What question did this study set out to answer?

The aim was to assess how often the core principles of the JBI Model are reported in implementation literature.

February 12, 2026JBI Evidence Implementation0 citations

Values-driven evidence-based health care: concept analysis of core global values in implementation

AHAmanda Thao My HsiThe University of Adelaide SWSiyun WangThe University of Adelaide ACAlison Pui Yan ChauThe University of Adelaide

Key Points

The aim was to assess how often the core principles of the JBI Model are reported in implementation literature.
Conducted a retrospective descriptive study.
Analyzed eight published JBI implementation reports.
Extracted verbatim text mapped to CFIR-2 sub-domains and JBI 4C principles.
Counted the frequency of reported principles in the literature.
Identified 337 instances of JBI 4C principles across publications.
Mean frequency of reporting was 42 instances per publication.
Capacity (147) and Culture (142) were most frequently reported.
Communication (31) and Collaboration (17) had the lowest frequencies.

Abstract

ABSTRACT Introduction: Theories, models, and frameworks are essential resources for planning effective implementation. However, it is unclear whether the reporting of principles in the published implementation literature reflects their role as a core foundation for practice change. Aim: Our aim was to evaluate manuscripts informed by the JBI Model of Evidence-based Healthcare to identify and describe the reporting frequency of the four core principles of Culture, Communication, Capacity, and Collaboration (4Cs) which underpin the model. Methods: This was a retrospective descriptive study which used eight purposively selected published JBI implementation reports. We piloted and extracted data in the form of verbatim text, which was mapped to the CFIR-2 sub-domains and the JBI Model's 4C principles. Data were then condensed into related concepts for frequency counts. Results: There were 337 instances of the JBI 4C principles, with a mean of 42 reported per publication. Instances ranged from 17 to 147, with the highest frequencies occurring for Capacity (n = 147) and Culture (n = 142), and the lowest for Communication (n = 31) and Collaboration (n = 17). Conclusions: The data suggest that the JBI 4Cs have intrinsic value and utility for authors, yet are used variably. Principles presented without operational definitions or descriptions are difficult for implementers to engage with. Therefore, further conceptual and operational studies are needed to increase the clarity and specificity of use case for the JBI 4Cs. Spanish abstract: http://links.lww.com/IJEBH/A478

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