Jbi Evidence Implementation最新文献

{"title":"Comparison of two audit and feedback approaches: descriptive analysis of personal and contextual dynamics.","authors":"Maria Pagano, Irene Cappadona, Francesco Corallo, Davide Cardile, Augusto Ielo, Giangaetano D'Aleo, Maria Cristina De Cola, Placido Bramanti, Rosella Ciurleo","doi":"10.1097/XEB.0000000000000428","DOIUrl":"10.1097/XEB.0000000000000428","url":null,"abstract":"<p><strong>Introduction: </strong>Audit and feedback (A&F) is a systematic intervention that can be used to improve the quality of health care. The EASY-NET Network Project proposes an innovative A&F model.</p><p><strong>Aim: </strong>This study aimed to describe the newly proposed A&F model. An analysis was conducted, examining the participants' attitudes and their individual and interpersonal mechanisms to understand how they influence the work context and vice versa.</p><p><strong>Methods: </strong>Two A&F models were compared, involving emergency and rehabilitation health workers, who were divided into two groups. The classic A&F model was compared with a new model, using a desk audit followed by interactive feedback. Communication training was provided to the audit team by psychologists before commencement of the project. The experimental group underwent psychological screening using two standardized tools (COPE-NVI and ProQoL) to evaluate personal and relational dynamics using the context-mechanism-outcome (CMO) paradigm.</p><p><strong>Results: </strong>The exchange of ideas among health professionals is more effective when using face-to-face feedback than written feedback. The COPE-NVI and ProQoL questionnaires highlighted the difficulties experienced by health care professionals in implementing effective coping strategies to deal with stressful events.</p><p><strong>Conclusions: </strong>Identifying signs of stress in health care workers is essential for improvement strategies to be implemented and for establishing new, optimal conditions. Remote feedback makes it possible to overcome logistical barriers and, in the future, this method can be used for inter-organizational collaboration.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A203.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":"384-395"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11540272/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140923556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Collaborative implementation science: a Can-SOLVE CKD case example.","authors":"Selina Allu, Mary Beaucage, Maoliosa Donald, Manuel Escoto, Joanne Kappel, Louise Morrin, Steven D Soroka","doi":"10.1097/XEB.0000000000000435","DOIUrl":"10.1097/XEB.0000000000000435","url":null,"abstract":"<p><strong>Abstract: </strong>Research is critical for uncovering new and effective therapies for better health outcomes, yet there remains a significant lag between identifying evidence-based interventions and implementing them into practice. Research teams can often be experienced in evidence generation, but less so in evidence implementation, underscoring the need for more customized tools to support them in this latter step. The implementation stage can be especially challenging given how strategies must be tailored to the unique end users and contexts of a given intervention. Therefore, our patient-oriented kidney research network sought to create an \"Implementation Toolkit\" and \"Pathway to Implementation\" guide to help research teams and their operational and clinical partners in implementing their interventions. Importantly, the tools were created using input and feedback from diverse groups, including patient partners, implementation science experts, researchers, operational leaders, and policymakers, all of whom play role in supporting the implementation of health interventions. Our tools are widely applicable to diverse teams, regardless of the intervention or innovation being implemented.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A214.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":"418-421"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421483","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":"Barriers and facilitators of evidence-based practice in the Portuguese context: perceptions of formal nursing leaders.","authors":"Diana Santos, Daniela Cardoso, Ana Filipa Cardoso, Filipa Margarida Duque, Beatriz Fernandes, Rosário Sousa, António Fernando Amaral","doi":"10.1097/XEB.0000000000000451","DOIUrl":"10.1097/XEB.0000000000000451","url":null,"abstract":"<p><strong>Introduction: </strong>Formal nursing leaders play an important role in promoting and sustaining evidence-based practice (EBP) in the clinical context, particularly by creating a conducive environment for change and increasing clinicians' awareness of the positive results of EBP. However, nursing leaders encounter both barriers and facilitators in their work; therefore, it is important to understand their perceptions on this topic.</p><p><strong>Objective: </strong>The objective of this study was to understand the perceptions of formal nursing leaders about barriers and facilitators for EBP.</p><p><strong>Methods: </strong>A descriptive exploratory study with a qualitative approach was conducted. A convenience sample was obtained, consisting of formal nursing leaders from three Portuguese health care institutions. Data were collected through semi-structured interviews. Content analysis was conducted using MAXQDA Analytic Pro 2022 software.</p><p><strong>Results: </strong>Seventeen formal nursing leaders were interviewed. Five categories of EBP barriers were identified: (1) scarce resources and inefficient resource management; (2) non-conducive organizational culture; (3) distance between academia and the clinical context; (4) demotivation; and (5) resistance to change. Seven categories of EBP facilitators were identified: (1) availability of resources and efficient resource management; (2) conducive organizational culture; (3) partnerships between academia and the clinical context; (4) motivation and commitment; (5) leadership; (6) organization that regulates professional practice; and (7) multidisciplinary meetings.