A MULTIFACETED IMPLEMENTATION STRATEGY TO ENHANCE THE UPTAKE OF EVIDENCE-BASED NURSING RECOMMENDATIONS IN SPAIN: PROJECT PROTOCOL
Keywords:
Evidence-Based Practice, Implementation, Pediatric Obesity, Breastfeeding, Pain, Urinary Incontinence, Evidence-Based Practice Competencies, Sumamos Excelencia® Project, Implementation Science, Evidence-Based NursingAbstract
Background: It is necessary to facilitate the implementation of evidence-based practice in clinical practice to improve patients' health results. Sumamos Excelencia® is an implementation project led by nurses that aims to improve the evidence-based practice uptake. Building on the first edition, we have improved the project design and proposed new intervention topics. The objective is to evaluate the effects of the implementation of evidence-based recommendations through a multifaceted implementation strategy.
Methods: This study is a quasi-experimental, multicentre, before-and-after design with audits for data collection at baseline, 3, 6, and 12 months. It will be developed in hospital units, primary care centres, and nursing homes. Units choose to implement recommendations of one of these topics: assessment and management of pain, conservative management of urinary incontinence, prevention of childhood obesity, or breastfeeding promotion. All units will implement recommendations about hand hygiene. Audits will assess changes in process and patient outcomes, barriers and strategies, and evidence-based practice competencies through specific questionnaires and clinical records data. Analysis will be descriptive and inferential.
Conclusions: Sumamos Excelencia® will aim to improve the use of evidence-based practice in the Spanish National Health System and to advance implementation science. This study will also provide important insight into the barriers that nurses face to implementing evidence-based practice in clinical practice and the strategies that they can use to overcome them. This generated knowledge can be used in other evidence-based practice implementation projects in a similar context to enhance adherence to evidence-based recommendations.
Keywords: Evidence-Based Nursing; Evidence-Based Practice; Evidence-Based Practice Competencies; Sumamos Excelencia® Project; Implementation Science; Pain; Breastfeeding; Pediatric Obesity; Urinary Incontinence.
Downloads
References
Wensing M, Grol R. Knowledge translation in health: How implementation science could contribute more. BMC Med. 2019; 17(1): 88. BioMed Central Ltd. https://doi.org/10.1186/s12916-019-1322-9
Bauer MS, Kirchner JA. Implementation science: What is it and why should I care? Psychiatry Research. 2020; 283: 112376. https://doi.org/10.1016/j.psychres.2019.04.025
Proctor E, Ramsey AT, Saldana L, Maddox TM, Chambers DA, Brownson RC. FAST: A Framework to Assess Speed of Translation of Health Innovations to Practice and Policy. Glob Implement Res Appl. 2022; 2(2): 107–119. https://doi.org/10.1007/s43477-022-00045-4
Harrison MB, Graham ID. Knowledge translation in nursing and healthcare: a roadmap to evidence-informed practice. 1ª Ed. Wiley Blacwell; 2021.
Jordan Z, Lockwood C, Aromataris E, Pilla B, Porritt K, Klugar M, et al. JBI series paper 1: Introducing JBI and the JBI Model of EHBC. J. Clin. Epidemiol. 2022; 150: 191–195. https://doi.org/10.1016/j.jclinepi.2022.04.008
Porritt K, McArthur A, Lockwood C, Munn, Z (Ed.). JBI Handbook for Evidence Implementation. JBI; 2020. Disponible en https://doi.org/10.46658/jbimei-20-01
McNett M, Masciola R, Sievert D, Tucker S. Advancing Evidence-Based Practice Through Implementation Science: Critical Contributions of Doctor of Nursing Practice- and Doctor of Philosophy-Prepared Nurses. Worldviews Evid Based Nurs. 2021; 18(2): 93–101. https://doi.org/10.1111/wvn.12496
Zullig LL, Deschodt M, De Geest S. J Nurs Scholarsh. Journal of nursing scholarship: an official publication of Sigma Theta Tau International Honor Society of Nursing. 2020; 52 (1): 3–5. https://doi.org/10.1186/1748-5908-1-1
Skela-Savič B, Hvalič-Touzery S, Pesjak K (2017). Professional values and competencies as explanatory factors for the use of evidence-based practice in nursing. J. Adv. Nurs. 2017; 73(8): 1910–1923. https://doi.org/10.1111/jan.13280
Martínez Gimeno ML, Fernández Martínez N, Escobar Aguilar G. Effectiveness of an evidence-based implementation model in clinical practice and analysis of social networks of knowledge transfer in nursing professionals. [Tesis Doctoral]. Universidad de León; 2021. Disponible en: Buleria. http://hdl.handle.net/10612/13350
Martínez-Gimeno ML, Fernández-Martínez N, Escobar-Aguilar G, Moreno-Casbas MT, Brito-Brito PR, Caperos JM. Sumamos excelencia® project: Results of the implementation of best practice in a Spanish national health system (NHS). Healthcare (Basel). 2021; 9(4): 374. https://doi.org/10.3390/healthcare9040374
Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC. Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation science. Implement Sci. 2009; 4: 50. https://doi.org/10.1186/1748-5908-4-50
