Jbi Evidence Implementation最新文献

{"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}

{"title":"User evaluation of an implementation toolkit for maternal-newborn care settings.","authors":"Jessica Reszel, Carolina Lavin Venegas, Sandra I Dunn, Christine E Cassidy, Janet Brownlee, Mireille Cloutier, Olivia Daub, Kaamel Hafizi, Marnie Lightfoot, Dahlia Pervez, Ashley Quosdorf, Allison Wood, Ian D Graham","doi":"10.1097/XEB.0000000000000541","DOIUrl":"10.1097/XEB.0000000000000541","url":null,"abstract":"<p><strong>Introduction and aims: </strong>Applying knowledge generated from implementation science can improve the process teams use to move evidence into practice. To facilitate the use of implementation science knowledge in practice, training and resources for health care providers and leaders are needed. Our team developed a toolkit for maternal-newborn settings to provide guidance and tools on how to apply implementation science knowledge to their practice change initiatives. The aim of this study was to evaluate the toolkit for acceptability, appropriateness, feasibility, usability, and potential adoption.</p><p><strong>Methods: </strong>We conducted a convergent mixed-methods study. Health care providers and leaders working in Ontario maternal-newborn care read the toolkit and completed a feedback survey and interview. The questionnaire included questions on toolkit content and format and validated measures on acceptability, appropriateness, feasibility, and usability. The interviews explored questionnaire responses and application of the toolkit. Quantitative data were analyzed descriptively. Qualitative data were analyzed using directed content analysis.</p><p><strong>Results: </strong>Participants (n = 17) rated the toolkit as acceptable, appropriate, feasible, and usable, indicating the toolkit met the need for practical resources to guide implementation. Most participants indicated their intention to use the toolkit and refer it to others. Several areas for improvement were identified, including simplifying language and content and improving the format. Participants highlighted the need to effectively disseminate the toolkit and offer training and support for its successful implementation.</p><p><strong>Conclusions: </strong>The toolkit has the potential to improve maternal-newborn teams' implementation processes and outcomes. Future work is needed to improve the toolkit and evaluate its use and impact in practice.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A431.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":"414-430"},"PeriodicalIF":1.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145662437","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":"Values-driven evidence-based health care: concept analysis of core global values in implementation.","authors":"Amanda Thao My Hsi, Siyun Wang, Alison Chau, Craig Lockwood","doi":"10.1097/XEB.0000000000000552","DOIUrl":"10.1097/XEB.0000000000000552","url":null,"abstract":"<p><strong>Introduction: </strong>Theories, models, and frameworks are essential resources for planning effective implementation. However, it is unclear whether the reporting of principles in the published implementation literature reflects their role as a core foundation for practice change.</p><p><strong>Aim: </strong>Our aim was to evaluate manuscripts informed by the JBI Model of Evidence-based Healthcare to identify and describe the reporting frequency of the four core principles of Culture, Communication, Capacity, and Collaboration (4Cs) that underpin the model.</p><p><strong>Methods: </strong>This was a retrospective descriptive study which used eight purposively selected published JBI implementation reports. We piloted and extracted data in the form of verbatim text, which was mapped to the CFIR-2 sub-domains and the JBI Model's 4C principles. Data were then condensed into related concepts for frequency counts.</p><p><strong>Results: </strong>There were 337 instances of the JBI 4C principles, with a mean of 42 reported per publication. Instances ranged from 17 to 147, with the highest frequencies occurring for Capacity (n = 147) and Culture (n = 142), and the lowest for Communication (n = 31) and Collaboration (n = 17).</p><p><strong>Conclusions: </strong>The data suggest that the JBI 4Cs have intrinsic value and utility for authors, yet are used variably. Principles presented without operational definitions or descriptions are difficult for implementers to engage with. Therefore, further conceptual and operational studies are needed to increase the clarity and specificity of use case for the JBI 4Cs.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A478.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":"339-349"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146150997","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":"Assessment, patency, and management of occlusion of central venous catheters in ICU and hemodialysis patients in a hospital in Badajoz, Spain: a best practice implementation project.","authors":"Diego Javier Morcillo-Oliva, Laura Albornos-Muñoz","doi":"10.1097/XEB.0000000000000500","DOIUrl":"10.1097/XEB.0000000000000500","url":null,"abstract":"<p><strong>Introduction: </strong>Central venous catheters (CVCs) and other central venous access devices (CVADs) facilitate the administration of intravenous drugs, fluids, blood products, and parenteral nutrition in patients with chronic or critical illnesses. A lack of standardized practices had been identified in some countries, leading to the development and publication of guidelines.