{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T05:33:47Z","timestamp":1793338427624,"version":"4.5.0"},"reference-count":58,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T00:00:00Z","timestamp":1792540800000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Open"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To assess intensive care nurses' self\u2010reported adherence to recommended microaspiration\u2010prevention practices and explore potential implementation determinants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Multicentre, cross\u2010sectional.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>From December 2024 to February 2025, nurses in 31 intensive care units at 17 hospitals in Henan Province, China, completed a questionnaire on 22 preventive practices and 43 implementation\u2010related items informed by the Theoretical Domains Framework. Bivariate analyses, a fully adjusted three\u2010level mixed\u2010effects model accounting for unit and hospital clustering, and generalised estimating equation sensitivity analyses examined associations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 510 respondents, 476 were analysed. Mean adherence was 77.17\/110 (70.15% of maximum), with basic care scoring highest (73.6%) and risk management lowest (67.2%). After adjustment, adherence was lower in units with 10\u201314, 15\u201319 and \u2265\u200920 beds than in those with &lt;\u20095 beds; the 5\u20139\u2010bed group did not differ. Both training exposures were associated with higher adherence in the primary analysis; only evidence\u2010based practice training remained significant in the 14\u2010item analysis. The lowest\u2010scoring items concerned near\u2010term implementation intention (3.10), competing priorities (3.21), and professional responsibility (3.29); the highest concerned time efficiency (4.19), workflow compatibility (4.15) and interest (3.94).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Self\u2010reported adherence varied across practices and domains. Intensive care unit bed capacity and training exposure were associated with adherence, and implementation\u2010related findings identified potential areas for further investigation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Nursing Practice<\/jats:title>\n                    <jats:p>Findings may guide intensive care unit nurses, nurse managers, and educators in strengthening targeted microaspiration\u2010prevention training, clarifying responsibilities, integrating preventive practices into routine workflows, and reinforcing bedside supervision, particularly in units with 10\u201314, 15\u201319, or \u2265\u200920 beds.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>The Strengthening the Reporting of Observational Studies in Epidemiology guidelines were followed.<\/jats:p>\n                    <jats:p>Patient or Public Contribution: None<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nop2.70914","type":"journal-article","created":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T04:26:03Z","timestamp":1792643163000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Intensive Care Nurses' Self\u2010Reported Adherence to Evidence\u2010Informed Microaspiration\u2010Prevention Practices and Potential Implementation Determinants: A Multicenter Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-4596-9349","authenticated-orcid":false,"given":"Yongju","family":"Pei","sequence":"first","affiliation":[{"name":"Henan Provincial People's Hospital  Zhengzhou City 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