Impact of the implementation of best practice guidelines on nurse's evidence-based practice and on nurses' work environment: Research protocol

J Adv Nurs. 2021 Jan;77(1):448-460. doi: 10.1111/jan.14598. Epub 2020 Oct 15.

Abstract

Aim: To determine the impact of the Best Practice Spotlight Organization® initiative on nurses' perception of their work environment and their attitudes to evidence-based practice.

Design: Quasi-experimental, multicentre study. The intervention is the participation in Best Prectice Spotilight Organizations to implement Best Practice Guidelines.

Methods: The study will include seven centres in the interventional group and 10 in the non-equivalent control group, all of them belonging to the Spanish national health system. The Practice Environment Scale of the Nursing Work Index, and the Health Sciences Evidence-Based Practice Questionnaire will be administered to a sample of 1,572 nurses at the beginning of the programme and at 1 year. This 3-year study started in April 2018 and will continue until December 2021. Statistical analyses will be carried out using the SPSS 25.0. This project was approved by the Drug Research Ethics Committee of the Parc de Salut Mar and registered in Clinical Trials.

Discussion: The study findings will show the current state of nurses' perception of their work environment and attitudes to evidence-based practice, and possible changes in these parameters due to the programme.

Impact: The findings could provide a strong argument for health policymakers to scale up the Best Practice Spotlight Organization® initiative in the Spanish national health system.

目标: 确定最佳实践聚焦组织®计划对护士对工作环境的感知以及对循证实践的态度的影响。 设计: 准实验,多中心研究。干预措施是参与最佳预防性组织实施最佳实践指南。 方法: 这项研究将包括干预组的7个中心和非等效对照组的10个中心,均隶属于西班牙国家卫生系统。护理工作指数的实习环境量表和健康科学循证实践问卷将在项目开始之初和1年的时间点对1572名护士进行调查。这项为期3年的研究于2018年4月开始,将持续到2021年12月。使用SPSS 25.0进行统计分析。该项目获得了帕洛研究中心药物研究伦理委员会的批准,并在临床试验中注册。 讨论: 研究结果将显示护士对其工作环境的看法和对循证实践的态度的现状,以及这些参数可能因该项目发生的变化。 影响: 该研究结果可为卫生政策制定者在西班牙国家卫生系统中扩大“最佳实践聚焦组织”举措提供有力的论据。.

Keywords: evidence-based practice; implementation; midwives; nurses; nursing; practice guidelines; quasi-experimental study; work environment.

MeSH terms

  • Evidence-Based Practice*
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Multicenter Studies as Topic
  • Nurse's Role
  • Nurses*
  • Surveys and Questionnaires