[A multifaceted implementation strategy to enhance the uptake of evidence-based nursing recommendations in Spain: implementation project protocol].

Objective: It is necessary to facilitate the implementation of evidence-based practice in clinical practice to improve patients' health results. Sumamos Excelencia is an implementation project led by nurses that aims to improve the evidence-based practice uptake. Building on the first edition, we have improved the project design and proposed new intervention topics.

Assessment and management of post-surgical pain in adult patients undergoing thoracic surgery: a best practice implementation project.

Introduction And Objectives: Effectiv. e management of post-operative pain improves the condition of patients and reduces their hospital stay. This, in turn, has an impact on caregivers, professionals, and institutions and, as such, is considered a primary indicator of quality.

Pain assessment and management among adult patients in a gynecology ward: a best practice implementation project.

Objectives: This project aimed to improve compliance with evidence-based practice in pain assessment and management in a gynecology ward.

Introduction: Effective pain control is important to prevent the negative consequences of pain that is poorly managed. However, it remains undervalued and inadequately treated.

Delirium risk screening and assessment among older patients in general wards and the emergency department: a best practice implementation project.

Objectives: The aim of this project was to improve compliance with evidence-based criteria regarding risk of delirium and the assessment of delirium among older patients in the general hospitalization wards and the emergency department.

Introduction: More than 50% of older hospitalized patients experience delirium. Some studies have highlighted the need to implement an orientation protocol in the emergency department and to continue this in the general wards, with the aim of decreasing the delirium rate among older patients admitted to hospital.

[Limited Reuse and Extended Use of Filtering Facepiece Respirators].

Aim: Personal protective equipment (PPE), including respirators, is essential in a pandemic like COVID-19, which has required, on many occasions, the reuse of material due to its shortage. The aim of this review is to summarize available evidence on the reuse and extended use of filtering facepiece respirator.

Method: Scoping review.

[Nursing mothers satisfaction with the promotion of breastfeeding and professionals adherence to the recommendations. Multi-center study.].

Objective: The Baby-friendly Hospital Initiative or clinical practice guideline implementation programs have a positive impact on the promotion of breastfeeding (BF). There are knowledge gaps regarding the perceptions of new mothers towards these initiatives, and their degree of satisfaction. Our objective was to describe the satisfaction of BF mothers and adherence to the recommendations of the "Breastfeeding" guide from the Registered Nurses' Association of Ontario (RNAO).

Impact of the implementation of best practice guidelines on nurse's evidence-based practice and on nurses' work environment: Research protocol.

Aim: To determine the impact of the Best Practice Spotlight Organization® initiative on nurses' perception of their work environment and their attitudes to evidence-based practice.

Design: Quasi-experimental, multicentre study. The intervention is the participation in Best Prectice Spotilight Organizations to implement Best Practice Guidelines.

Evaluation of implementation strategies of the Best Practices Spotlight Organisations (BPSO) Project in Spain.

Objective: To identify favourable elements and barriers to implementation in the Program of Best Practice Spotlight Organization® that establish clinical practice guidelines of the Registered Nurse' Association of Ontario, so that future experiences could benefit from the assessments presented here.

Method: Evaluation research study of the process of implementing guidelines in institutions that make up the first two cohorts of the programme in Spain, through analysis of contents of implantation reports and inductive process, reading, interpretation, coding and categorized according to SWOT structure: Strengths, weaknesses, opportunities and threats.

Results: Reports from 18 centres in 12 Autonomous Communities have been analyzed, including 22 different guidelines.

Implementation of best practice guidelines for ostomy care and management: Care outcomes.

Introduction: Care provided to ostomized people is crucial in their progress and rehabilitation. The Registered Nurses' Association of Ontario clinical practice guidelines include greatest evidence nursing interventions for ostomized patient care. The aim of the study is to analyze the impact on patients' care and health outcomes after Care and management of ostomy guideline implementation.

The implementation of Best practice guidelines in Spain through the Programme of the Best Practice Spotlight Organizations®.

The implementation of Best practice guidelines is effective in improving clinical practice and reducing clinical variability. The Best Practice Guidelines of the Ontario Nurses Association have been implemented in Spain since 2012 following the principles of the Canadian programme of the Best Practice Spotlight Organisations® (BPSO®). The Nursing and Healthcare Research Unit (Investén-isciii) coordinates this programme in Spain, having been nominated BPSO Host by the Ontario Nurses Association.

[Glass ceiling and gender inequalities in the careers of women academics in biomedical sciences].

Objective: To identify in the international scientific literature the obstacles and potential promoters for the advancement of women academics and researchers in biomedical sciences during their professional careers.

Method: PubMed, Scopus, CinahlPlus, Cochrane Database of Systematic Reviews, PsycInfo and Sociological Abstracts were systematically searched for articles published in English and Spanish between January 2006 and December 2016 on the phenomenon of the glass ceiling in women academics and researchers in biomedical sciences. The screening was carried out by independent reviewers.

Getting guidelines into practice: lessons learned as Best Practice Spotlight Organization host.

Background: The Spanish Best Practice Guidelines (BPG) Implementation Project is part of the Best Practice Spotlight Organizations international program, coordinated by the Registered Nurses' Association of Ontario (RNAO).

Aims: To influence the uptake of nursing BPG across healthcare organizations, to enable practice excellence and positive client outcomes.

Methods: After translating the RNAO's BPG into Spanish, the Host Organization published a formal call for proposals to select healthcare settings in Spain to implement the RNAO's BPG and evaluate the results.

