Introducing evidence-based guidelines through a best practice accreditation programme to improve care quality in Spain
Problem: Variability in nursing practices across Spanish health care organizations and concerns regarding the quality and safety of services provided. Lack of comparable indicators across institutions with which to systematically monitor or evaluate nursing practices. Solution highlights: The Best Practice Spotlight Organization accreditation model (developed by the Registered Nurses’ Association of Ontario in Canada) was rolled out in Spain to encourage care organizations to improve adherence to best practice guidelines. While the initiative activated a well-established and structured programme model, flexibility in implementation supported the tailoring of new practices to local needs. Providers were given lead roles in implementing the accreditation programme within their respective organizations, providing them with ownership over the initiative and increasing their acceptance of new practices. A focus on generating and comparing data, as well as strengthening the evaluation of care practices, motivated performance improvements.