Implementing Best Practice Guidelines under the Best Practice Spotlight Organisation: Facilitators and Barriers for...

Area of Science:

• Nursing Practice
• Healthcare Management
• Knowledge Translation

Background:

• Evidence-based practice (EBP) implementation is complex.
• Best Practice Guidelines (BPGs) aid knowledge translation but require adaptation and adherence.
• The Best Practice Spotlight Organizations (BPSO) framework supports EBP.

Purpose of the Study:

• Identify facilitators and barriers to BPGs within the BPSO framework in a hospital setting.
• Focus on the Registered Nurses' Association of Ontario (RNAO) context.
• Inform strategies for sustainable EBP implementation.

Main Methods:

• Modified Delphi method with two rounds.
• Involved BPSO Best Practice Champions.
• Facilitators and barriers identified via bibliographic search and Delphi consensus.

Main Results:

• 44 nurses participated.
• Key facilitators: supportive work environment, research-encouraging hospital, dedicated EBP time.
• Key barriers: excessive workload, professional mobility, lack of time.

Conclusions:

• Human resource management and policy changes are needed for systemic sustainability.
• The BPSO program effectively promotes EBP translation and institutional change.
• Addressing workload and time constraints is crucial for successful BPG implementation.