Clinical trial NCT04199065: Impact of Good Practice Guidelines on Evidence-based Practice and Nurses' Work Environment
Official title: Impact of the Implementation of Good Practice Guidelines on Beliefs-attitudes and Behavior in the Face of Evidence-based Practice and on the Perception of the Nurses' Work Environment
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: 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
Keywords: Evidence-Based Practice
nurses' Workplace
Good Practices Guides
Hospital
Lead sponsor: Parc de Salut Mar
Sponsor class: OTHER
Collaborators: name: Hospital del Mar Research Institute (IMIM)
name: COIB, Col·legi d'Infermers i infermeres de Barcelona
name: Department of Health, Generalitat de Catalunya (PERIS)
First posted: 2019-12-13
Enrollment: 1200
Sex: ALL
Minimum age (years): 21
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief 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.

Eligibility criteria: Inclusion Criteria:

Nurses Work in the institutions participating in the study Acceptance to participate in the study

Exclusion Criteria:

Not be active

Primary outcomes:
measure: change in Nurses' work environment
timeFrame: baseline and 1 year
measure: change in Beliefs- attitudes and behavior in front of EBP
timeFrame: baseline and 1 year
Secondary outcomes:
measure: change in Job satisfaction: Likert type question rating
timeFrame: baseline and 1 year
measure: change in Institutional attitude perceived by nurses in relation to nursing research
timeFrame: baseline and 1 year
Other outcomes:
Locations:
city: Vitoria Gasteiz
country: Spain
facility: Organización Sanitaria Integrada (OSI) Araba
state: Araba
city: Badalona
country: Spain
facility: Hospital Universitri Germans Tries i Pujol
state: Barcelona
city: Granollers
country: Spain
facility: Hospital de Granollers
state: Barcelona
city: Igualada
country: Spain
facility: Consorci Sanitari Anoia-Hospital Igualada
state: Barcelona
city: Vinaròs
country: Spain
facility: Hospital Comarcal de Vinaròs
state: Castelló
city: Puigcerdà
country: Spain
facility: Hospital de Puigcerdà
state: Girona
city: Fuenlabrada
country: Spain
facility: Hospital Universitario de Fuenlabrada
state: Madrid
city: Guadarrama
country: Spain
facility: Hospital de Guadarrama
state: Madrid
city: A Coruña
country: Spain
facility: Xerencia de Xestión Integrada de A Coruña
city: Alicante
country: Spain
facility: Hospital General Universitario de Alicante
city: Barcelona
country: Spain
facility: Hospital Clínic
city: Barcelona
country: Spain
facility: Hospital de la Santa Creu i Sant Pau
city: Lugo
country: Spain
facility: Hospital Lucus Augusti
city: Murcia
country: Spain
facility: Hospital General Universitario Santa Lucía
city: Málaga
country: Spain
facility: Hospital Regional Universitario de Málaga
city: Palma De Mallorca
country: Spain
facility: Hospital Universitari Son Espases
city: Palma De Mallorca
country: Spain
facility: Hospital Son Llàtzer
Study officials:
affiliation: IMIM (Hospital del Mar Medical Research Institute), Barcelona
name: Silvia Esteban-Sepúlveda
role: PRINCIPAL_INVESTIGATOR
References:
citation: Aiken LH, Sermeus W, Van den Heede K, Sloane DM, Busse R, McKee M, Bruyneel L, Rafferty AM, Griffiths P, Moreno-Casbas MT, Tishelman C, Scott A, Brzostek T, Kinnunen J, Schwendimann R, Heinen M, Zikos D, Sjetne IS, Smith HL, Kutney-Lee A. Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States. BMJ. 2012 Mar 20;344:e1717. doi: 10.1136/bmj.e1717.
citation: Aiken LH, Sloane DM, Clarke S, Poghosyan L, Cho E, You L, Finlayson M, Kanai-Pak M, Aungsuroch Y. Importance of work environments on hospital outcomes in nine countries. Int J Qual Health Care. 2011 Aug;23(4):357-64. doi: 10.1093/intqhc/mzr022. Epub 2011 May 11.
citation: Cho E, Chin DL, Kim S, Hong O. The Relationships of Nurse Staffing Level and Work Environment With Patient Adverse Events. J Nurs Scholarsh. 2016 Jan;48(1):74-82. doi: 10.1111/jnu.12183. Epub 2015 Dec 7.
citation: Fernandez-Dominguez JC, de Pedro-Gomez JE, Morales-Asencio JM, Bennasar-Veny M, Sastre-Fullana P, Sese-Abad A. Health Sciences-Evidence Based Practice questionnaire (HS-EBP) for measuring transprofessional evidence-based practice: Creation, development and psychometric validation. PLoS One. 2017 May 9;12(5):e0177172. doi: 10.1371/journal.pone.0177172. eCollection 2017.
citation: Fuentelsaz-Gallego C, Moreno-Casbas MT, Gonzalez-Maria E. Validation of the Spanish version of the questionnaire Practice Environment Scale of the Nursing Work Index. Int J Nurs Stud. 2013 Feb;50(2):274-80. doi: 10.1016/j.ijnurstu.2012.08.001. Epub 2012 Sep 1.
citation: Heater BS, Becker AM, Olson RK. Nursing interventions and patient outcomes: a meta-analysis of studies. Nurs Res. 1988 Sep-Oct;37(5):303-7.