Evaluación de estrategias de implantación del Proyecto Centros Comprometidos con la Excelencia en Cuidados en España

  1. Ismael Ortuño-Soriano 1
  2. Daniel Muñoz-Jiménez 1
  3. Teresa Moreno-Casbas 2
  4. Laura Albornos-Muñoz 3
  5. Esther González-María 2
  1. 1 Área de Procesos, Investigación, Innovación y Sistemas de Información, Hospital Clínico San Carlos, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, España
  2. 2 Unidad de Investigación en Cuidados y Servicios de Salud (Investén-isciii), CIBERFES, Instituto de Salud Carlos III, Madrid, España
  3. 3 Unidad de Investigación en Cuidados y Servicios de Salud (Investén-isciii), REDISSEC, Instituto de Salud Carlos III, Madrid, España
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Revista:
Enfermería clínica

ISSN: 1130-8621

Año de publicación: 2020

Volumen: 30

Número: 3

Páginas: 222-230

Tipo: Artículo

DOI: 10.1016/J.ENFCLI.2019.10.027 DIALNET GOOGLE SCHOLAR

Otras publicaciones en: Enfermería clínica

Resumen

Objective To identify favourable elements and barriers to implementation in the Program of Best Practice Spotlight Organization® that establish clinical practice guidelines of the Registered Nurse’ Association of Ontario, so that future experiences could benefit from the assessments presented here. Method Evaluation research study of the process of implementing guidelines in institutions that make up the first two cohorts of the programme in Spain, through analysis of contents of implantation reports and inductive process, reading, interpretation, coding and categorized according to SWOT structure: Strengths, weaknesses, opportunities and threats. Results Reports from 18 centres in 12 Autonomous Communities have been analyzed, including 22 different guidelines. As weaknesses, problems related to information systems and their exploitation stand out for frequency and intensity. Other elements related to dissemination of results, to professionals, care and factors related to the institution are presented. Standing out as threats are the instability of staff and continued changes in Senior Management or corporate policies. Among the strengths, the exclusive dedication of personnel to the project and its link to institutional objectives are distinguished. As opportunities, the possibility of standardized comparison of own results with others, as well as the dissemination of results are highlighted. Conclusion A useful pattern is set up to approach implementation in other scenarios, where changes in professional culture, training, communication and leadership, as well as aligning interests of managers and politicians, facilitate ideal conditions for Evidence-Based Practice.

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Información de financiación

El presente trabajo ha sido realizado utilizando parcialmente datos y la metodolog?a del Programa de implantaci?n de Gu?as de buenas pr?cticas en Centros Comprometidos con la Excelencia en Cuidados?. Los autores expresan su agradecimiento al Grupo de Trabajo del Programa de implantaci?n de buenas pr?cticas en Centros Comprometidos con la Excelencia en Cuidados?, as? como a todos los l?deres, impulsores, y colaboradores en la implantaci?n de gu?as.

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Fuente de los datos: Dialnet