The SUMAMOS EXCELENCIA Project.

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.

Falls assessment and interventions among older patients in two medical and one surgical hospital wards in Spain: a best practice implementation project.

Objective: The current project aimed to improve fall prevention and management through clinical audits and the implementation of a quality-improvement cycle at the local level.

Introduction: Falls are one of the most common adverse events reported in hospitals; evidence-based fall prevention interventions aim to reduce the number of people who fall.

Methods: A one-year clinical audit was conducted using a pre-post implementation audit method, namely the Joanna Briggs Institute's (JBI) Practical Application of Clinical Evidence System and the getting research into practice audit and feedback tool.

[Relationship between disease burden and research funding through the Health Research Foundation in Spain].

Objective: To analyze the relationship between burden of disease during 2007-2009 and public funding of research in health in Spain during 2008-2010.

Method: Descriptive cross-sectional study of burden of disease and funding allocated for research in diseases in the Spanish National Health System.

Results: A review was made of a total of 6,573 project titles funded for the years 2008, 2009 and 2010.

Content validity of the Spanish version of the Practice Environment Scale of the Nursing Work Index.

Objective: The objective of this study is to evaluate the content validity of the Iberian Spanish version of the questionnaire The Practice Environment Scale of the Nursing Work Index (PES-NWI) by using the Content Validity Indexing (CVI).

Methods: A descriptive cross-sectional observational study was conducted. The Spanish version of the questionnaire was translated from the American English instrument through forward and back translation processes.

Sleepiness in Spanish nursing staff--influence of chronotype and care unit in circadian rhythm impairment: research protocol.

Aims: To determine how prevalent circadian rhythm impairments are in nurses working in medical, surgical and intensive care units in five Spanish hospitals and how the quality of night-time sleeping and sleepiness affect the nurses' morning and evening chronotypes.

Background: Shift work is a recognized work pattern for nurses in all countries. Given the important role that nurses play in hospital care, it is vital to establish what repercussions this has on the nurses' working schedules and how any disturbance in circadian rhythm affects patient safety.

[Work environment and patient safety: data comparison between Seneca and RN4CAST projects].

Objective: To analyze the relationship between the work environment and burnout of nurses and the quality of care for patient safety at the Spanish National Health System Hospitals included in SENECA and RN4CAST studies.

Method: Descriptive study with a secondary analysis that compares data of 984 patient records, 1469 patient, and 1886 professional surveys from SENECA project, with 2139 nurses' surveys from RN4CAST study, in 24 hospitals. Adverse events data related to care, and patient's and professional's perception of safety were compared with work environment (measured by the Nursing Work Index) and burnout (measured by Maslach Burnout Inventory).

[Perception of work environment of nurses in hospitals of the Spanish national health system. RN4CAST-Spain project].

Objective: To appraise the perception of Registered Nurses working at Spanish National Health System (SNHS) hospitals about work environment, quality of care and burnout.

Method: Cross-sectional study addressed to 7539 nurses in 59 Spanish public hospitals over 150 beds belonging to the NHS between 2009 and 2010. Data was collected on: socio-demographic and academic background, job satisfaction, perception of work environment (PES-NWI) and burnout (MBI).

Validation of the Spanish version of the questionnaire Practice Environment Scale of the Nursing Work Index.

Background: The importance of the practice environment in the provision of care and its relation with patient outcomes and nurse-reported outcomes, support the need to have an instrument to measure such practice environment.

Objective: To evaluate the validity and reliability of the Spanish version of the Practice Environment Scale of the Nursing Work Index (PES-NWI), determining the content validity, test-retest reliability, internal consistency and construct validity.

Design: A cross-sectional survey of bedside care nurses undertaken in 2009 in medical, surgical and critical care wards of 33 Spanish National Health Service hospitals with more than 150 beds.

[The Spanish best practice guidelines implementation project 2011-2016].

The Spanish Best Practice Guidelines Implementation Project 2011-2016 is intended to establish a reference framework for encouraging nursing decision-making based on the best available evidence at different levels of the National Health Service. In line with the Quality Plan for the National Health System 2010 of the Government of Spain, it pretends to improve the effectiveness, safety and efficiency of health care nurse, which will benefit our patients. This Project has been developed and will be set up thanks to the collaboration between the national Nursing Research Development and Coordination Unit (Investén-isciii), the Spanish Joanna Briggs Institute Collaboration Centre (consisted of the Institute of Health Carlos III, 14 Spanish Autonomous Communities and the Ministry of Health, Social Policy and Equality), and the Registered Nurses' Association of Ontario (RNAO), Canada.

Spanish nurses' attitudes towards research and perceived barriers and facilitators of research utilisation: a comparative survey of nurses with and without experience as principal investigators.

Aims And Objective: To examine attitudes towards research and perceived barriers and facilitators of research utilisation in clinical practice in a broad cross-section of Spanish nurses.

Background: Nurses' attitudes towards research are critical in determining whether study findings are used to improve practice.

Design: Cross-sectional comparative survey in Hospitals, Primary Care Centres and University-affiliated schools of nursing.

[Barriers to the utilization of research. A descriptive study of clinical nurses and nurses with experience as researchers].

Objective: To identify barriers to the utilization of research as perceived by Spanish nurses in clinical practice and by nurses who have been principal investigators of a research project funded by the national health research funding agency.

Method: Cross-sectional, descriptive and observational study conducted in 2006 in hospitals, primary care health centres and nursing schools from the 17 Spanish Regions. Principal investigators of at least one project funded by the national health research funding agency between 1998 and 2004 were also included.