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. METHODS: The study will include seven centres in the interventional group and 10 in the non-equivalent control group, all of them belonging to the Spanish national health system. The Practice Environment Scale of the Nursing Work Index, and the Health Sciences Evidence-Based Practice Questionnaire will be administered to a sample of 1,572 nurses at the beginning of the programme and at 1 year. This 3-year study started in April 2018 and will continue until December 2021. Statistical analyses will be carried out using the SPSS 25.0. This project was approved by the Drug Research Ethics Committee of the Parc de Salut Mar and registered in Clinical Trials. DISCUSSION: The study findings will show the current state of nurses' perception of their work environment and attitudes to evidence-based practice, and possible changes in these parameters due to the programme. IMPACT: The findings could provide a strong argument for health policymakers to scale up the Best Practice Spotlight Organization® initiative in the Spanish national health system.

Spanish version of the modified Advanced Practice Role Delineation tool, adaptation and psychometric properties.

BACKGROUND: Role clarity is vital to avoid confusion and role ambiguity within nursing. There is a need for valid, reliable tools that can delineate the profile of advanced nursing practice to measure the extent of advanced practices in Spain. AIM: The main purpose of this study was to translate, cross-culturally adapt, and psychometrically test the Spanish version of the modified Advanced Practice Role Delineation tool. DESIGN: The study was designed to follow symmetrical translation and cognitive debriefing to determine conceptual equivalence. A cross-sectional survey was conducted to examine content validity and psychometric tests. METHODS: Data were collected over 6 months in 2015 and 2016. The study had a purposive sample of specialist nurses and nurses with an extended practice profile beyond that of a general nurse. RESULTS: The study achieved conceptual, semantic, and content equivalence of the items. The results provided support for the instrument's validity and reliability in advanced practice nursing in a tertiary and community hospital. The tool showed internal consistency, with a Cronbach's alpha coefficient of 0.86 and stability over time. CONCLUSION: The findings should influence future nursing practice, research, and leadership while allowing assessment of Spanish advanced practice roles in an international context.