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The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time

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Implementing Evidence-Based Practices in Hospitals: A Narrative Review of Implementer Roles and Project Attributes.

Élise N Arsenault Knudsen¹, Kelly Krainak¹, Morgan Ruona¹

¹School of Nursing, University of Wisconsin-Madison, Madison, Wisconsin, USA.

Nursing Research and Practice

|November 10, 2025

Summary

This summary is machine-generated.

Nurses in hospitals implement evidence-based practices (EBP) across various roles and organizational levels. Understanding these implementer roles and project attributes is key to optimizing EBP adoption for better patient care.

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Area of Science:

Nursing Science
Healthcare Management
Implementation Science

Background:

Evidence-based nursing (EBN) is crucial for enhancing care quality and patient outcomes.
Implementation challenges often hinder the widespread adoption of EBN in hospital settings.
Nurses, positioned at multiple organizational levels, play a vital role in influencing the adoption of evidence-based practices (EBP).

Purpose of the Study:

To identify the specific roles and organizational levels of individuals implementing nursing-related EBP changes within hospitals.
To describe the attributes of EBP projects, including their location, guiding models, and evaluation measures.

Main Methods:

A narrative review methodology was employed, involving an iterative, two-phased literature search.
Categorical data from 158 articles were analyzed to address the study's aims.

Main Results:

Numerous nursing roles across multiple organizational levels were identified as EBP implementers.
The majority of EBP projects involved multidisciplinary teams (84%) and occurred at the unit level (80%).
The Joanna Briggs Institute model was frequently used (61%), with process measures being the primary evaluation method (49%).

Conclusions:

This review provides foundational knowledge on EBP implementers and project attributes in hospitals.
Understanding these factors can guide systematic improvements in EBP implementation processes.
Tailored education and role-specific competencies are essential for equipping nurses to lead effective EBP implementation teams.