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

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Spanish nurses successfully implemented international nursing Best Practice Guidelines (BPG), enhancing evidence-based care and patient outcomes. This nursing-led initiative demonstrates successful adaptation and replication of the Registered Nurses

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Area of Science:

  • Nursing Science
  • Healthcare Management
  • Evidence-Based Practice

Background:

  • The Spanish Best Practice Guidelines (BPG) Implementation Project adapted the Registered Nurses' Association of Ontario (RNAO) BPG for international use.
  • This initiative is part of the Best Practice Spotlight Organizations program, fostering global adoption of evidence-based nursing practices.

Purpose of the Study:

  • To drive the adoption of nursing BPGs within Spanish healthcare organizations.
  • To promote practice excellence and improve patient outcomes through evidence-based interventions.

Main Methods:

  • Translated RNAO BPGs into Spanish and selected Spanish healthcare settings via a proposal call.
  • Employed a nursing-led, multidisciplinary approach with stakeholder involvement and a BPG Toolkit.
  • Implemented cascade training, selected BPG recommendations, and monitored process/outcomes over 3 years.

Main Results:

  • Launched in 2012, the project expanded to 263 sites by 2018, involving over 3200 nurses and 40 other healthcare professionals.
  • Developed/updated evidence-based protocols, enhanced patient education, and utilized an electronic platform for evaluating indicators.
  • Three Spanish regions joined as regional hosts in 2019, indicating program scalability.

Conclusions:

  • The RNAO implementation method is successfully replicable internationally, demonstrating adaptability to local contexts.
  • Established a network promoting knowledge sharing and an evidence-based culture across Spanish healthcare settings.
  • Sustained improvements in evidence-based patient care were achieved through this collaborative implementation strategy.