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

Abstract

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. There is limited research that associates strategies of evidence-based practice implementation with changes on the work environment and nurse outcomes. 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. 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. Nurses' perception of the work environment is favourable, although the application of the BPSO® Program has not produced any major changes. 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.