Harvey G, Kitson A. PARIHS revisited: From heuristic to integrated framework for the successful implementation of knowledge into practice. Implement Sci. 2016; 11(1). https://doi.org/10.1186/s13012-016-0398-2
ClinicalTrials.gov [Internet]. Bethesda (MD): National Library of Medicine (US). 29 Feb 2000. Identifier: NCT05466656, Sumamos Excelencia 2022; 20 Jul 2022 [citado el 26 Feb 2024]. Disponible en: http://clinicaltrials.gov/ct/show/NCT00287391?order=1
Pinnock H, Barwick M, Carpenter CR, Eldridge S, Grandes G, Griffiths CJ, et al. Standards for Reporting Implementation Studies (StaRI): Explanation and elaboration document. BMJ Open. 2017; 7(4): e013318. https://doi.org/10.1136/bmjopen-2016-013318
Powell BJ, Waltz TJ, Chinman MJ, Damschroder LJ, Smith JL, Matthieu MM, et al. A refined compilation of implementation strategies: Results from the Expert Recommendations for Implementing Change (ERIC) project. Implement Sci. 2015; 10: 21. https://doi.org/10.1186/s13012-015-0209-1
PA Harris, R Taylor, BL Minor, V Elliott, M Fernandez, L O’Neal, L McLeod, G Delacqua, F Delacqua, J Kirby, SN Duda, REDCap Consortium. The REDCap consortium: Building an international community of software partners. J Biomed Inform. 2019. doi: 10.1016/j.jbi.2019.103208. Disponible en https://www.sciencedirect.com/science/article/pii/S1532046419301261
Flottorp SA, Oxman AD, Krause J, Musila NR, Wensing M, Godycki-Cwirko M, et al. A checklist for identifying determinants of practice: A systematic review and synthesis of frameworks and taxonomies of factors that prevent or enable improvements in healthcare professional practice. Implement Sci. 2013; 8: 35. https://doi.org/10.1186/1748-5908-8,35
Ruzafa-Martínez M, Fernández-Salazar S, Leal-Costa C, Ramos-Morcillo AJ. Questionnaire to Evaluate the Competency in Evidence-Based Practice of Registered Nurses (EBP-COQ Prof©): Development and Psychometric Validation. Worldviews Evid Based Nurs. 2020; 17(5): 366–375. https://doi.org/10.1111/wvn.12464
Moullin JC, Sabater-Hernández D, Fernandez-Llimos F, Benrimoj SI. A systematic review of implementation frameworks of innovations in healthcare and resulting generic implementation framework. Health Res. Policy Syst. 2015; 13:16. https://doi.org/10.1186/s12961-015-0005-z
Nilsen P. Making sense of implementation theories, models and frameworks. Implement Sci. 2015; 10:53. https://doi.org/10.1186/s13012-015-0242-0
Tabak RG, Khoong, EC, Chambers DA, Brownson RC. Bridging research and practice: Models for dissemination and implementation research. Am. J. Prev. Med. 2012; 43(3): 337–350. https://doi.org/10.1016/j.amepre.2012.05.024
Powell BJ, Fernandez ME, Williams NJ, Aarons GA, Beidas RS, Lewis CC, et al. Enhancing the impact of implementation strategies in healthcare: A research agenda. Front Public Health. 2019; 7, 3. https://doi.org/10.3389/fpubh.2019.00003
Squires JE, Sullivan K, Eccles MP, Worswick J, Grimshaw JM. Are multifaceted interventions more effective than single-component interventions in changing health-care professionals' behaviours? An overview of systematic reviews. Implement Sci. 2014; 9: 152. https://doi.org/10.1186/s13012-014-0152-6
Skolarus LE, Neshewat GM, Evans L, Green M, Rehman N, Landis-Lewis Z, et al. Understanding determinants of acute stroke thrombolysis using the tailored implementation for chronic diseases framework: A qualitative study. BMC Health Serv. Res. 2019; 19(1): 182. https://doi.org/10.1186/s12913-019-4012-6
Downloads
Additional Files
Published
Versions
- 2024-09-24 (2)
- 2024-09-24 (1)
How to Cite
Issue
Section
Categories
License
Copyright (c) 2024 Leticia Bernués-Caudillo, Esther González-María, Laura Albornos-Muñoz, M. Teresa Moreno-Casbas
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Usted es libre de:
Compartir — copiar y redistribuir el material en cualquier medio o formato.
La licenciante no puede revocar estas libertades en tanto usted siga los términos de la licencia.
Bajo los siguientes términos:
Atribución — Usted debe dar crédito de manera adecuada , brindar un enlace a la licencia, e indicar si se han realizado cambios. Puede hacerlo en cualquier forma razonable, pero no de forma tal que sugiera que usted o su uso tienen el apoyo de la licenciante.
NoComercial — Usted no puede hacer uso del material con propósitos comerciales.
SinDerivadas — Si remezcla, transforma o crea a partir del material, no podrá distribuir el material modificado.
No hay restricciones adicionales — No puede aplicar términos legales ni medidas tecnológicas que restrinjan legalmente a otras a hacer cualquier uso permitido por la licencia.
Avisos:
No tiene que cumplir con la licencia para elementos del material en el dominio público o cuando su uso esté permitido por una excepción o limitación aplicable.
No se dan garantías. La licencia podría no darle todos los permisos que necesita para el uso que tenga previsto. Por ejemplo, otros derechos como publicidad, privacidad, o derechos morales pueden limitar la forma en que utilice el material.
