Quiñoz Gallardo Mª Dolores, Gonzalo Jiménez Elena, Barrientos Trigo Sergio, Porcel Gálvez Ana María
Hospital Universitario Virgen de las Nieves de Granada. Granada. España.
Grupo de investigación Ee-12 Hygia adscrito al Instituto de Investigación Biosanitaria (ibs.Granada). Granada. España.
Rev Esp Salud Publica. 2021 Oct 1;95:e202110128.
The objective of this work was to describe the implantation project presented by the Virgen de las Nieves University Hospital (Granada, Spain) to be selected as a candidate for "Best Practice Spotlight Organization" (in Spain CCEC) program in the cohort (2015-2017) to implement three guidelines for Nurses Association of Canada Ontario (RNAO) clinical practice of care. The methodology used was the model called "knowledge for action" and the actions developed for each of the phases of the action cycle for applying knowledge to practice were described: 1) identification of the problem, 2) adaptation to the local context, 3) evaluation of facilitators and barriers, 4) adaptation and implementation of interventions, 5) monitoring and evaluation of results and 6) sustainability. This work adds to the set of studies that address the improvement and maintenance of evidence-based practice programs in nursing, and in health services in general. It shows the application of a framework for the implementation of clinical practice guidelines for care in a specific health environment for its replication in other different health settings. It has been shown that it is essential to dedicate efforts to planning the implementation of this type of programs, taking into account the context in which they are developed, the specific characteristics of the population being served, identifying the different barriers and facilitators that may affect during the course of the program. process and defining actions to make the changes in practice sustainable.
这项工作的目的是描述西班牙格拉纳达市比维斯-德拉斯涅韦斯大学医院提出的植入项目,该项目被选为(2015 - 2017年队列中)“最佳实践亮点组织”(西班牙CCEC)计划的候选项目,以实施加拿大安大略省护士协会(RNAO)的三项护理临床实践指南。所采用的方法是“行动知识”模型,并描述了为将知识应用于实践的行动周期的每个阶段所开展的行动:1)问题识别,2)适应当地情况,3)促进因素和障碍评估,4)干预措施的调整与实施,5)结果监测与评估,以及6)可持续性。这项工作补充了一系列关于护理及一般卫生服务中循证实践项目的改进与维持的研究。它展示了在特定卫生环境中实施护理临床实践指南框架的应用,以便在其他不同卫生环境中进行复制。结果表明,必须致力于规划此类项目的实施,同时考虑到项目开展的背景、所服务人群的具体特征,识别项目过程中可能影响的不同障碍和促进因素,并确定使实践变革具有可持续性的行动。