JBI Evidence Implementation

The lack of a consistent and effective assessment tool for older adults with dementia in home care in Taiwan, and the inability of home care nurses to provide pharmacological and non-pharmacological pain management, may affect the quality of life of patients with dementia.

Shwu-Feng Tsay

Cheng-Yu Chang

Jui-Yuan Su

Sing Shueh Hung

Pei-Fan Mu

Pain assessment and management in patients with dementia in Taiwan: a best practice implementation project

台湾痴呆症患者疼痛评估与管理：最佳实践实施项目

The objective of this best practice implementation project was to improve dieticians' professional practice and dietary care through the use of counseling strategies.

Paulina Weglarz

Agata Skop-Lewandowska

Robert Prill

Tina Poklepović Peričić

Tereza Vrbová

Jitka Klugarová

Wiktoria Leśniak

Małgorzata M. Bala

Nutrition as therapy – the role of dietitian counseling: a best practice implementation project

营养作为治疗手段——营养师咨询的作用：最佳实践实施项目

ABSTRACT Introduction: In health care, effective communication enhances teamwork and safety by minimizing adverse events. Evidence suggests that ongoing education should include communication skills training, as interprofessional communication relies on tools that facilitate seamless interaction. Objective: This project aimed to improve communication practices among nurses in a long-term care unit by promoting evidence-based recommendations. Methods: This project followed the seven phases proposed by the JBI Evidence Implementation Framework. This framework is grounded in an audit, feedback, and re-audit process, along with a structured approach to addressing barriers to compliance with best practices. JBI's Practical Application of Clinical Evidence System (PACES) and Getting Research into Practice (GRiP) approach were also used. Results: A baseline audit was conducted focusing on three audit criteria. Compliance was measured by observing 250 handovers and administering a questionnaire to 14 nurses. After analyzing the results, the nursing team identified barriers and designed strategies to promote change, such as educational sessions and a focus group. The results of the follow-up audit showed significant improvements across all criteria. Nurses received training in communication for Criterion 1, which improved from 0% to 78%. For Criterion 2, training in teamwork and conflict management improved from 21% to 50%. For Criterion 3, the use of a structured communication tool (ISBAR) during handovers improved from 43.6% to 91%. Conclusions: The nursing team's involvement enabled effective change. Adapting ISBAR to a long-term care unit was an unexpected goal. The next objective is to refine and share it with similar units. Integrating communication training into health care institutions’ priorities is crucial, and future audits will ensure sustainability. Spanish abstract: http://links.lww.com/IJEBH/A295

Helena Felizardo

Daniela Cardoso

Paula Nogueira

Joana Bastos

Daniela Casimiro

Pedro Nogueira

Ana Filipa Cardoso

João Apóstolo

Miloslav Klugar

General principles of communication among nurses in a long-term care unit: a best practice implementation project

长期护理单元护士间沟通的一般原则：最佳实践实施项目

ABSTRACT Aims: This project aimed to improve physicians’ adherence to evidence-based practices regarding the selection and administration of intra-articular knee injections for patients with osteoarthritis. The project also aimed to empower patients by increasing their awareness of these evidence-based practices. Introduction: In the management of knee osteoarthritis, intra-articular injections are commonly used when initial treatments prove inadequate. However, issues such as patients’ demand for rapid relief and variability in physicians’ familiarity with optimal practices often lead to suboptimal treatment decisions and potential adverse outcomes. Methods: This project followed the JBI Evidence Implementation Framework, which is grounded in an audit, feedback, and re-audit process. Initially, physicians were surveyed on the topic under consideration, and hospital records were reviewed. Subsequently, targeted interventions were implemented, including briefings and the distribution of informative flyers. Results: The baseline audit indicated low adherence with all audit criteria. Various parameters, such as adherence to best clinical practices, informed decision-making by patients, and the recommendation of alternative treatment modalities, were significantly lacking. Following the interventions, substantial improvements were observed, including higher rates of adherence to best clinical practices by physicians for multiple criteria, such as stepwise referral to conservative therapy options and the content of intra-articular injections. Conclusions: Adherence to best clinical practices can be improved through educational briefings for physicians on the most current evidence-based treatment practices for injectable substances in knee osteoarthritis. The active engagement of patients, facilitated by informative flyers and physician assistance, contributed to better involvement in their treatment choices. However, the participation of health care institutions and providers as well as lifelong education practices may be necessary for more comprehensive and sustainable changes. Spanish abstract: http://links.lww.com/IJEBH/A277

Mahmut Enes Kayaalp

Hassan Tarek Hakam

Małgorzata M. Bała

Roland Becker

Intra-articular knee injections in patients with primary osteoarthritis in a tertiary clinical setting: a best practice implementation project

三级临床环境中原发性骨关节炎患者关节内膝关节注射：最佳实践实施项目

短名	JBI. Evid. Implement.
Journal Impact	2.85
国际分区	MEDICINE, GENERAL & INTERNAL(Q1)
期刊索引	SCI Q3中科院 4 区

ISSN	2691-3321
h-index	47
国内分区	医学(4区)医学卫生保健与服务(4区)医学医学内科(4区)

涉及主题	医学经济业务管理心理学政治学法学生物护理部审计会计病理精神科计算机科学工程类最佳实践家庭医学经济增长内科学社会学心理干预
出版信息	出版商: Wolters Kluwer Health，出版周期: ，期刊类型: journal，开源期刊: 否
基本数据	创刊年份: 2020，原创研究文献占比: 97.92%，自引率:11.10%， Gold OA占比: 7.35%

JBI Evidence Implementation

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Pain assessment and management in patients with dementia in Taiwan: a best practice implementation project

Nutrition as therapy – the role of dietitian counseling: a best practice implementation project

General principles of communication among nurses in a long-term care unit: a best practice implementation project

Intra-articular knee injections in patients with primary osteoarthritis in a tertiary clinical setting: a best practice implementation project

FAME in implementation: adopting evidence into practice

General principles of communication among nurses in a long-term care unit: a best practice implementation project

Pain assessment and management in patients with dementia in Taiwan: a best practice implementation project

Nutrition as therapy – the role of dietitian counseling: a best practice implementation project

FAME in implementation: adopting evidence into practice

Intra-articular knee injections in patients with primary osteoarthritis in a tertiary clinical setting: a best practice implementation project