Impact of Good Practice Guidelines on Evidence-based Practice and Nurses' Work Environment

NCT ID: NCT04199065

Last Updated: 2022-04-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

1200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-03-01

Study Completion Date

2022-04-21

Brief Summary

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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

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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.

Conditions

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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

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Good Practice Guidelines group

Implementation of Good Practice Guidelines

Group Type EXPERIMENTAL

Good Practice Guidelines implementation

Intervention Type OTHER

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.

usual practices group

Not Implementation of Good Practice Guidelines, so working as the usual way

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Good Practice Guidelines implementation

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.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

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

Exclusion Criteria

Not be active
Minimum Eligible Age

21 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Hospital del Mar Research Institute (IMIM)

OTHER

Sponsor Role collaborator

COIB, Col·legi d'Infermers i infermeres de Barcelona

UNKNOWN

Sponsor Role collaborator

Department of Health, Generalitat de Catalunya (PERIS)

UNKNOWN

Sponsor Role collaborator

Parc de Salut Mar

OTHER

Sponsor Role lead

Responsible Party

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Silvia Esteban

RN, MsC, PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Silvia Esteban-Sepúlveda

Role: PRINCIPAL_INVESTIGATOR

IMIM (Hospital del Mar Medical Research Institute), Barcelona

Locations

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Organización Sanitaria Integrada (OSI) Araba

Vitoria-Gasteiz, Araba, Spain

Site Status

Hospital Universitri Germans Tries i Pujol

Badalona, Barcelona, Spain

Site Status

Hospital de Granollers

Granollers, Barcelona, Spain

Site Status

Consorci Sanitari Anoia-Hospital Igualada

Igualada, Barcelona, Spain

Site Status

Hospital Comarcal de Vinaròs

Vinaròs, Castelló, Spain

Site Status

Hospital de Puigcerdà

Puigcerdà, Girona, Spain

Site Status

Hospital Universitario de Fuenlabrada

Fuenlabrada, Madrid, Spain

Site Status

Hospital de Guadarrama

Guadarrama, Madrid, Spain

Site Status

Xerencia de Xestión Integrada de A Coruña

A Coruña, , Spain

Site Status

Hospital General Universitario de Alicante

Alicante, , Spain

Site Status

Hospital Clínic

Barcelona, , Spain

Site Status

Hospital de la Santa Creu i Sant Pau

Barcelona, , Spain

Site Status

Hospital Lucus Augusti

Lugo, , Spain

Site Status

Hospital Regional Universitario de Málaga

Málaga, , Spain

Site Status

Hospital General Universitario Santa Lucía

Murcia, , Spain

Site Status

Hospital Universitari Son Espases

Palma de Mallorca, , Spain

Site Status

Hospital Son Llàtzer

Palma de Mallorca, , Spain

Site Status

Countries

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Spain

References

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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.

Reference Type RESULT
PMID: 22434089 (View on PubMed)

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.

Reference Type RESULT
PMID: 21561979 (View on PubMed)

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.

Reference Type RESULT
PMID: 26642177 (View on PubMed)

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.

Reference Type RESULT
PMID: 28486533 (View on PubMed)

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.

Reference Type RESULT
PMID: 22944284 (View on PubMed)

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.

Reference Type RESULT
PMID: 3047692 (View on PubMed)

Other Identifiers

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CEIm-PSMAR 2018/8087/I

Identifier Type: -

Identifier Source: org_study_id

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