypoglycemia increase the risk of death in critically ill patients; therefore, controlling blood glucose in such patients is crucial. There is a significant gap between clinical practice and the current best evidence regarding glycemic control in ICU.</p><p><strong>Aim: </strong>This best practice implementation project aimed to improve glycemic control for critically ill patients in a tertiary hospital in China by promoting best practices.</p><p><strong>Methods: </strong>This project was conducted according to the JBI Evidence Implementation Framework, which is based on an audit and feedback strategy. Four audit criteria were developed for the baseline and follow-up audits. An implementation protocol was designed based on the barriers and facilitators identified in the baseline audit. Nursing documentation from patients' medical records and interviews with nurses were used to assess the baseline and follow-up audit compliance rates.</p><p><strong>Results: </strong>The results showed improved compliance with the four criteria in the follow-up audit. Except for only slight improvement in Criterion 2 (increasing from 15.3% to 26.6%), the three other criteria all achieved significant improvements. The compliance rate for Criterion 1 increased from 43.8% to 70.0%, Criterion 3 increased from 0% to 100%, and Criterion 4 increased from 46.8% to 65.8%.</p><p><strong>Conclusions: </strong>This evidence-based implementation project successfully increased nurses' compliance with best practice recommendations for glycemic control in critically ill patients.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A338.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":"307-316"},"PeriodicalIF":1.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659187","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 aggression in a pediatric inpatient unit: a best practice implementation project.","authors":"Johnna Riddick, Jorri Davis, Michelle Palokas","doi":"10.1097/XEB.0000000000000508","DOIUrl":"10.1097/XEB.0000000000000508","url":null,"abstract":"<p><strong>Introduction: </strong>In pediatric inpatient settings, there has been an increase in patients with mental health problems who display aggressive behavior toward staff.</p><p><strong>Aim: </strong>The aim of this project was to prevent aggression in patients in a pediatric inpatient unit through the promotion of best practices.</p><p><strong>Methods: </strong>The project was guided by the JBI Model of Evidence-Based Health care and the JBI Evidence Implementation Framework. An audit and feedback strategy was used, with baseline and follow-up audits conducted. Eight evidence-based practices were used for the audit criteria. Strategies to improve compliance with best practices were implemented following the baseline audit. A follow-up audit was conducted to measure any changes in clinical practice.</p><p><strong>Results: </strong>Gaps between evidence and practice were identified for three of the audit criteria. Barriers included the lack of a policy for preventing or managing aggressive behavior in patients, the lack of a process to identify triggers of aggressive behavior, and inconsistent use of the aggression prevention care plan in the electronic health record. To address these barriers, the project team created a unit protocol, or written guidance, for preventing aggressive behavior, implemented a process to document triggers, and developed a general aggression care plan in the electronic health record. Overall compliance with evidence-based practices increased from 30% to 34%.</p><p><strong>Conclusions: </strong>This evidence implementation project used a clinical audit process, which led to a small overall improvement in compliance with evidence-based practices. This project has a potential long-term benefit, with staff being better prepared to prevent aggressive outbursts in patients in the general pediatric unit. However, further work is required to continue improving compliance with evidence-based practices.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A358.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":"246-256"},"PeriodicalIF":1.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755171","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":"Using behavior change techniques to identify components for adapting a vaccination in pregnancy communication intervention in Canada.","authors":"Andrea M Patey, Maria Castrellon Pardo, Madison Kennedy, Monica Santosh Surti, Mungunzul M Amarbayan, Medea Myers-Stewart, Marcia Bruce, Jessica Kaufman, Margie Danchin, Maoliosa Donald, Eliana Castillo","doi":"10.1097/XEB.0000000000000538","DOIUrl":"10.1097/XEB.0000000000000538","url":null,"abstract":"<p><strong>Background: </strong>Vaccine communication is critical to improve pregnancy and childhood vaccination uptake. However, communication about vaccination in pregnancy between health care providers and patients is suboptimal. The Sharing Knowledge About Immunization (SKAI) is an Australian multicomponent intervention aimed at improving vaccine communication to increase vaccine uptake in pregnancy and childhood. However, it is unclear whether and how effective the intervention would be in the Canadian context.</p><p><strong>Objectives: </strong>The objectives of this study were to (1) determine what components of SKAI addressed vaccine communication and barriers identified by providers and parents in Canada, and (2) if necessary, identify additional intervention components that could improve vaccine communication during pregnancy in Canada.</p><p><strong>Methods: </strong>This multi-method study used the Behaviour Change Wheel and the Theory and Techniques Tool to (1) identify behavior change techniques (BCTs) in the SKAI intervention; (2) map the identified BCTs to the barriers and enablers of vaccination in pregnancy communication, as reported by providers and parents in Canada, using the Theoretical Domains Framework; and (3) if the BCTs identified did not address reported barriers, develop a shortlist of possible BCTs to target barriers reported in Canada but not identified in SKAI.</p><p><strong>Results: </strong>A total of 22/93 BCTs were identified in the SKAI intervention materials for providers and 8/93 BCTs in the materials for patients. The majority of BCTs from both the providers' and the patients' materials targeted the barrier domains, Knowledge and Environmental Context and Resources, focusing on providing information. The domains with the fewest BCTs identified were Intention and Behavior Regulation. BCTs that targeted barriers in Skills, Belief About Capabilities , and Behavior Regulation for providers and Reinforcement, Social Influences , and Emotions for parents and not identified in SKAI were shortlisted (n = 26) for the Canadian intervention.</p><p><strong>Conclusion: </strong>A tailored Canadian intervention aimed at improving vaccine communication during pregnancy should move beyond simply providing information, and should include BCTs that target Skills , Belief About Capabilities , and Behavior Regulation for providers. For parents, BCTs should target Reinforcement, Social Influences , and Emotions . Including BCTs that target these barriers that are unique to the Canadian context will increase the likelihood of changing patients' and providers' communication behavior and improving vaccine acceptance during pregnancy.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A427.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":"398-413"},"PeriodicalIF":1.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483488","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}