</p><p><strong>Conclusions: </strong>This study identified barriers and facilitators for EBP through the perceptions of formal nursing leaders. Collaborative multidisciplinary efforts by leaders, direct care professionals, academics, and researchers should be conducted to overcome barriers and strengthen facilitators for EBP.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A242.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":"396-404"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753138","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 the quality of medication administration practices in a tertiary Australian hospital: a best practice implementation project.","authors":"Travis Brown, Elizabeth Roberts, Lucylynn Lizarondo, Alexa McArthur, Pravala Basnet, Monica Basukoski, Stephanie Cheng, Bernadette Findlay, Jessica Gao, Ranjit Kanagaraj Joshua, Rosa Jun, Rosemary Kennedy, Michelle Laing, Margaret Lawler, Rachel Ling, Yin Lo, Craig Lockwood, Andrea Mandla, Cate Milnes, Michele Louise Rule, Joanna Taylor, Anna Thornton","doi":"10.1097/XEB.0000000000000446","DOIUrl":"10.1097/XEB.0000000000000446","url":null,"abstract":"<p><strong>Introduction: </strong>Medication safety is an important health priority that focuses on preventing harm from medication-related events. Unsafe medication administration practices can lead to errors, which can cause avoidable injury (or harm) to patients.</p><p><strong>Objectives: </strong>This paper reports on an evidence implementation project conducted in a large tertiary hospital in Australia to improve nursing compliance with best practice recommendations for medication administration.</p><p><strong>Methods: </strong>The project was guided by JBI's seven-phase approach to evidence implementation, using audit and feedback and a structured framework to identify barriers, enablers, and implementation strategies.</p><p><strong>Results: </strong>The project resulted in improved compliance with best practice recommendations. This was achieved through multimodal strategies, including education, improved access to resources, and targeted feedback and discussion sessions to encourage culture and behavior change.</p><p><strong>Conclusions: </strong>The project improved nurses' medication administration practices, specifically in performing independent second checks. Collaborative efforts of the project leads facilitated the review of medication administration policy and the development of staff education resources. Patient engagement remains an area for improvement, along with the potential need for further ongoing medication education.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A237.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":"356-370"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141628111","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 communication among nursing staff at a children's hospital in the southern United States: a best practice implementation project.","authors":"Brandi B Keith, Linda Upchurch, Michelle Palokas, Robin Christian","doi":"10.1097/XEB.0000000000000438","DOIUrl":"10.1097/XEB.0000000000000438","url":null,"abstract":"<p><strong>Introduction: </strong>Ineffective communication between health care professionals is one of the leading causes of medical errors and can result in adverse events and patient harm. Improving the effectiveness of communication in health care is a worldwide necessity.</p><p><strong>Objective: </strong>The aim of this project was to promote evidence-based practices regarding general communication principles among the nursing staff in one unit of a children's hospital in the southern United States.</p><p><strong>Methods: </strong>The project used JBI's Evidence Implementation Framework, together with two JBI audit tools (Practical Application of Clinical Evidence System and Getting Research into Practice). A baseline audit was conducted, followed by the implementation of targeted strategies. The project was completed with a follow-up audit to determine changes in practice.</p><p><strong>Results: </strong>Baseline data revealed 61% adherence with four audit criteria for effective communication in health care. Barriers included a lack of education of nursing staff regarding communication skills and less than optimal use of a structured communication tool. Targeted strategies to address the barriers included providing an educational module on communication to nursing staff and moving the structured communication tool to a more convenient location to increase its use. The post-implementation data revealed 81% adherence with the four audit criteria, a 20% increase from baseline results.</p><p><strong>Conclusions: </strong>Optimizing communication and monitoring the use of a structured communication tool has the potential to decrease the risk of medical errors among health care providers.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A217.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":"338-344"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471648","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":"Knowledge mapping of barriers and strategies for clinical practice guideline implementation: a bibliometric analysis.","authors":"Chen Tian, Yajie Liu, Liangying Hou, Jingwen Jiang, Ying Li, Jianing Liu, Ziying Ye, Qianji Cheng, Yan Ma, Jinling Ning, Jiajie Huang, Yong Wang, Yiyun Wang, Bo Tong, JiaLe Lu, Long Ge","doi":"10.1097/XEB.0000000000000455","DOIUrl":"10.1097/XEB.0000000000000455","url":null,"abstract":"<p><strong>Objective: </strong>This study provides a comprehensive overview of the knowledge structure and research hotspots regarding barriers and strategies for the implementation of clinical practice guidelines.