Experience on implementing and consolidating the Best practice guidelines of the Registered Nurses’ Association of Ontario (RNAO) in clinical and academic scenarios in Colombia

Gómez-Díaz, Olga Lucia; Esparza-Bohórquez, Maribel; Valencia, Mary Luz Jaimes; Granados-Oliveros, Lina María; Bonilla-Marciales, Adriana Patricia; Medina-Tarazona, Carolina

doi:10.1016/j.enfcle.2019.11.001

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…Tese aspects are deemed fundamental for successfully implementing evidence-based practices [38]. In line with our results, applying the BPSO ® program has shown favorable results in using EBP in clinical practice in health centers in Spain [39,40] and other countries [41,42]. Tese fndings, consistent with previous studies, provide new empirical evidence supporting the link between organizational support for innovation and the adoption of innovative practices [43].…”

Section: Discussionsupporting

confidence: 89%

Determinants of Evidence Implementation by Nurses: #Evidencer Model for the Use of Evidence-Based Practice (#EvidencerMUSEBP)—A Structural Equation Model

Ruzafa-Martínez,

Fernández-Salazar,

Leal-Costa

et al. 2024

Journal of Nursing Management

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Existing studies have identified specific factors influencing some dimensions of evidence-based practice (EBP) competence and use. However, the way these factors interact still needs to be clarified. The purpose of the study was to test a model based on the Determinant Frameworks that explain the relationships and the direct pathways between the characteristics of the nurses, the context, and the implementation strategies and the dimensions of EBP competence, attitude, knowledge, skills, and use of EBP. A cross-sectional study was carried out in Spain during January and February 2020, involving 2,370 nurses employed in public health centers across all autonomous communities within the National Health System. An online survey was administered to gather data, addressing various topics related to the nurses’ characteristics, the context in which they worked, the implementation strategy, and their competence in evidence-based practice (EBP). As depicted in the conceptual framework, a structural equation model was constructed to test the hypothesized relationships among key study variables. The model obtained showed a good fit (χ2/df = 3.20, p<0.001; RMSEA = 0.030 [90% CI 0.025, 0.036]; CFI = 0.989; GFI = 0.990; TLI = 0.983). The context, more specifically, the dimensions of nurse participation in the center’s affairs, nursing foundations for quality of care, nurse manager ability leadership and support of nurses, and implementation strategy have a direct and positive effect on EBP use. Training in EBP, reading scientific articles, and having a doctorate are associated with higher competence and knowledge in EBP. The final fit shows the #Evidencer model for the use of EBP (#EvidencerMUSEBP) with two main components: the contextual and strategic factors that influence the implementation of EBP and the characteristics of the professionals, such as their training and reading of articles, which have an impact on EBP competence. This model could guide healthcare organizations in proposing comprehensive interventions to improve EBP use and the competency of nurses.

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Section: Discussionsupporting

confidence: 89%

Determinants of Evidence Implementation by Nurses: #Evidencer Model for the Use of Evidence-Based Practice (#EvidencerMUSEBP)—A Structural Equation Model

Ruzafa-Martínez,

Fernández-Salazar,

Leal-Costa

et al. 2024

Journal of Nursing Management

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“…[21][22][23][24][25][26][27] The implementation of RNAO's BPGs in hospitals and primary care centers in Canada and internationally has been the subject of numerous scholarly works, including research papers. [28][29][30][31][32][33] Kingsnorth and colleagues' evaluation of a multifaceted implementation strategy to support the adoption of an RNAO BPG on the assessment and management of acute pain in a pediatric rehabilitation and complex continuing care hospital found significant improvements in nurses' knowledge, attitudes, and behaviours related to optimal pain care for children with disabilities. More recently, Gómez-Díaz et al [29] reported on the Colombian experience of implementing and consolidating RNAO BPGs in both clinical and academic scenarios.…”

Section: The Canadian Contextmentioning

confidence: 99%

Reflections on fostering student nurse evidence-based practice competencies via integration of nursing best practice guidelines

Ewers

Anyinam²,

Davis³

2022

JNEP

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Evidence-based nursing practice has been identified as an important nurse competency and standard of practice by nurse regulators and nurse educators in both the United States and Canada, yet little is known about the curricular strategies which foster development of evidence-based competencies in the undergraduate nursing context. Although there are several evidence-based practice models that are being used by nurses, much of the literature reflects evidence-based practice implementation strategies which are focused on nurses already in practice. It remains unclear how evidence-based practice competencies are being taught to undergraduate nursing students. In the Canadian context, the Registered Nurses’ Association of Ontario, promotes the implementation of Nursing Best Practice Guidelines as a viable strategy for implementing evidence-base nursing practice in both the clinical and academic contexts. Clinical and academic institutions that implement best practice guidelines and meet the outcome criteria of the Registered Nurses Association may be designated as a Best Practice Spotlight Organization. In this paper, two of the authors reflect on the curricular strategies they used to integrate Best Practice Guidelines into selected undergraduate nursing courses and the challenges and opportunities that this engendered as part of their university school of nursing’s journey to achieve designation as a Best Practice Spotlight Organization (Academic).

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Experience on implementing and consolidating the Best practice guidelines of the Registered Nurses’ Association of Ontario (RNAO) in clinical and academic scenarios in Colombia

Cited by 2 publications

References 5 publications

Determinants of Evidence Implementation by Nurses: #Evidencer Model for the Use of Evidence-Based Practice (#EvidencerMUSEBP)—A Structural Equation Model

Determinants of Evidence Implementation by Nurses: #Evidencer Model for the Use of Evidence-Based Practice (#EvidencerMUSEBP)—A Structural Equation Model

Reflections on fostering student nurse evidence-based practice competencies via integration of nursing best practice guidelines

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