Getting guidelines into practice: lessons learned as Best Practice Spotlight Organization host.

Q3 Medicine International Journal of Evidence-Based Healthcare Pub Date : 2019-06-01 DOI:10.1097/XEB.0000000000000178

Teresa Moreno-Casbas, Esther González-María, Laura Albornos-Muñoz, Doris Grinspun

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引用次数: 5

Abstract

Background: The Spanish Best Practice Guidelines (BPG) Implementation Project is part of the Best Practice Spotlight Organizations international program, coordinated by the Registered Nurses' Association of Ontario (RNAO).

Aims: To influence the uptake of nursing BPG across healthcare organizations, to enable practice excellence and positive client outcomes.

Methods: After translating the RNAO's BPG into Spanish, the Host Organization published a formal call for proposals to select healthcare settings in Spain to implement the RNAO's BPG and evaluate the results. The approach is nursing-led and multidisciplinary; context specific; and involving a wide range of stakeholders. The implementation of BPG Toolkit guides the process: cascade training, selection of recommendations to be implemented, 3 years of planned implementation activities, monitoring of process and outcome results for patients discharged 60 days every year. The Host Organization supports healthcare settings selected.

Results/discussion: The first call was launched in 2012. Eight healthcare settings (11 sites), serving 1.3 million people, were selected (hospitals and primary healthcare centers). They chose 10 BPG, according to their needs. In 2015 and 2018, 16 more healthcare settings have joined the program with a total of 263 sites. And in 2019, three complete regions will join the program as a regional host. Currently, more than 3200 nurses and 40 other healthcare professionals have been trained, evidence-based protocols have been developed or updated, patient education has been promoted, and international Best Practice Spotlight Organizations indicators have been evaluated in an electronic platform.

Conclusion: The results obtained acknowledge that the RNAO implementation method could be replicated with success internationally. The strategies based on local context have worked and we have consolidated a network that shares knowledge and strategies and promotes evidence-based culture among Spanish healthcare settings and evidence-based care to patients.

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将指导方针付诸实践:作为最佳实践焦点组织主持人的经验教训。

背景:西班牙最佳实践指南(BPG)实施项目是最佳实践重点组织国际项目的一部分，由安大略省注册护士协会(RNAO)协调。目的:影响整个医疗保健组织对护理BPG的吸收，以实现卓越的实践和积极的客户结果。方法:在将RNAO的BPG翻译成西班牙语后，主办组织发布了一份正式的提案，要求在西班牙选择医疗机构实施RNAO的BPG并评估结果。该方法以护理为主导，多学科;与上下文相关;并涉及广泛的利益相关者。BPG工具包的实施指导了整个过程:梯级培训，选择要实施的建议，3年计划实施活动，监测每年出院60天的患者的过程和结果。主机组织支持所选的医疗保健设置。结果/讨论:第一次呼吁于2012年发起。选择了8个医疗机构(11个站点)，为130万人提供服务(医院和初级卫生保健中心)。他们根据自己的需要选择了10个BPG。2015年和2018年，又有16家医疗机构加入了该计划，共有263个站点。2019年，三个完整的地区将作为地区东道主加入该计划。目前，已经培训了3200多名护士和40多名其他医疗保健专业人员，制定或更新了基于证据的协议，促进了患者教育，并在一个电子平台上评估了国际最佳实践重点组织的指标。结论:RNAO的实施方法可在国际上成功推广。基于当地情况的战略取得了成效，我们巩固了一个网络，在西班牙保健机构中分享知识和战略，促进循证文化，并向患者提供循证护理。

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来源期刊

International Journal of Evidence-Based Healthcare Medicine-Health Policy

CiteScore

1.80

自引率

0.00%

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期刊介绍： The International Journal of Evidence-Based Healthcare is the official journal of the Joanna Briggs Institute. It is a fully refereed journal that publishes manuscripts relating to evidence-based medicine and evidence-based practice. It publishes papers containing reliable evidence to assist health professionals in their evaluation and decision-making, and to inform health professionals, students and researchers of outcomes, debates and developments in evidence-based medicine and healthcare. The journal provides a unique home for publication of systematic reviews (quantitative, qualitative, mixed methods, economic, scoping and prevalence) and implementation projects including the synthesis, transfer and utilisation of evidence in clinical practice. Original scholarly work relating to the synthesis (translation science), transfer (distribution) and utilization (implementation science and evaluation) of evidence to inform multidisciplinary healthcare practice is considered for publication. The journal also publishes original scholarly commentary pieces relating to the generation and synthesis of evidence for practice and quality improvement, the use and evaluation of evidence in practice, and the process of conducting systematic reviews (methodology) which covers quantitative, qualitative, mixed methods, economic, scoping and prevalence methods. In addition, the journal’s content includes implementation projects including the transfer and utilisation of evidence in clinical practice as well as providing a forum for the debate of issues surrounding evidence-based healthcare.