</p><p><strong>Methods: </strong>Publications on barriers and strategies for guideline implementation were searched for on Web of Science Core Collection from database inception to October 24, 2022. R package bibliometrix, VOSviewer, and CiteSpace were used to conduct the analysis.</p><p><strong>Results: </strong>The search yielded 21,768 records from 3,975 journals by 99,998 authors from 3,964 institutions in 186 countries between 1983 and 2022. The number of published papers had a roughly increasing trend annually. The United States, the United Kingdom, and Canada contributed the majority of records. The University of Toronto, the University of Washington, and the University of Sydney were the biggest node in their cluster on the collaboration network map. The three journals that published the greatest number of relevant studies were Implementation Science , BMJ Open , and BMC Health Services Research . Grimshaw JM was the author with the most published articles, and was the second most co-cited author. Research hotspots in this field focused on public health and education, evidence-based medicine and quality promotion, diagnosis and treatment, and knowledge translation and barriers. Challenges and barriers, as well as societal impacts and inequalities, are likely to be key directions for future research.</p><p><strong>Conclusions: </strong>This is the first bibliometric study to comprehensively summarize the research trends of research on barriers and strategies for clinical practice guideline implementation. A better understanding of collaboration patterns and research hotspots may be useful for researchers.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A247.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":"371-383"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989208","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 midwives' management of occiput-posterior fetal positions: a best practice implementation project.","authors":"Maria Jesus Gutierrez-Martin, Yolanda Del Campo-Sanz, Almudena Conde-Sanz, Maria Montserrat Fernadez-Gamazo, Virginia Garcimartin-Galica, Maria Eugenia Gomez De Enterria-Cuesta, Maria Gonzalez-Hernandez, Ernesto Lobo-Perez, Maria Inmaculada Sanchez-Peña","doi":"10.1097/XEB.0000000000000473","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000473","url":null,"abstract":"<p><strong>Introduction: </strong>The occiput-posterior (OP) fetal position is the most frequent form of labor dystocia. This position has been associated with delaying the second stage of labor and adverse outcomes.</p><p><strong>Objectives: </strong>This project aimed to improve the quality of intrapartum care provided by midwives for OP fetal positions during the second stage of labor.</p><p><strong>Methods: </strong>This best practice implementation project was conducted at the Río Hortega University Hospital in Valladolid, Spain. The project followed the JBI Evidence Implementation Framework, which is based on an audit, feedback, and re-audit process. Current practices were compared against best practices in a baseline audit using 13 audit criteria. Barriers to compliance with best practices were identified and improvement strategies were implemented. An initial follow-up audit was carried out after 4 months to avoid secondary bias. After another 4 months, a second follow-up audit was conducted. Data were collected and compared using the JBI Practical Application of Clinical Evidence System (JBI PACES).</p><p><strong>Results: </strong>The results revealed an improvement in all structure criteria (1-3), five of the process criteria (4-6, 8, 10), and all results criteria (11-13). One process criterion (8) reached maximum compliance in all audits. A key finding was the inadequate recording of upright positions (criterion 7) and the interpretation of cardiotocography (criterion 9).</p><p><strong>Conclusions: </strong>Evidence-based interventions for managing OP labor improved the quality of care and underlined the importance of ongoing training for midwives. Additional studies are required on positions and fetal monitoring during labor.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A279.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510600","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":"Post-operative pain management in a surgical unit in a tertiary hospital in Spain: a best practice implementation project.","authors":"Laura Collada-Fernández, Gemma Tapiador-Gómez, Leonor García-Tomé, M Consuelo Pardo-Mora, M Rosario Díaz-Rodríguez, Montserrat Prado-Rodríguez Barbero, Marcelina Cañizares-Rabadán, Laura Albornos-Muñoz","doi":"10.1097/XEB.0000000000000462","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000462","url":null,"abstract":"<p><strong>Introduction: </strong>More than 80% of patients experience post-surgical pain. Poor pain control decreases patients' quality of life; increases associated comorbidity, hospital length of stay and hospital costs; and delays functional recovery. Implementing evidence-based recommendations improves these negative factors as well as the patient's quality of life.</p><p><strong>Objectives: </strong>This evidence implementation project aimed to improve post-operative pain management by implementing best practice recommendations.</p><p><strong>Methods: </strong>This project used the JBI Evidence Implementation Framework, which is grounded in an audit and feedback process. The project was conducted in the surgical unit of a tertiary hospital in Ciudad Real, Spain. We performed a baseline audit and two follow-up audits to measure audit criteria derived from a JBI evidence summary on pain management. A total of 30 surgical patients took part. We assessed the results of the baseline audit, identified the barriers to best practice, and implemented strategies to improve post-operative pain management.