SynthesisImplementation science : IS2018
Middle managers' role in implementing evidence-based practices in healthcare: a systematic review.
Synthesis in Implementation science : IS, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 92 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
92 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Healthcare middle managers' experiences of developing capacity and capability: a systematic review and meta-synthesis.BMC health services research · 2019Pooled it
- Managers' experiences of implementing palliative care in nursing homes: a qualitative follow-up study after an educational intervention for the staff.BMC palliative care · 2026Trial
- Trial
- Improving measurement-based care implementation in youth mental health through organizational leadership and climate: a mechanistic analysis within a randomized trial.Implementation science : IS · 2024Trial
- Mid-level managers' perspectives on implementing isoniazid preventive therapy for people living with HIV in Ugandan health districts: a qualitative study.BMC health services research · 2024Trial
- Exploring expectations and readiness for healthy lifestyle promotion in Swedish primary health care: a qualitative analysis of managers, facilitators, and professionals.Scandinavian journal of primary health care · 2024Trial
- Implementation of a complex intervention to reduce hospitalizations from nursing homes: a mixed-method evaluation of implementation processes and outcomes.BMC geriatrics · 2022Trial
- Degree of Behavioral Health Integration and Patient Outcomes.Journal of the American Board of Family Medicine : JABFMTrial
- Bridging Perspectives: Guiding the Selection of Patient-Centered Outcomes in Rehabilitation Learning Health Systems.Archives of physical medicine and rehabilitation · 2026Article
- Supporting Cultural and Learning Enablers for a Learning Health System (SCALE): A Program Theory Approach.Learning health systems · 2026Article
- Harmonizing intervention, context, and implementation strategies with Context-Driven Co-Design (CD2).Implementation science communications · 2026Article
- Factor selection in configurational comparative analysis - guidance for implementation researchers.Implementation science communications · 2026Article
- Barriers and facilitators for using research-based knowledge - A qualitative study on first-line managers' perspectives in municipal health and care services.BMC health services research · 2026Article
- Development of blueprint materials that strengthen and embed the infection control link nurse role in hospitals - an action research study.Implementation science communications · 2026Article
- Developing an implementation guide for robotic pets in continuing care settings for older adults living with dementia in Canada: findings from a modified Delphi.BMC geriatrics · 2026Article
- Implementing quality improvement in vascular services: a qualitative study.BMJ open quality · 2026Article
- Article
- What It Takes to Manage Change: A Qualitative Study of Healthcare Managers' Role Perceptions in Supporting and Sustaining TeamSTEPPS Implementation.Journal of healthcare leadership · 2026Article
- Between acceptance and change - a qualitative study about how leaders deal with bureaucracy.Frontiers in psychology · 2026Article
- The development of a multi-level intervention to improve data quality of the national quality indicators in Swiss long-term care facilities using an Intervention Mapping approach.Frontiers in health services · 2026Article
32 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
backgroundMiddle managers are in a unique position to promote the implementation of evidence-based practices (EBPs) in healthcare organizations, yet knowledge of middle managers' role in implementation and determinants (e.g., individual-, organizational-, and system-level factors) which influence their role remains fractured, spanning decades and disciplines. To synthesize understanding, we undertook a systematic review of studies of middle managers' role in healthcare EBP implementation and determinants of that role.
methodsWe searched MEDLINE/PubMed and Business Source Complete (Ebsco) for literature on middle managers' role in healthcare EBP implementation and its determinants. We abstracted data from records that met inclusion criteria (i.e., written in English, peer-reviewed, and reporting either a protocol or results of an empirical study) into a matrix for analysis. We summarized categorical variables using descriptive statistics. To analyze qualitative data, we used a priori codes and then allowed additional themes to emerge.
resultsOne hundred five records, spanning across several countries and healthcare settings and relating to a range of EBPs, met our inclusion criteria. Studies of middle managers' role in healthcare EBP implementation and its determinants substantially increased from 1996 to 2015. Results from included studies suggest that middle managers shape implementation climate in addition to fulfilling the four roles hypothesized in extant theory of middle managers' role in implementation. However, extant studies offered little understanding of determinants of middle managers' role.
conclusionsOur findings suggest that middle managers may play an important role in facilitating EBP implementation. Included studies offered little understanding regarding the relative importance of various roles, potential moderators of the relationship between middle managers' roles and EBP implementation, or determinants of middle managers' role in EBP implementation. Future studies should seek to understand determinants and moderators of middle managers' role. Clearer understanding may facilitate the translation of evidence into practice.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.