Getting guidelines into practice: lessons learned asBest Practice Spotlight Organization host

摘要

Background: The Spanish Best Practice Guidelines (BPG) Implementation Project is part of the Best PracticeSpotlight 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 andpositive client outcomes. Methods: After translating the RNAO's BPG into Spanish, the Host Organization published a formal call for proposalsto 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 BPGToolkit guides the process: cascade training, selection of recommendations to be implemented, 3 years of plannedimplementation activities, monitoring of process and outcome results for patients discharged 60 days every year. TheHost Organization supports healthcare settings selected. Results/Discussion: The first call was launched in 2012. Eight healthcare settings (11 sites), serving 1.3 millionpeople, were selected (hospitals and primary healthcare centers). They chose 10 BPG, according to their needs. In2015 and 2018, 16 more healthcare settings have joined the program with a total of 263 sites. And in 2019, threecomplete regions will join the program as a regional host. Currently, more than 3200 nurses and 40 other healthcareprofessionals have been trained, evidence-based protocols have been developed or updated, patient education hasbeen promoted, and international Best Practice Spotlight Organizations indicators have been evaluated in anelectronic platform. Conclusion: The results obtained acknowledge that the RNAO implementation method could be replicated withsuccess internationally. The strategies based on local context have worked and we have consolidated a network thatshares knowledge and strategies and promotes evidence-based culture among Spanish healthcare settings andevidence-based care to patients.