Volume 29, Issue 4 pp. 699-709
ORIGINAL ARTICLE

Changes in nurse job outcomes after 4 years of a Best Practice Spotlight Organization® programme implementation in the Spanish National Health Context

Maria Ruzafa-Martinez RN, MSc, PhD

Maria Ruzafa-Martinez RN, MSc, PhD

Associate Professor

Nursing Department, Faculty of Nursing, University of Murcia, Murcia, Spain

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Solanger Hernández-Méndez RN, MSc, PhD

Corresponding Author

Solanger Hernández-Méndez RN, MSc, PhD

Hospital Quality Manager

Hospital Rafael Méndez, III Healthcare Area, Murcian Health Service, Murcia, Spain

Correspondence

Solanger Hernández-Méndez, Hospital Rafael Méndez, III Healthcare Area, Murcia Health Service, Ctra.N-340, 30813 Lorca, Murcia. Spain.

Email: [email protected]

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Jessica Garcia-Gonzalez RN, MSc, PhD

Jessica Garcia-Gonzalez RN, MSc, PhD

Associate Professor

Nursing Department, Faculty of Health and Social Sciences, University of Murcia, Murcia, Spain

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Cesar Leal-Costa RN, MSc, PhD

Cesar Leal-Costa RN, MSc, PhD

Associate Professor

Nursing Department, Faculty of Nursing, University of Murcia, Murcia, Spain

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Miguel Ángel Martínez-González RN

Miguel Ángel Martínez-González RN

Day Unit Charge Nurse

Hospital Rafael Méndez, III Healthcare Area, Murcian Health Service, Murcia, Spain

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Antonio Jesús Ramos-Morcillo RN, MSc, PhD

Antonio Jesús Ramos-Morcillo RN, MSc, PhD

Associate Professor

Nursing Department, Faculty of Nursing, University of Murcia, Murcia, Spain

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First published: 31 October 2020
Funding informationThis research has received a specific grant from funding agencies in the public sectors. (Foundation for Healthcare Training and Research of the Murcia Region (FFIS) FFIS17/CE /01/06).

Abstract

Aim

To evaluate the changes produced after the application of the Best Practice Spotlight Organization® (BPSO®) Program on the attitude towards the evidence-based practice, the nurses’ perception of the organisational climate and nurse outcomes in a health area of the Spanish National Health System.

Background

There is limited research that associates strategies of evidence-based practice implementation with changes on the work environment and nurse outcomes.

Methods

Cross-sectional study that compared data on the nurses’ perception of the work environment. Five guidelines were implemented between 2012 and 2015 in a health area. Data were collected in 2012 and 2016/2017, using a questionnaire consisting of five previously validated tools. X2, t test, ANOVA and multivariate analysis were carried out.

Results

A total of 451 nurses participated. Compared with the baseline evaluation in 2012, several outcomes changed significantly (p < .001), nurses were younger and were more satisfied with “salary”, “annual leaves” and “sick leave”. The rest of the nurse outcomes were not modified.

Conclusions

Nurses' perception of the work environment is favourable, although the application of the BPSO® Program has not produced any major changes.

Implications for Nursing Management

Measures are suggested that are oriented towards the planning of staffing and the increase in the participation of the nursing staff in programmes of implementation of guidelines.

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