The SUMAMOS EXCELENCIA Project

Abstract

Aim The gap between research and clinical practice leads to inconsistent decision‐making and clinical audits are an effective way of improving the implementation of best practice. Our aim is to assess the effectiveness of a model that implements evidence‐based recommendations for patient outcomes and healthcare quality. Design National quasi‐experimental, multicentre, before and after study. Methods This study focuses on patients attending primary care and hospital care units and associated socio‐healthcare services. It uses the Joanna Brigg's Institute Getting Research into Practice model, which improves processes by referring to prior baseline clinical audits. The variables are process and outcome criteria for pain, urinary incontinence, and fall prevention, with data collection at baseline and key points over 12 months drawn from clinical histories and records. Project funding was received from the Spanish Strategic Health Action in November 2014. Discussion The project results will provide knowledge on the effectiveness of the Getting Research into Practice model, to apply evidence‐based recommendations for the detection and management of pain, urinary incontinence, and fall prevention. It will also establish whether using research results, based on clinical audits and situation analysis, is effective for implementing evidence‐based recommendations and improving patients’ health. Impact This nationwide Spanish project aims to detect and prevent high‐prevalence healthcare problems, namely pain in patients at any age and falls and urinary incontinence in people aged 65 and over. Tailoring clinical practice to evidence‐based recommendations will reduce unjustified clinical variations in providing healthcare services. Clinical Trial ID: NCT03725774.

SUMAMOS EXCELENCIA® Project: Results of the Implementation of Best Practice in a Spanish National Health System (NHS)

“…The content of these guides has been translated, adapted and used previously in projects for the implementation of evidence in the Spanish healthcare context [ 27 , 42 ]. The indicators and variables used can be consulted in the study protocol [ 29 ] ( Supplementary Material File S1 ). The primary outcomes were the assessment in pain, fall risk and urinary incontinence, the second outcomes were the implementation of care plan and education.…”

“…In 2012, the Nursing & Healthcare Research Unit and the Spanish Co tre of the Joanna Briggs Institute created a national network of centers ta menting Clinical Practice Guidelines (CPG) in healthcare. This project ha plementation of evidence-based recommendations from CPG improves p A project was started, as a way of continuing the research program being pursued by both the above-mentioned centers, in which nursing staff and other health professionals could implement specific evidence-based recommendations, instead of implementing full CPGs; this project is Sumamos Excelencia® [29].…”

“…A project was started, as a way of continuing the research program being pursued by both the above-mentioned centers, in which nursing staff and other health professionals could implement specific evidence-based recommendations, instead of implementing full CPGs; this project is Sumamos Excelencia® [ 29 ].…”

Content Validity of A Questionnaire Exploring the Knowledge Translation Network Among Nursing Professionals

“…The creation of this questionnaire was part of a larger study, the SUMAMOS EXCELENCIA ® project (48), which aims to analyze the effectiveness of a model for the implementation of evidence, based on quality audit cycles. This national project aims to create a new knowledge translation network around each participant, each unit, and each participating center, and for this network to help change behavior with regards to research utilization and its maintenance.…”

Efectividad de un modelo de implantación de evidencia en la práctica clínica y análisis de redes sociales de transferencia del conocimiento en profesionales de Enfermería = Effectiveness of an evidence-based implementation model in clinical practice and analysis of social networks of knowledge transfer in nursing professionals

“…Como continuidad de este programa se planteó realizar un proyecto basado en la implantación de recomendaciones concretas de las GPC, en lugar de la implantación de guías completas. Este proyecto es Sumamos Excelencia Ò ; que comenzó en 2015 y pretende crear una red de transferencia de la evidencia a la práctica clínica a través de recomendaciones concretas procedentes de Guías de Práctica Clínica en tres áreas: dolor, caídas e incontinencia urinaria; temas en los que existe evidencia sólida, pero a la vez con una gran variabilidad no justificada en la práctica clínica diaria (Escobar-Aguilar et al, 2019). Fruto de este proyecto se desprende esta tesis doctoral.…”