</p><p><strong>Results: </strong>The first follow-up audit revealed an improvement in practice; however, these results worsened due to the delay in protocol approval and subsequent lack of staff motivation. The second follow-up audit showed greater compliance with best practices, although considerable room for improvement remains.</p><p><strong>Conclusions: </strong>Implementing evidence-based practices in health care improved nurses' clinical practice. The health care staff complied with the recommendations more readily since they associated the best practices with a clear benefit for the patient.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A276.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478053","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 of radial artery occlusion after transradial angiography and intervention: a best practice implementation project.","authors":"Biyun Xia, Pinfang Song, Alexa McArthur, Jiaojiao Bai","doi":"10.1097/XEB.0000000000000463","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000463","url":null,"abstract":"<p><strong>Introduction: </strong>Among the complications associated with transradial artery access, radial artery occlusion (RAO) is the most frequent and serious, limiting the reuse of the same radial artery for subsequent procedures and as a graft for coronary artery bypass grafting.</p><p><strong>Objective: </strong>The objective of this project was to implement best practices to reduce the incidence of RAO, thereby enhancing the quality of patient care after transradial coronary angiography or intervention.</p><p><strong>Methods: </strong>The project was conducted in cardiology department of the Huadong Hospital, Shanghai, China. The seven-phase JBI Evidence Implementation Framework was used to guide the project. Eight audit criteria were developed and a baseline audit was conducted to compare current practice with best practices for RAO prevention. Following the implementation of improvement strategies, a follow-up audit was conducted to evaluate the success of the strategies.</p><p><strong>Results: </strong>The implementation of best practices led to significant improvements in reducing the sheath/catheter size and systematically assessing radial artery patency before discharge, with both criteria reaching 100% compliance. The use of prophylactic ulnar compression increased from 0% to 90%, and the adoption of a minimal pressure strategy improved from 0% to 70%. The use of pre-puncture and post-procedural pre-hemostasis nitrates also increased from 23% to 93%. Barriers to implementation included the lack of dedicated devices for prophylactic ulnar artery compression, the possibility of bleeding after removal of the compression device, absence of an evidence-based care workflow, and absence of nursing assessment record forms for RAO prevention.</p><p><strong>Conclusions: </strong>This project promoted evidence-based practices among nurses for the care of RAO patients following transradial angiography and intervention. Efforts should be made to sustain the best practices in the future.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A261.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394343","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":"Correct patient identification and matching of adults in an ambulatory care setting: a best practice implementation project.","authors":"Louise Dung Tran, Bronwyn Neil, Christine Taylor","doi":"10.1097/XEB.0000000000000471","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000471","url":null,"abstract":"<p><strong>Introduction: </strong>Ambulatory care settings are at high risk for errors when identifying patients and matching them to their intended care.</p><p><strong>Objective: </strong>The objective of this project was to improve correct and consistent patient identification and matching to their intended care by nurses in ambulatory care settings.</p><p><strong>Methods: </strong>The seven-phase JBI Evidence Implementation Framework was used to guide this project. JBI tools were used to audit current practices and implement best practices in four ambulatory care units. The implementation plan included a baseline audit and two follow-up audits. Feedback was obtained through interviews with ambulatory care nursing staff, educational sessions were conducted for nursing staff, and unit guidelines were developed.</p><p><strong>Results: </strong>In the baseline audit, compliance with best practice criteria for patient matching and identification was below 62% for 7/13 criteria. After conducting education sessions and other strategies, 1/3 pre- and post-clinical intervention criteria improved in compliance, while 2 were unchanged. For blood product administration criteria, 2/5 improved, 1 was unchanged, and 2 were lower than baseline. Nurses' education in patient identification procedures improved (1/1) and knowing where to access relevant policies remained unchanged at 100%. Criteria for patients knowing the importance of patient identification (2/2) and the identification band following national standards (1/1) improved from baseline.</p><p><strong>Conclusions: </strong>The results support the use of education sessions and infrastructure changes to promote and sustain change in evidence-based practice in ambulatory care units. Not all criteria improved, and the audit team identified strategies to improve the implementation of evidence-based practice in ambulatory care units.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A275.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367041","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}