</p><p><strong>Aim: </strong>This project aimed to improve CVAD care by promoting evidence-based practices in an intensive care unit and a hemodialysis unit in a hospital in Badajoz, Spain.</p><p><strong>Methods: </strong>The study was based on the JBI approach to evidence implementation. A retrospective baseline audit was conducted before developing and implementing an evidence-based protocol for the assessment, patency, and management of occlusions in CVCs. The JBI Getting Research into Practice (GRiP) method was used to identify the factors underpinning gaps between evidence and everyday practice, as well as strategies to overcome them. A follow-up post-implementation audit was also conducted. The sample size was 34 patients.</p><p><strong>Results: </strong>Improvements in compliance were found in four of the six audited criteria. The barriers identified during the implementation process were mostly addressed, contributing to the positive results.</p><p><strong>Conclusions: </strong>This evidence implementation project resulted in the development of an evidence-based protocol on CVAD care in the selected units and can now be expanded to other settings. The project also improved the quality of nursing records and the maintenance of best practices.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A325.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":"266-274"},"PeriodicalIF":1.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517108","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":"Opioid overdose prevention education and training for non-medical bystanders in the public school setting: a best practice implementation project.","authors":"Kimberly Baugh, Robin Christian","doi":"10.1097/XEB.0000000000000515","DOIUrl":"10.1097/XEB.0000000000000515","url":null,"abstract":"<p><strong>Introduction: </strong>Opioid drug use is increasing at alarming rates. Educating non-medical bystanders on opioid overdose recognition and reversal techniques is critical in preventing fatal opioid overdoses in the public school setting.</p><p><strong>Objective: </strong>The objective of this project was to improve non-medical bystanders' response to opioid overdose within a public school setting by educating school staff members on the signs of opioid overdose and the administration of the opioid antagonist, naloxone.</p><p><strong>Methods: </strong>The JBI Evidence Implementation Framework was used in this project to optimize compliance with best practices for the early identification of the signs and symptoms of opioid overdose and its prevention by administering naloxone.</p><p><strong>Results: </strong>Educating non-medical bystanders regarding opioid overdose prevention measures can improve the response and outcome of a potential opioid overdose in the public school setting. Training was provided to educate non-medical staff about best practice recommendations, which could potentially prevent a fatality on campus related to opioid drug use. The pre- and post-audit results determined whether best practice recommendations were followed in the implementation strategies regarding opioid overdose prevention and naloxone administration.</p><p><strong>Conclusions: </strong>Opioid overdose prevention education and training should be completed yearly during staff development for non-medical bystanders in the public school setting. By increasing awareness of signs and symptoms related to opioid overdose, prevention measures can be deployed to decrease the likelihood of a fatality of a student, staff member, or campus visitor while on school grounds. Continued education is vital and should be supported, utilized, and encouraged by the school district.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A372.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":"317-327"},"PeriodicalIF":1.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227289","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":"Nurses' use of the five rights of medication administration in a comprehensive care unit: a best practice implementation project.","authors":"Jaclyn M Smith, Linda Upchurch","doi":"10.1097/XEB.0000000000000492","DOIUrl":"10.1097/XEB.0000000000000492","url":null,"abstract":"<p><strong>Introduction: </strong>The \"five rights\" of medication administration are used by nurses daily to prevent patient medication errors. The five rights of medication administration are the right patient, drug, route, dose, and time. In the United States alone, between 7,000 and 9,000 medication administration errors occur annually. Internationally, medication errors are a leading cause of injury and harm.</p><p><strong>Objectives: </strong>This project aimed to improve compliance with medication administration rights in a comprehensive care unit among nurses in the acute care hospital setting.