{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T10:57:48Z","timestamp":1784545068521,"version":"3.55.0"},"reference-count":38,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,8,23]],"date-time":"2025-08-23T00:00:00Z","timestamp":1755907200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,8,23]],"date-time":"2025-08-23T00:00:00Z","timestamp":1755907200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100007421","name":"University of the Philippines","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007421","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Evidence\u2010based practice (EBP) plays an indispensable role in ensuring the safety and quality of nursing interventions, especially in labor\u2010intensive and technology\u2010dependent 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To assess the level of EBP implementation within ICUs and examine the barriers and facilitators that drive EBP implementation using the PARIHS framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>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\u2010structured interviews. Ethics approval was obtained from relevant research ethics committees.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>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\u2010inferences showed that evidence, context, and facilitation can be characterised as a continuum, providing a three\u2010dimensional perspective of implementing EBP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient and Public Involvement<\/jats:title>\n                    <jats:p>Critical care nurses have contributed to the development of the research design and data collection plan.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.70161","type":"journal-article","created":{"date-parts":[[2025,8,23]],"date-time":"2025-08-23T07:49:56Z","timestamp":1755935396000},"page":"5389-5404","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Utilising the\n                    <scp>PARIHS<\/scp>\n                    Framework to Assess and Enhance the Implementation of Evidence\u2010Based Nursing Practice in Intensive Care Units\u2014A Mixed Method Study"],"prefix":"10.1111","volume":"82","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-3543-8699","authenticated-orcid":false,"given":"Louie Jhon E.","family":"Lunaria","sequence":"first","affiliation":[{"name":"London School of Hygiene and Tropical Medicine, Guy's and St. Thomas' NHS Foundation Trust  London UK"},{"name":"College of Nursing University of the Philippines Manila  Manila Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,23]]},"reference":[{"issue":"2","key":"e_1_2_16_2_1","first-page":"44","article-title":"Iranian Nurses Perceptions of Evidence\u2010Based Practice: A Qualitative Study","volume":"11","author":"Adib\u2010Hajbaghery M.","year":"2007","journal-title":"Feyz Medical Sciences Journal"},{"key":"e_1_2_16_3_1","doi-asserted-by":"publisher","DOI":"10.2147\/JMDH.S392376"},{"key":"e_1_2_16_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-020-01003-0"},{"key":"e_1_2_16_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-015-0306-1"},{"key":"e_1_2_16_6_1","doi-asserted-by":"publisher","DOI":"10.1590\/0034-7167-2016-0617"},{"key":"e_1_2_16_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jonm.13458"},{"key":"e_1_2_16_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-021-01165-5"},{"key":"e_1_2_16_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-024-10841-3"},{"key":"e_1_2_16_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/07399332.2015.1102269"},{"key":"e_1_2_16_11_1","volume-title":"A Concise Introduction to Mixed Methods Research","author":"Creswell J. 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