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Moving Evidence into Practice by Advanced Practice Nurses in Hospitalization Wards. Protocol for a Multicentre Quasi-Experimental Study in Three Hospitals in Spain

Author

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  • Sandra Pol-Castañeda

    (Hospital Son Llàtzer, 07198 Palma, Balearic Islands, Spain
    Department of Nursing and Physiotherapy, University of the Balearic Islands, 07122 Palma, Balearic Islands, Spain
    CurES Research Group, Balearic Islands Health Research Institute-IdISIBa, 07120 Palma, Balearic Islands, Spain)

  • Miguel Ángel Rodríguez-Calero

    (Department of Nursing and Physiotherapy, University of the Balearic Islands, 07122 Palma, Balearic Islands, Spain
    CurES Research Group, Balearic Islands Health Research Institute-IdISIBa, 07120 Palma, Balearic Islands, Spain
    Health Service of the Balearic Islands, 07003 Palma, Balearic Islands, Spain)

  • Concepción Zaforteza-Lallemand

    (CurES Research Group, Balearic Islands Health Research Institute-IdISIBa, 07120 Palma, Balearic Islands, Spain
    Hospital de Inca, 07300 Inca, Balearic Islands, Spain)

  • Carlos Javier Villafáfila-Gomila

    (CurES Research Group, Balearic Islands Health Research Institute-IdISIBa, 07120 Palma, Balearic Islands, Spain
    Health Service of the Balearic Islands, 07003 Palma, Balearic Islands, Spain)

  • Ian Blanco-Mavillard

    (Department of Nursing and Physiotherapy, University of the Balearic Islands, 07122 Palma, Balearic Islands, Spain
    CurES Research Group, Balearic Islands Health Research Institute-IdISIBa, 07120 Palma, Balearic Islands, Spain
    Hospital Manacor, Quality, Teaching and Research Unit, Cra. de Manacor-Alcudia s/n, 07500 Manacor, Spain)

  • Francisco Ferrer-Cruz

    (Hospital de Inca, 07300 Inca, Balearic Islands, Spain)

  • Joan De Pedro-Gómez

    (Department of Nursing and Physiotherapy, University of the Balearic Islands, 07122 Palma, Balearic Islands, Spain
    CurES Research Group, Balearic Islands Health Research Institute-IdISIBa, 07120 Palma, Balearic Islands, Spain)

Abstract

Evidence-based practice (EBP) combined with quality of care improves patient outcomes. However, there are still difficulties for its implementation in daily clinical practice. This project aims to evaluate the impact of the incorporation of the Advanced Practice Nurse (APN) role on the implementation of EBP at three levels: context, nurses’ perceptions, and clinical outcomes. Mixed-methods study in two phases is proposed. Phase 1: a quasi-experimental design where five APNs are included in five hospitalization wards that are compared with another five similar wards without APNs. Variables from Practice-Environment-Scale-Nursing-Work-Index, Health-Science-Evidence-Based-Practice-Questionnaire, and Advanced-Practice-Nursing-Competency-Assessment-Instrument are used. Clinical outcomes are followed-up with monthly. A descriptive and exploratory analysis is performed. Phase 2: an exploratory qualitative design through focus groups at the intervention wards after one year of APNs implementation. Explicative data are gathered to explain the progression of change and how actors perceive and attribute triggers, barriers, and facilitators for change. An inductive thematic analysis is performed. The inclusion of APN in hospitalization context is insufficiently studied. It is hoped that these figures provide solutions to the multiple barriers in the development of EBP in these sceneries and contribute to resolve the gap between research results and healthcare practice.

Suggested Citation

  • Sandra Pol-Castañeda & Miguel Ángel Rodríguez-Calero & Concepción Zaforteza-Lallemand & Carlos Javier Villafáfila-Gomila & Ian Blanco-Mavillard & Francisco Ferrer-Cruz & Joan De Pedro-Gómez, 2020. "Moving Evidence into Practice by Advanced Practice Nurses in Hospitalization Wards. Protocol for a Multicentre Quasi-Experimental Study in Three Hospitals in Spain," IJERPH, MDPI, vol. 17(10), pages 1-14, May.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:10:p:3473-:d:358897
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    References listed on IDEAS

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    1. Ajzen, Icek, 1991. "The theory of planned behavior," Organizational Behavior and Human Decision Processes, Elsevier, vol. 50(2), pages 179-211, December.
    2. James Buchan & Lynn Calman, 2005. "Skill-Mix and Policy Change in the Health Workforce: Nurses in Advanced Roles," OECD Health Working Papers 17, OECD Publishing.
    3. María Begoña Sánchez-Gómez & Sara Ramos-Santana & Juan Gómez-Salgado & Francisca Sánchez-Nicolás & Carlos Moreno-Garriga & Gonzalo Duarte-Clíments, 2019. "Benefits of Advanced Practice Nursing for Its Expansion in the Spanish Context," IJERPH, MDPI, vol. 16(5), pages 1-15, February.
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