“Perspectives:

Implementation of

strategies to adopt and

integrate evidence-based

Teresa Moreno Casbas

Unidad de Investigación en Cuidados de Salud (Investén-isciii)

Instituto de Salud Carlos III

practice (EBP) in nursing.

What are we doing?”

Nursing and Healthcare Research Unit

(Investén-isciii)

Ministry of Economy, industry

and Competitiveness

Investén-isciii

Strategic planning Capacity

building Research

consultation services

Evidence-based practice and

Knowledge transfer

Research and innovation

Institute of Health

Carlos III

Organization

Main objetives

Research

Implementation

Synthesis and Dissemination

• Supporting healthcare professionals on methodology to conduct

reasearch projects

• Promoting training and dissemination of research methodology and

evidence-based practice

• Participating in clinical trials, systematic reviews and clinical

practice guidelines aimed at the area of healthcare service providers

• Investén-isciii is involved in national and international healthcare

research projects, such as:

Healthcare an health services research

Centre of excelence for the Joanna Briggs Institute

Coordinating a nationalwide Implementation Project for the Good

Practice Guidelines in Centres Comitted to Excellence in Care, in

collaborating with the Registered Nurses Association of Ontario

(RNAO)

Member of the “Healthy Aging and Frailty Network” (CIBERFES)

Investén-isciii has coordinated and participated in several Health

European projects, such as RN4CAST

Expertise

Brazil measures 8.5 million square kilometers. Spain stays at 504,000

• Brazil could fit 17 times Spain and only in the Amazon three

• Brazil have 206.101.000 inhabitants in 2016) and Spain 46.468.102

The Spanish National Healthcare System

NHS funded by taxes Decentralized to regional autonomies Universal coverage Free Access Very wide range of publicly covered services Co-Payment in pharmaceutical products Services provided mainly in public facilities Interterritorial Board to coordinate policies

17 autonomous communities 2 autonomous cities (Since 1978)

The Spanish National Healthcare System

“Perspectives:

Implementation of

strategies to adopt and

integrate evidence-based

Teresa Moreno Casbas

Unidad de Investigación en Cuidados de Salud (Investén-isciii)

Instituto de Salud Carlos III

practice (EBP) in nursing.

What are we doing?”

The fact to incorporate nursing knowledge into clinical practice has to do

with the availability of good quality research results, but also with the

attitudes of professionals to adopt new practices and with the willingness and opportunity of institutions and policy

makers to implement them

Aim: Influence the adoption of Best Practice Guidelines in Spanish health institutions, in order

to promote excellence in practice and better patient outcomes

Strategy: International network of Best Practice

Spotlight Organizations (BPSO)

Investén-isciii/Collaborating centre of JBI as Host

organization in Spain

To improve the quality of care at the local, national and international level

Variability

Evidence transfer

Continuous improvement

Decision making

Patients satisfaction

Costs

Team building

Stop interventions without effect

Research gap

Programa de Guías de Práctica Clínica

Why RNAO?

August 2010

Agreement between RNAO and Investén-isciii: Spanish BPSO Host • Spanish translation guidelines • BPSO Host

Nursing Research and Healthcare Unit (Investén-isciii)

Belonging to the Institute of Health Carlos III

• International scope • EBP objectives

Traslation (2010)

Dissemination and call (2011)

Implantation and evaluation

(2012-2014)

Second cohort

Sostenibility (2015-2017)

RNAO Best practice guidelines

•34 Clinical guidelines • 7 Healthy Work Place

Environment Guidelines

On-line access / Social Network/ Information

Sessions

44 candidates

Proposal

34 candidates

Evaluation

8 institucions

competitive calls for proposals

Implantation – 3 years • Training • Operationalization • Evaluation / Feed-back •Accreditation BPSO

• Implantation of new guidelines

•New calls (2nd cohort)

Centros Comprometidos con la Excelencia en Cuidados

www.evidenciaencuidados.es

Best Practice Guidelines are

now available in several

languages:

French / Français

Chinese / 最佳作业指引中文 版

Italian / Italiano

Japanese/ ベストプラクティス・ガイドライン

Spanish / Español

Spanish Best Practice Spotlight organization® project

• Press release

• Mailing to the Health Centers in Spain

• Publication of a paper at a Nursing Scientific Journal

• Dissemination at Website (www.evidenciaencuidados.es)

• Annual International Nursing Research Conference

General Information

Declaration of interest

Applications submission

Publication selected

institutions

Spanish Best Practice Spotlight

organization® project

1

2

3

4

Nursing Best Practice Guidelines

Woman Abuse: Screening, Identification and Initial Response

Supporting Clients on Methadone Maintenance Treatment

Enhancing Healthy Adolescent Development

Adult Asthma Care Guidelines for Nurses: Promoting Control of Asthma

Promoting Asthma Control in Children

Breastfeeding Best Practice Guidelines for Nurses

Client Centred Care

Nursing Care of Dyspnea: The 6th Vital Sign in Individuals with Chronic Obstructive Pulmonary Disease

