ARTICLE IN PRESS
+Model
Enferm Clin. 2020;xxx(xx):xxx---xxx
www.elsevier.es/enfermeriaclinica
ORIGINAL ARTICLE
Implementation results of the assessment and
management of pain guideline within Best Practice
Spotlight Organisations (BPSO
®
)
M. Dolores Saiz Vinuesa
a
, Laura Albornos-Mu˜ noz
b
, M. Luz Fernández Nú˜ nez
c
,
Maribel López-García
d,*
, Teresa Moreno-Casbas
e
, José Ángel González Sánchez
f
,
on behalf of the Methodological Working Group of the implementation program of good
practices in Centers Committed to Excellence in Care
®♦
a
Unidad de Cuidados Intensivos, Complejo Hospitalario Universitario, Albacete, Spain
b
Unidad de Investigación en Cuidados y Servicios de Salud (Investén-isciii), REDISSEC, Instituto de Salud Carlos III, Madrid, Spain
c
Área de Calidad, Formación, Docencia e Investigación de la Gestión de Atención Especializada, Áreas III y IV, Hospital Comarcal
Sierrallana, Torrelavega, Cantabria, Spain
d
Unidad de Tocoginecología, Hospital de Mendaro, OSI Debabarrena, Mendaro, Gipuzkoa, Spain
e
Unidad de Investigación en Cuidados y Servicios de Salud (Investén-isciii), CIBERFES, Instituto de Salud Carlos III, Madrid, Spain
f
Área de Procesos, Investigación, Innovación y Sistemas de Información, Hospital Clínico San Carlos, Madrid, Spain
Received 9 July 2019; accepted 6 April 2020
KEYWORDS
Practice guideline;
Evidence-based
practice;
Implementation
science;
Pain;
Nursing care
Abstract
Aim: to analyse the progress of implementing the process recommendations of the RNAO Assess-
ment and Management of Pain guideline and health outcomes.
Method: An observational, longitudinal, retrospective study conducted in 3 tertiary-level hospi-
tals in Spain. All patients discharged over the last 5 days of each month from the units selected
in the implementation process were included. We evaluated structural data, mean hospital
stay, implementation strategy and degree of implementation of the process recommendations
of the RNAO guideline over the first 3 years of implementation, and outcomes. A descriptive
analysis was performed by calculating means and absolute and relative frequencies in periods:
baseline (T0), annual, over the 3 first years of implementation (T1, T2 and T3 respectively),
and inferential.
DOI of original article: https://doi.org/10.1016/j.enfcli.2020.04.002
Please cite this article as: Saiz Vinuesa MD, Albornos-Mu˜ noz L, Fernández Nú˜ nez ML, López-García M, Moreno-Casbas T, González Sánchez
JÁ, et al. Resultados de la implantación de la Guía de valoración y manejo del dolor en Centros Comprometidos con la Excelencia en Cuidados
(CCEC
®
) en Espa˜ na. Enferm Clin. 2020. https://doi.org/10.1016/j.enfcli.2020.04.002
*
Corresponding author.
E-mail address: Maribel.lopezgarcia@osakidetza.eus (M. López-García).
♦
The names of the members of the Working Group of the Program for the implementation of good practices in Centers Committed to
Excellence in Care
®
are listed in Annex 1.
2445-1479/© 2020 Published by Elsevier Espa˜ na, S.L.U.
ENFCLE-1544; No. of Pages 10