Utilising the PARIHS Framework to Assess and Enhance the Implementation of Evidence‐Based Nursing Practice in Intensive Care Units—A Mixed Method Study.
Introduction: Evidence‐based practice (EBP) plays an indispensable role in ensuring the safety and quality of nursing interventions, especially in labor‐intensive and technology‐dependent clinical environments such as intensive care units (ICUs). However, implementing EBP continues to be challenging...
| Publicado en: | Journal of Advanced Nursing (John Wiley & Sons, Inc.) Vol. 82; no. 5; pp. 5389 - 5405 |
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| Formato: | research tables/charts Journal Article |
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John Wiley & Sons, Inc.
May2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=192938796&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 192938796 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03092402 LVDY jtl: Journal of Advanced Nursing (John Wiley & Sons, Inc.) issn: 03092402 maglogo: N pubinfo: dt: May2026 vid: 82 iid: 5 pid: 52269 pub: John Wiley & Sons, Inc. artinfo: ui: 192938796 187455293 192938796 192938796 10.1111/jan.70161 192938796 ppf: 5389 ppct: 16 formats: tig: atl: Utilising the PARIHS Framework to Assess and Enhance the Implementation of Evidence‐Based Nursing Practice in Intensive Care Units—A Mixed Method Study. aug: au: Lunaria, Louie Jhon E. affil: London School of Hygiene and Tropical Medicine, Guy's and St. Thomas' NHS Foundation Trust, London, UK sug: subj: Intensive Care Units Nursing Practice, Evidence-Based Implementation Science Conceptual Framework Program Evaluation Human Multimethod Studies Tertiary Health Care Focus Groups Semi-Structured Interview Thematic Analysis Male Female Adult Purposive Sample Descriptive Statistics Scales Data Analysis Software Chi Square Test Adult: 19-44 years Male Female ab: Introduction: Evidence‐based practice (EBP) plays an indispensable role in ensuring the safety and quality of nursing interventions, especially in labor‐intensive and technology‐dependent clinical environments such as intensive care units (ICUs). However, implementing EBP continues to be challenging due to perennial structural, organisational, and workforce issues. Concepts of implementation science can provide a framework with which to assess and facilitate the integration of factors that drive EBP implementation within ICUs. Aim: To assess the level of EBP implementation within ICUs and examine the barriers and facilitators that drive EBP implementation using the PARIHS framework. Methods: A concurrent mixed method design was utilised. The study was performed in the ICUs of two tertiary hospitals and involved nurses who completed survey questionnaires and participated in focus group discussions and semi‐structured interviews. Ethics approval was obtained from relevant research ethics committees. Results: EBP implementation was low. EBP skills and training need significantly predicted levels of EBP implementation. Factors comprising context and facilitation affected nurses' experiences of implementing EBP, grouped into three themes of Identity, Power Ownership, and Dynamism. Meta‐inferences showed that evidence, context, and facilitation can be characterised as a continuum, providing a three‐dimensional perspective of implementing EBP. Conclusion: The PARIHS framework has provided an alternative perspective with which to approach EBP implementation, foregrounding the role of context and facilitation in promoting the uptake of evidence into clinical practice. Patient and Public Involvement: Critical care nurses have contributed to the development of the research design and data collection plan. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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