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Study selection, quality assessment, and data extraction were completed independently by researchers. Data were extracted using the Consolidated Framework for Implementation Research and mapped to the Expert Recommendations for Implementing Change strategies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eighty\u2010seven studies were included in the review. The most frequently reported barriers and facilitators related to evidence strength, relative advantage, and cost of implementing perioperative hypothermia prevention guidelines. The top four ERIC strategies were: Identify and prepare champions; Conduct educational meetings; Assess for readiness and identify barriers and facilitators; and Inform local opinion leaders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This review provides synthesized evidence regarding barriers and facilitators to perioperative hypothermia guidelines for patients undergoing orthopaedic surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Implications for the Profession and Patient Care<\/jats:title><jats:p>Our work provides theory guided strategies to promote implementation of perioperative hypothermia prevention to assist nurses caring for patients undergoing orthopaedic surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Impact<\/jats:title><jats:p>Findings provide professionals caring for patients undergoing orthopaedic surgery with theory\u2010informed strategies to improve perioperative hypothermia prevention. Reducing perioperative hypothermia will improve outcomes for patients undergoing orthopaedic surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Reporting Method<\/jats:title><jats:p>The review is reported according to the Preferred Reporting Items for Systematic Reviews and Meta\u2010Analyses 2020.<\/jats:p><\/jats:sec><jats:sec><jats:title>No Patient or Public Consultation<\/jats:title><jats:p>Due to the study design, no patient or public consultation took place.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.17338","type":"journal-article","created":{"date-parts":[[2024,7,18]],"date-time":"2024-07-18T04:37:59Z","timestamp":1721277479000},"page":"3329-3354","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Barriers and facilitators to evidence\u2010based perioperative hypothermia management for orthopaedic patients: A\u00a0systematic 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