</p><p><strong>Methods: </strong>This project was conducted using an audit and feedback strategy, as recommended by the JBI Evidence Implementation Framework. Included in the project was the use of the JBI Practical Application of Clinical Evidence System (PACES) for pre- and post-audit data analysis and the JBI Getting Research into Practice (GRiP) approach to identify barriers, strategies, and outcomes. The project identified eight best practice criteria for medication administration to be used by nurses, including the five rights. After the baseline audit, barriers were identified, and educational interventions were implemented to improve adherence to best practices. A follow-up audit was conducted, and the results of both audits were compared.</p><p><strong>Results: </strong>In the baseline audit, two of the eight criteria, including checking the expiry date of medication and verbal identification of patient identifiers, were found to have lower adherence. Nursing staff education and visual reminders were implemented. A post-implementation audit was conducted, showing improved compliance with medication administration best practices.</p><p><strong>Conclusions: </strong>Staff education and visual reminders for best practices improved adherence to the five rights of medication administration. Annual competency training to reinforce best practices will prevent the incidence of medication errors, thereby maintaining quality and safety in patient care.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A321.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":"257-265"},"PeriodicalIF":1.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524852","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":"Making, helping, or letting it happen: defining pragmatism in implementation trials.","authors":"Jed Duff","doi":"10.1097/XEB.0000000000000582","DOIUrl":"10.1097/XEB.0000000000000582","url":null,"abstract":"<p><strong>Abstract: </strong>The hybrid effectiveness-implementation typology has become a cornerstone in implementation science, offering a way to classify studies according to their focus on effectiveness versus implementation outcomes. However, this typology reveals little about how implementation occurs in practice or the degree to which trials mirror real-world conditions. In this editorial, I argue that implementation trials should also be characterized by their level of pragmatism, defined by how much researcher control, support, or local leadership shapes implementation delivery. Drawing on my experiences with the INPREP, GLOW, and DEFENCE trials, and informed by the work of Greenhalgh and colleagues, I propose three pragmatic orientations-make-it-happen, help-it-happen, and let-it-happen-that reflect increasing contextual autonomy. Explicit reporting of a trial's pragmatic orientation using frameworks such as PRECIS-2-PS-which characterizes trials across domains, including implementation resources, flexibility of provider strategies, and delivery context-would enhance interpretation, synthesis, and scalability.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":"24 2","pages":"232-235"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700363","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":"Increasing rate of pre-operative stoma site marking in patients with intestinal ostomy (INSTOSI): a best practice implementation project.","authors":"Eni Shehu, Dawid Pieper, Hendrik C Albrecht, Stephan Gretschel, Colin M Krüger, Francesco Leggio, René Mantke, Oskar Rückbeil, Christoph Paasch, Mateusz Trawa, Jitka Klugarová, Tina Poklepović Peričić, Małgorzata M Bała, Robert Prill, Charlotte M Kugler","doi":"10.1097/XEB.0000000000000503","DOIUrl":"10.1097/XEB.0000000000000503","url":null,"abstract":"<p><strong>Introduction: </strong>Pre-operative stoma site marking is a strongly recommended practice for preventing complications and improving the health-related quality of life of intestinal stoma patients. Despite its benefits, this practice is not routinely implemented in clinical practice.</p><p><strong>Objectives: </strong>This study aimed to increase the rate of pre-operative stoma site marking.</p><p><strong>Methods: </strong>This evidence implementation project was conducted in three hospitals at the Brandenburg Medical School, Germany. The project followed the seven-stage JBI audit and feedback process recommended in the JBI Evidence Implementation Framework: (1) identification of practice area for change, (2) stakeholder involvement, (3) situational analysis of context, (4) baseline audit of stoma site marking rate, (5) strategy implementation (workshops with surgeons in each hospital to discuss baseline results), (6) 1-year follow-up audit, and (7) assessing the sustainability of practice changes.</p><p><strong>Results: </strong>The baseline audit revealed the following marking rates: 163 of 305 cases (53%) were marked across the three hospitals between 2017 and 2022. Elective cases were more often marked (145 of 200, 73%) than emergency cases (18 of 105, 17%). Barriers included poor physical state of emergency patients, lack of time, memory recall, and communication issues between surgeons and nurses. At follow-up 1 year after the workshops, 86 of 173 cases (50%) were marked (elective cases: 57 of 80, 71%; emergency cases: 29 of 93, 31%).</p><p><strong>Conclusions: </strong>Audit and feedback did not increase the overall rate of pre-operative stoma site marking, but did improve the rate in emergency cases. A single workshop may be insufficient to effect change. Electronic patient data lacked standardized documentation for pre-operative stoma site marking.