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Published on: January 16, 2019
Evaluation of Evidence-Based Intervention Implementation in Adult Intensive Care Settings: A Scoping Review
Sanna Tarvainen1,2, Saija Ylimäki2, Maria Kääriäinen3
1Helsinki University Hospital, Heart and Lung Center, Helsinki, Finland.
Journal of Advanced Nursing
|May 28, 2026
Summary
This review highlights that evaluating evidence-based intervention implementation in intensive care often overlooks the entire process. More comprehensive evaluation is needed to fully understand and improve nurse and patient outcomes.
Area of Science:
- Intensive Care Medicine
- Evidence-Based Practice
- Healthcare Quality Improvement
Background:
- Implementing evidence-based interventions (EBIs) is crucial for enhancing care quality in intensive care units (ICUs).
- Limited evidence exists on the comprehensive evaluation of how these EBIs are implemented.
- EBIs, including protocols, guidelines, and care bundles, are associated with improved care and reduced patient burden.
Purpose of the Study:
- To systematically identify and map existing evidence on the evaluation of EBI implementation in adult intensive care settings.
- To understand the scope and focus of current research on EBI implementation evaluation.
Main Methods:
- A comprehensive scoping review methodology was employed.
- Included original published and unpublished studies in English and Finnish.
- Searched five databases (CINAHL, Scopus, Ovid Medline, Medic, Mednar) for studies from January 2000 to December 2024, with searches conducted in November 2022 and updated in December 2024.
- Synthesized findings using tabular and descriptive formats.
Main Results:
- Nineteen studies were included, evaluating EBI implementation focused on nurse and patient outcomes.
- Nurse outcomes assessed included compliance, knowledge, and self-confidence.
- Patient outcomes included body temperature, blood glucose, pressure ulcer incidence, and length of stay.
Conclusions:
- Current evaluations of EBI implementation often do not encompass the entire implementation process or strategies.
- Consistent and comprehensive reporting of implementation evaluations is necessary for better evidence dissemination.
- Further research is needed to develop systematic and comprehensive methods for evaluating EBI implementation, potentially using an evaluation matrix.
- Improved evaluation of EBI implementation can enhance nursing practice, improve patient care quality, and standardize care delivery.
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