Caregiving Strategies for Older Adults with Delirium, Dementia and Depression

Screening for Delirium, Dementia and Depression in Older Adults

Promoting Continence Using Prompted Voiding

Prevention of Constipation in the Older Adult Population

Crisis Intervention

Assessment and Management of Foot Ulcers for People with Diabetes

Prevention of Falls and Fall Injuries in the Older Adult

Supporting and Strengthening Families through Expected & Unexpected Life Events

Assessment and Device Selection for Vascular Access

Primary Prevention of Childhood Obesity

Ostomy Care & Management

Assessment and Management of Pain

Risk Assessment and Prevention of Pressure Ulcers

Assessment and Management of Foot Ulcers for People with Diabetes

Assessment and Management of Stage I to IV Pressure Ulcers

Assessment and Management of Venous Leg Ulcers

Integrating Smoking Cessation into Daily Nursing Practice

Stroke Assessment Across the Continuum of Care

Establishing Therapeutic Relationships

Healthy work environments

Collaborative Practice Among Nursing Teams Guideline

Developing and Sustaining Nursing Leadership

Embracing Cultural Diversity in Health Care: Developing Cultural Competence

Preventing and Managing Violence in the Workplace

Professionalism in Nursing

Workplace Health, Safety and Well-being of the Nurse Guideline

BPG Translated into Spanish

OSI Donostialdea

G.A.I de Alcázar de San Juan

Hospital Universitario Puerto Real

Consorcio HUAV-HSM Facultad de Lleida

Área de salud de Menorca: Hospital Mateu Orfila

y Centros de Salud de AP

OSI Debabarrena

Hospital Valle del Nalón

Complejo Hospitalario de Navarra

Centro de Salud José María Llanos

Hospital Doctor José Molina Orosa

Complejo Hospitalario Universitario de Granada

Hospitales de SierrallanaTres Mares

G.A.P. Del Bierzo. Centro de Salud Ponferrada II

Hospital de Medina del Campo

Complejo Hospitalario Universitario de Albacete

Hospital Clínico San Carlos

Hospital Rafael Méndez de Lorca y Universidad de Murcia

Hospital Universitario Vall d’Hebron

1st BPSO Cohort

2nd BPSO Cohort

Platform in Spain. CarEvID ®

+

http://www.evidenciaencuidados.es/bpso/attachments/article/26/Libro_ideas_2012-2014_FINAL_1.pdf

Evidence Based

Nursing

Nursing sensitive indicators

CarEVID

National Network

BPSO

Sustainability and growing

up

Transforming care through the

knowledge!

The Iceberg Illusion: What People See Vs What They Don’t

Esta obra está bajo una licencia Creative Commons Reconocimiento-Nocomercial-CompartirIgual 4.0 Internacional

Unresolved problem

Inpatients who sleep at

night less than 300

minutes (5 hours) have a

fourfold increase in

mortality

An impatient wakes up 3-

6 times during the magic

hours (0h-6.30h)

1. Gómez Sanz, Carmen. Calidad del sueño de los pacientes ingresados en una unidad de cuidados intensivos. Enfermería Intensiva 2013; 24(1):3-11.

2. Medina Cordero, A., Feria Lorenzo, DJ, Oscoz Muñoa, G. Los conocimientos sobre el sueño y los cuidados enfermeros para un buen descanso. Enfermería

Global 2009; 8 (3).

3. Costa Shíntia Viana da, Ceolim Maria Filomena. Factors that affect inpatients' quality of sleep. Rev. esc. enferm. USP [Internet]. 2013 Feb

[cited 2016 July 13]; 47(1): 46-52

CAUSES OF SLEEP

DISRUPTION

lighting

Noise Fear and worries

Pain or fatigue

Nursing interventios

Daytime naps

Room temperature

Uncomfortable bed

To empower health

professionals, leading by

nurses, asking them to

change their routines using the

recommendations proposed

by the evidence

Raise awareness of the

institutions, professionals,

patients and caregivers

“MIRÍADA DE

CUIDADORES”

ADHESION COMMITMENTS

Health institution teams

Health professionals

Patientes and caregiver

11th of July 20916 -

21st of April

3120

PROFESSIONAL HEALTH COMMITMENT

“Cuidadores

del sueño”

PATIENTS AND CAREGIVER COMMITMENTS

RECOMMENDATION

To create a quiet setting in the "magic hours"

Twitter: @sueno_on

#cuidamoselsueño

Instagram: @suenon117

Facebook: SueñOn

Youtube: SueñOn Investén

mmoreno@isciii.es

Abstract deadline

3rd of June 2017

http://www.isciii.es/investen

http://investigacionencuidados.es

http://www.evidenciaencuidados.es

http://www.recursosencuidados.es