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

NCT04199065 | Completed

• 1 other identifier: CEIm-PSMAR 2018/8087/I
• Study Type: interventional
• Target: 1,200
• Locations: 1 country
• Sites: 17

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.

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

Outcome Measures

Primary Outcomes (2)

• change in Nurses' work environment

  self reported perceived current work environment through the Practice Environment Scale-Nursing Work Index (PES-NWI) questionaire, with 31 Likert type questions (1: "Strongly Disagree" -\> 4 "Strongly Agree"), including 5 sub-scales: Nurse participation in hospital affairs (8 questions); nursing foundations for quality of care (10 questions); nurse manager ability, leadership and support of nurses (5 questions); staffing and resource adequacy (4 questions); and collegial nurse-physician relationships (3 questions)

  baseline and 1 year

• change in Beliefs- attitudes and behavior in front of EBP

  self-reported Beliefs- attitudes and behavior in front of EBP, through the 60 Likert type questions (from 1: minimum agreement to 10: maximum agreement) of the Health Sciences-Evidence Based Practice questionnaire (HS-EBP), that are classified in 5 dimensions: Beliefs and attitudes, (12 items); Results from scientific research (14 items); Development of professional practice (10 items); Evaluation of results (12 items) and Barriers / Facilitators (12 items).

  baseline and 1 year

Secondary Outcomes (2)

• change in Job satisfaction: Likert type question rating

  baseline and 1 year

• change in Institutional attitude perceived by nurses in relation to nursing research

  baseline and 1 year

Study Arms (2)

Good Practice Guidelines group

EXPERIMENTAL

Implementation of Good Practice Guidelines

Other: Good Practice Guidelines implementation

usual practices group

NO INTERVENTION

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

Interventions

Good Practice Guidelines implementation 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.

Good Practice Guidelines group

Eligibility Criteria

• Age: 21 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

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

You may not qualify if:

• Not be active

Sponsors & Collaborators

• Parc de Salut Mar: lead
• Hospital del Mar Research Institute (IMIM): collaborator
• COIB, Col·legi d'Infermers i infermeres de Barcelona: collaborator
• Department of Health, Generalitat de Catalunya (PERIS): collaborator

Study Sites (17)

Organización Sanitaria Integrada (OSI) Araba

Vitoria-Gasteiz, Araba, 01009, Spain

Location

Hospital Universitri Germans Tries i Pujol

Badalona, Barcelona, 08916, Spain

Location

Hospital de Granollers

Granollers, Barcelona, 08402, Spain

Location

Consorci Sanitari Anoia-Hospital Igualada

Igualada, Barcelona, 08700, Spain

Location

Hospital Comarcal de Vinaròs

Vinaròs, Castelló, 12500, Spain

Location

Hospital de Puigcerdà

Puigcerdà, Girona, 17520, Spain

Location

Hospital Universitario de Fuenlabrada

Fuenlabrada, Madrid, 28942, Spain

Location

Hospital de Guadarrama

Guadarrama, Madrid, 28440, Spain

Location

Xerencia de Xestión Integrada de A Coruña

A Coruña, 15006, Spain

Location

Hospital General Universitario de Alicante

Alicante, 03010, Spain

Location

Hospital Clínic

Barcelona, 08036, Spain

Location

Hospital de la Santa Creu i Sant Pau

Barcelona, 08041, Spain

Location

Hospital Lucus Augusti

Lugo, 27003, Spain

Location

Hospital Regional Universitario de Málaga

Málaga, 29010, Spain

Location

Hospital General Universitario Santa Lucía

Murcia, 30202, Spain

Location

Hospital Universitari Son Espases

Palma de Mallorca, 07120, Spain

Location

Hospital Son Llàtzer

Palma de Mallorca, 08198, Spain

Location

Related Publications (6)

• 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.

  PMID: 22434089 RESULT

• 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.

  PMID: 21561979 RESULT

• 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.

  PMID: 26642177 RESULT

• 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.

  PMID: 28486533 RESULT

• 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.

  PMID: 22944284 RESULT

• 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.

  PMID: 3047692 RESULT

MeSH Terms

Conditions

Occupational Stress

Condition Hierarchy (Ancestors)

Occupational Diseases; Stress, Psychological; Behavioral Symptoms; Behavior

Study Officials

• Silvia Esteban-Sepúlveda

  IMIM (Hospital del Mar Medical Research Institute), Barcelona

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: RN, MsC, PhD

Study Record Dates

• First Submitted: December 10, 2019
• First Posted: December 13, 2019
• Study Start: March 1, 2018
• Primary Completion: November 30, 2019
• Study Completion: April 21, 2022
• Last Updated: April 22, 2022

Record last verified: 2022-04

Data Sharing

• IPD Sharing: Will not share

Locations

ES (17)