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
Zugehörigkeit anzeigen +
Zeitschrift:
Enfermería clínica

ISSN: 1130-8621

Datum der Publikation: 2020

Ausgabe: 30

Nummer: 3

Seiten: 222-230

Art: Artikel

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

Andere Publikationen in: Enfermería clínica

Zusammenfassung

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.

€ Finanzierung ansehen

Informationen zur Finanzierung

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.

Geldgeber

Bibliographische Referenzen

  • D.L. Sackett, W.M. Rosenberg, J.A. Gray, R.B. Haynes, W.S. Richardson Evidence based medicine: what it is and what it isn’t British Medical Journal., 312 (1996), pp. 71-72
  • B.M. Melnyk, E. Fineout-Overholt, L. Gallagher-Ford, L. Kaplan The state of evidence-based practice in US nurses: critical implications for nurse leaders and educators J Nurs Admin., 42 (2012), pp. 410-417
  • B. Bowers Evidence-based practice in community nursing Br J Community Nurs., 23 (2018), pp. 336-337
  • S.C. Kim, L. Ecoff, C.E. Brown, A.M. Gallo, J.F. Stichler, J.E. Davidson Benefits of a regional evidence-based practice fellowship program: A test of the ARCC Model Worldviews Evid Based Nurs., 14 (2017), pp. 90-98
  • S. Hanafin, S. Roe, M. O’Dowd, C. Barry Supporting the use of evidence in community nursing: a national strategic approach Br J Community Nurs., 19 (2014), pp. 496-501
  • B.M. Melnyk, L. Gallagher-Ford, C. Zellefrow, S. Tucker, B. Thomas, L.T. Sinnott, et al. The First U.S. Study on Nurses’ Evidence-Based Practice Competencies Indicates Major Deficits That Threaten Healthcare Quality, Safety, and Patient Outcomes Worldviews Evid Based Nurs., 15 (2018), pp. 16-25
  • K. Curtis, M. Fry, R.Z. Shaban, J. Considine Translating research findings to clinical nursing practice J Clin Nurs., 26 (2016), pp. 862-872
  • A.R. Fleiszer, S.E. Semenic, J.A. Ritchie, M.C. Richer, J.L. Denis An organizational perspective on the longterm sustainability of a nursing best practice guidelines program: a case study BMC Health Services Res., 15 (2015), p. 535
  • J. Childs, K. Thoirs, A. Esterman The development of a practical and uncomplicated predictive equation to determine liver volume from simple linear ultrasound measurements of the liver Radiography., 22 (2016), pp. 125-130
  • J. Maric, J. Childs, A. Esterman Barriers and facilitators to the implementation of clinical practice guidelines in sonography Sonography., 6 (2019), pp. 65-79
  • T. Rebbeck, L.G. Macedo, C.G. Maher Compliance with clinical guidelines for whiplash improved with a targeted implementation strategy: a prospective cohort study BMC Health Serv Res., 13 (2013), p. 213
  • J. Handler, D.T. Lackland Translation of hypertension treatment guidelines into practice: a review of implementation Am J Hypertens., 5 (2011), pp. 197-207
  • I. Likhterov, R.M. Tuttle, G.C. Haser, H.K. Su, D. Bergman, E.E. Alon, et al. Improving the adoption of thyroid cancer clinical practice guidelines Laryngoscope., 126 (2016), pp. 2640-2645
  • L. Baatiema, M.E. Otim, G. Mnatzaganian, A. de Graft Aikins, J. Coombes, S. Somerset Health professionals’ views on the barriers and enablers to evidence-based practice for acute stroke care: a systematic review Implement Sci., 12 (2017), p. 74
  • R. Lopez Lopez, C. Camps Herrero, P. Khosravi-Shahi, V.G. Porta, A.C. Mena, J. Garcia-Foncillas, et al. Oncologist's knowledge and implementation of guidelines for breakthrough cáncer pain in Spain: CONOCE study Clin Transl Oncol., 20 (2018), pp. 613-618
  • Grinspun D, McConnell H, Virani T, Squires JE. “Forging the Way with Implementation Science.” En: Grinspun D, Bajnok I, eds. Transforming Nursing through Knowledge: Best Practices for Guideline Development, Implementation Science, an Evaluation. 2018. Indianapolis, IN: Sigma Theta Tau International Honor Society of Nursing.(pp. 95-113).
  • A. Belmar, M. Guell, J. Chaparro, D. Grinspun Implementación de buenas prácticas en enfermería: programa BPSO como herramienta principal Rev. Med. Clin. Condes., 29 (2018), pp. 311-321
  • M. Ruzafa-Martínez, E. González-María, T. Moreno-Casbas, C. del Río Faes, L. Albornos-Muñoz, C. Escandell-García Proyecto de implantación de Guías de Buenas Prácticas en España 2011-2016 Enferm Clin., 21 (2011), pp. 275-283
  • T. Moreno-Casbas, Perspectives: Implementation strategies to adopt and integrate evidence-based nursing. What are we doing? Journal of Research in Nursing., 20 (2015), pp. 729-733
  • D. Muñoz De la Enfermería basada en la evidencia a la práctica asistencial: la evaluación de resultados como elemento integrador [Editorial] Enferm Clin., 28 (2018), pp. 149-153
  • Haines S. The rollercoaster of change. Haines Centre for Strategic Management. 5 th edition. 2009.
  • M. Miao, E. Power, R. O’Halloran Factors affecting speech pathologists’ implementation of stroke management guidelines: a thematic analysis Disabil Rehabil., 37 (2015), pp. 674-685
  • M.C. Joosen, K.M. van Beurden, B. Terluin, J. van Weeghel, E.P. Brouwers, J.J. van der Klink Improving occupational physicians’ adherence to a practice guideline: feasibility and impact of a tailored implementation strategy BMC Med Educ., 15 (2015), p. 82
  • R. Alweis, M. Greco, T. Wasser, S. Wenderoth An initiative to improve adherence to evidence based guidelines in the treatment of URIs, sinusitis, and pharyngitis J Commun Hosp Intern Med Perspect., 4 (1.) (2014)
  • A. De la Sierra, J.L. Zamorano, L.M. Ruilope Application of hypertension guidelines in clinical practice: Implementation of the 2007 European practice guidelines in Spain J Hypertens., 27 (2009), pp. 27-32
  • L.A. Green, L. Wyszewianski, J.C. Lowery, C.P. Kowalski, S.L. Krein An observational study of the effectiveness of practice guideline implementation strategies examined according to physicians’ cognitive styles Implement Sci., 2 (2007), p. 41
  • P. Van Herck, D. de Smedt, L. Annemans, R. Remmen, M.B. Rosenthal, W. Sermeus, et al. Systematic review: effects, design choices, and context of pay-for-performance in health care BMC Health Serv Res., 10 (2010), p. 247
  • N. Chaillet, E. Dube, M. Dugas, F. Audibert, C. Tourigny, W.D. Fraser, et al. Evidence-based strategies for implementing guidelines in obstetrics: a systematic review Obstet Gynecol., 108 (2006), pp. 1234-1245
  • N. Ivers, G. Jamtvedt, S. Flottorp, J.M. Young, J. Odgaard-Jensen, S.D. French, et al. Audit and feedback: effects on professional practice and healthcare outcomes Cochrane Database Syst Rev., 6 (2012), p. CD000259
  • M.C. Brouwers, K. Garcia, J. Makarski, L. Daraz The landscape of knowledge translation interventions in cancer control: what do we know and where to next?. A review of systematic reviews Implement Sci., 6 (2011), p. 130
Fuente de los datos: Dialnet