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A329.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":"287-295"},"PeriodicalIF":1.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022770","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":"Oral hygiene of palliative patients in hospice wards: a best practice implementation project.","authors":"Yun-Chain Roger Yau, Sing-Jyun Lin, Chien-Mi Chang, Pi-Sia Chen, Yu-Ting Chen, Shih-Ping Liu, Ya-Wen Lee","doi":"10.1097/XEB.0000000000000502","DOIUrl":"10.1097/XEB.0000000000000502","url":null,"abstract":"<p><strong>Introduction: </strong>Oral hygiene is crucial in palliative care, as it directly affects patient comfort and quality of life.</p><p><strong>Aim: </strong>This study aimed to enhance oral hygiene practices in hospice wards by aligning them with evidence-based guidelines, evaluating current practices, identifying barriers, and implementing targeted interventions.</p><p><strong>Methods: </strong>This study was conducted at Changhua Christian Hospital in Taiwan and involved 18 nurses and 30 unique patients. Using the JBI Evidence Implementation Framework, the project followed a structured methodology to assess and improve compliance with oral hygiene practices by conducting baseline and follow-up audits. An Oral Assessment Guide (OAG) was used to track and analyze oral health status.</p><p><strong>Results: </strong>The baseline audit revealed significant deficiencies: 0% compliance for denture care, 10% compliance for twice-daily cleaning of natural teeth, and 50% compliance for assessing mouthwash options for patients with swallowing difficulties. Post-intervention, the follow-up audit revealed that compliance for all nine audit criteria was 100%. Notably, the OAG scores improved from an average of 14.1 to 11.7, indicating enhanced oral health and patient quality of life.</p><p><strong>Conclusions: </strong>This study demonstrated that targeted educational interventions and adherence to best practice guidelines can significantly improve oral hygiene in hospice settings. Achieving full compliance across all criteria, including those initially at full compliance, underscores the importance of continuous improvement in care practices. These findings advocate for the integration of evidence-based practices to enhance the quality of patient care in palliative settings.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A332.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":"275-286"},"PeriodicalIF":1.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606158","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":"Evaluating the HELIX 4 implementation capacity-building program.","authors":"Jed Duff, Nina Meloncelli, Louise Purtell, Ashley Cameron, Anna Doubrovsky, Rhiannon Barnes, Kim Hyam, Hui Grace Xu","doi":"10.1097/XEB.0000000000000509","DOIUrl":"10.1097/XEB.0000000000000509","url":null,"abstract":"<p><strong>Introduction: </strong>Despite the availability of extensive research evidence, many patients do not receive evidence-based care, which underscores the need to bridge the evidence-practice gap. Clinicians often report a lack of confidence and knowledge to translate evidence into practice. While most evidence-based practice programs focus on research skills, fewer address the practical application of evidence in clinical settings, leaving a critical gap in implementation capabilities.</p><p><strong>Aim: </strong>This study evaluated the HELIX 4 implementation capacity-building program (HELIX 4 program) in two metropolitan health services in Queensland, Australia.</p><p><strong>Method: </strong>The HELIX 4 program was conducted over 12 months in 2023 and included interdisciplinary teams, hands-on implementation training (Stage 1), coaching, and expert support (Stage 2). The program was evaluated using surveys and interviews, with analysis informed by the Kirkpatrick Model: Reaction, Learning, Behavior, and Impact.</p><p><strong>Results: </strong>Participants reported high satisfaction with the program, with 100% expressing satisfaction with the coaching and mentorship in Stage 2. Knowledge and confidence significantly improved, with knowledge scores increasing from 3.4 to 4.3 and confidence from 3.6 to 4.2 ( p  < 0.05). Participants demonstrated significant improvements in their ability to implement evidence-based changes, although some faced challenges balancing clinical duties with project responsibilities. Organizational support for evidence-based practice improved, with significant gains in leadership recognition of implementation efforts ( p  = 0.030). Participants reported early project successes and increased organizational commitment to sustaining changes.</p><p><strong>Conclusions: </strong>The HELIX 4 program enhanced participants' knowledge, confidence, and organizational support for evidence implementation. The pilot provides a foundation for future iterations of the program, with a focus on addressing long-term sustainability and time management challenges.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A359.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":"360-371"},"PeriodicalIF":1.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732496","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}