Impact of Good Practice Guidelines on Evidence-based Practice and Nurses' Work Environment
Condition: Nurses' Work Environment; Committed Centers With Excellence in Care (CCEC®) Program; Nurses' Evidence-based-practice Attitudes; Nurse Physician Relations; Practice Nurse's Scope; Professional Stress
MeSH terms: Occupational Stress
Study type: Interventional

Summary: 
      Evidence-based practice (EBP) has improved patient health outcomes. The work environment of
      nurses is a key element to improving the quality of care and to facilitate EBP, while also
      improving health outcomes.

      The CCEC® / BPSO® program consists of the implementation of Good Practice Guides in health
      organizations in the Spanish territory, and is carried out through a training and
      participatory methodology, actively involving nurses in the process.

      The present study tries to know if in the health organizations where the CCEC® / BPSO®
      program has been implemented, the perception of the nurses' working environment has improved,
      as well as their attitude towards evidence-based practice, with respect to organizations
      where this program has not been implemented.
    

Detailed description: 
      Quasi-experimental pre-post multicentre study with a non-equivalent control group, within the
      framework of the third cohort of the RNAO Good Practice Guidelines Implementation Program in
      Centers Committed to Care Excellence (CCEC® / BPSO®).

      PARTICIPATING INSTITUTIONS:

      Intervention group(IG): (institutions included in the third cohort of CCEC®):

      Estructura de Gestión Integrada de Lugo, Cervo y Monforte de Lemos (Galicia), Hospital
      General Universitario Santa Lucía (Murcia), Xerencia de Xestión Integrada de A Coruña
      (Galicia), Hospital Guadarrama (Madrid), Hospital Universitari Germans Trias i Pujol
      (Cataluña), Hospital Regional Universitario de Málaga (Andalucía), Organización Sanitaria
      Integrada OSI Araba (Araba).

      Control group(CG): Hospital Son Espases (Mallorca), Hospital Son Llàtzer (Mallorca), Hospital
      de Granollers (Barcelona), Hospital de Puigcerdà (Girona), Hospital d'Igualada (Barcelona),
      Hospital General Universitario de Alicante (Alicante), Hospital Comarcal de Vinaròs de
      Castellón de la Plana (Castellón), Hospital Clínic de Barcelona (Barcelona), Hospital
      Universitario de Fuenlabrada (Madrid), Hospital de la Santa Creu i Sant Pau (Barcelona).

      To collect data, two validated questionnaires will be passed to all nurses in 7 health
      institutions where the RNAO Good Practice Guidelines Implementation Program begins
      (experimental group) and in 10 where it is not implemented (control group), both groups
      distributed throughout the Spanish territory. Basal data will be recorded before the
      beginning of the program and post intervention data will be recorded after one year.

      Then the results will be compared to determine whether there are differences between nurses
      who work in the group of hospitals that have started the program with respect to those who
      work in other centers. The total duration of the project will be three years.
    

Intervention name(s): Good Practice Guidelines implementation
Intervention type(s): Other
Intervention description(s): Implementation of Good Practice Guidelines on the framework of the Best Practice Spotlight Organization in Spain (CCEC® / BPSO®), that allows a standardized methodology for providing care and registering indicators.
Allocation: Non-Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Health Services Research
Keywords: Evidence-Based Practice; nurses' Workplace; Good Practices Guides; Hospital