ArticleBMC nursing2026
Implementing standardized, evidence-based nursing management to prevent aspiration risk in hospitalized older adults.
Article in BMC nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
backgroundAspiration is a major safety concern among hospitalized older adults, yet clinical prevention practices remain inconsistent. Using the JBI Practical Application of Clinical Evidence System (JBI PACES) and guided by the Chinese Nursing Association group standard Prevention of Aspiration in Older Adults, this project aimed to implement a standardized evidence-based nursing program for aspiration risk prevention and to evaluate its impact on nurses' knowledge, adherence to audit criteria, and aspiration incidence.
methodsThis evidence-based audit-and-feedback project employed a pre-post design at a tertiary hospital in Shanxi Province, China, from July 2024 to December 2025. Reporting followed the SQUIRE 2.0 guidelines. A multidisciplinary team systematically retrieved and appraised evidence, yielding 22 audit criteria. Barriers and facilitators were analyzed using the Ottawa Model of Research Use. Guided by Proctor's Implementation Outcomes Taxonomy, effects were assessed at three levels: implementation outcomes (audit criteria adherence), service outcomes (nurses' knowledge, high-risk identification accuracy, feeding plan compliance), and clinical outcomes (aspiration incidence, patient satisfaction). Binary logistic regression adjusted for potential confounders.
resultsBaseline characteristics were comparable between groups (P > 0.05). Aspiration incidence was lower in the post-implementation period (13.59%) compared with baseline (27.72%) (P = 0.015); after adjusting for age, sex, consciousness status, and nutritional route, aspiration risk remained significantly lower post-implementation (adjusted OR = 0.359, 95% CI: 0.157-0.820). Nurses' knowledge scores rose from 56.72 ± 8.29 to 85.03 ± 8.40 (P < 0.001), and high-risk identification accuracy increased from 34.65% to 81.55% (P < 0.001). Most audit criteria improved significantly: system-level criteria were fully adopted, positioning criteria reached 100%, and feeding behavior criteria showed the largest gains although absolute adherence remained lower. Feeding plan compliance improved from 41.58% to 77.67% (P < 0.001), and satisfaction scores from 80.35 ± 7.62 to 92.16 ± 4.85 (P < 0.001).
conclusionsThis JBI PACES-based multi-component intervention was associated with improved adherence to aspiration prevention measures and lower aspiration incidence among hospitalized older adults. Positive changes were observed across implementation, service, and clinical outcome levels within Proctor's taxonomy. Given the pre-post design, these improvements should be interpreted as observed changes rather than confirmed causal effects. Future studies employing stepped-wedge or multicenter controlled designs are needed to strengthen causal inference and assess long-term sustainability. REGISTRATION: This evidencebased practice project was registered with the Fudan University Center for EvidenceBased Nursing, China (Registration No. ER20251074) on January 9, 2025. CLINICAL
trial registrationNot applicable.
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.