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Introduction. The Best Practice Guidelines of the Registered Nurses' Association of Ontario (RNAO) is a comprehensive approach that includes issuance of guidelines, active support for their implementation, and an international data system for assessing results. Objective. Reflect on the process of transformation in nursing through knowledge, taking into consideration the past, present and future of the Best Practice Guidelines of the RNAO. Summary. Initially, background is provided on the development of the Best Practice Guidelines, and their dissemination, implementation and sustainability. The program has been expanded at three levels: 1) upward expansion, or through increased coverage; 2) outward expansion, or through the adaptation of policies, laws and guidelines; 3) inward expansion, or through changes in norms and culture. In the large-scale dissemination of the Best Practice Guidelines, several success factors can be observed, such as: localization, comprehensiveness, solidity, proven results, accessibility, being at the forefront and collective identity. Conclusions: The program enables healthcare institutions and systems to focus on the patients and clinical excellence, using the most recent research as basis for the practice and to optimize results. The guidelines program has helped drive government priorities, as well as results in patients, professionals, institutions and healthcare systems. ; Introducción. El programa de guías de buenas prácticas de Registered Nurses' Association of Ontario (RNAO) es integral, pues incluye el desarrollo de las guías, el apoyo activo para la implementación, y un sistema internacional de datos para la evaluación de resultados. Objetivo. Reflexionar sobre el proceso de transformación de la enfermería a través del conocimiento, teniendo en cuenta el pasado, presente y futuro del programa de guías de buenas prácticas de RNAO. Síntesis. Inicialmente se presentan los antecedentes que permiten el desarrollo del programa de las guías, la difusión, implantación y ...

Introducción: Los gobiernos de todo el mundo buscan diferentes estrategias para ampliar el acceso a los servicios de salud, abaratar costos y optimizar resultados. Objetivo: Presentar el contexto socio-político de salud en el que se sitúan las guías de buenas prácticas basadas en la evidencia de la Asociación de Enfermeras de Ontario. Temas de reflexión: La discusión se centra en los desafíos claves de salud y atención sanitaria que enfrentan diversos países del mundo, y las amenazas y oportunidades que éstos presentan para Enfermería. Se enfatiza la necesidad del uso de evidencia como una herramienta central pero no la única para optimizar los resultados de salud de los ciudadanos. Conclusiones: Los cuatro componentes principales que facilitan un modelo de atención efectivo corresponde a: Recursos humanos adecuados; trabajo interprofesional positivo; expansión del rol de las enfermeras profesionales; y la práctica basada en la evidencia. Todos estos componentes son necesarios para alcanzar una atención de acceso universal, oportuna y centrada en la persona. [Grinspun D. Modelo de Enfermería para optimizar sistemas de salud. MedUNAB 2017; 20(2): 224-234]. ; Introduction: Governments around the world seek different strategies to expand access to health services, lower health costs and optimize health results. Objective: To present the socio-political context in which the best practices guidelines program of the Registered Nurses' Association of Ontario (RNAO) is situated. Reflection Topics: The discussion focuses on the key health and healthcare challenges faced by different countries around the world, and the threats and opportunities they present for Nursing. Emphasis is placed on the need to use evidence as a central tool, but not the only one to optimize the health outcomes of citizens. Conclusions: The four main components that facilitate an effective care model correspond to adequate human resources, positive inter professional work, scope expansion of the role of registered nurses (RNs), and evidence-based practice. All of these components are necessary to achieve universal, timely and person-centered access care. [Grinspun D Nursing Model to Optimize Health Systems. MedUNAB 2017; 20(2): 224-234].

Introduction: Governments around the world seek different strategies to expand access to health services, lower health costs and optimize health results. Objective: To present the socio-political context in which the best practices guidelines program of the Registered Nurses' Association of Ontario (RNAO) is situated. Reflection Topics: The discussion focuses on the key health and healthcare challenges faced by different countries around the world, and the threats and opportunities they present for Nursing. Emphasis is placed on the need to use evidence as a central tool, but not the only one to optimize the health outcomes of citizens. Conclusions: The four main components that facilitate an effective care model correspond to adequate human resources, positive inter professional work, scope expansion of the role of registered nurses (RNs), and evidence-based practice. All of these components are necessary to achieve universal, timely and person-centered access care. [Grinspun D Nursing Model to Optimize Health Systems. MedUNAB 2017; 20(2): 224-234]. ; Introducción: Los gobiernos de todo el mundo buscan diferentes estrategias para ampliar el acceso a los servicios de salud, abaratar costos y optimizar resultados. Objetivo: Presentar el contexto socio-político de salud en el que se sitúan las guías de buenas prácticas basadas en la evidencia de la Asociación de Enfermeras de Ontario. Temas de reflexión: La discusión se centra en los desafíos claves de salud y atención sanitaria que enfrentan diversos países del mundo, y las amenazas y oportunidades que éstos presentan para Enfermería. Se enfatiza la necesidad del uso de evidencia como una herramienta central pero no la única para optimizar los resultados de salud de los ciudadanos. Conclusiones: Los cuatro componentes principales que facilitan un modelo de atención efectivo corresponde a: Recursos humanos adecuados; trabajo interprofesional positivo; expansión del rol de las enfermeras profesionales; y la práctica basada en la evidencia. Todos estos componentes ...

The government around the world is aiming to improve health care and optimize their results through initiatives to accelerate the systematized integration of evidence-based clinical care. It is not surprising, then, that this is the second issue of Medunab journal, dedicated to visualizing the systematized transformation of the nursing profession through the continuous use of scientific evidence in day-to-day clinical practice. ; Los gobiernos de todo el mundo apuntan a mejorar los cuidados de salud, y a optimizar sus resultados a través de iniciativas destinadas a acelerar la integración sistematizada de atención clínica basada en la evidencia. No es sorprendente entonces, que este sea el segundo número de la revista MedUNAB, dedicado a visualizar la transformación sistematizada de la profesión de enfermería a través del uso continuo de evidencia científica en la práctica clínica del día a día.

Los gobiernos de todo el mundo apuntan a mejorar los cuidados de salud, y a optimizar sus resultados a través de iniciativas destinadas a acelerar la integración sistematizada de atención clínica basada en la evidencia. No es sorprendente entonces, que este sea el segundo número de la revista MedUNAB, dedicado a visualizar la transformación sistematizada de la profesión de enfermería a través del uso continuo de evidencia científica en la práctica clínica del día a día. ; The government around the world is aiming to improve health care and optimize their results through initiatives to accelerate the systematized integration of evidence-based clinical care. It is not surprising, then, that this is the second issue of Medunab journal, dedicated to visualizing the systematized transformation of the nursing profession through the continuous use of scientific evidence in day-to-day clinical practice.

Focuses on nursing in the context of a broader analysis of flexible labour markets, with a focus on part‐time and casual work, which thousands of nurses in Canada have been forced into through health care restructure. Discusses the subject in great detail and concludes employers lost control of their own strategy with regard to the restructure of employment for their staff.

The Best Practices Spotlight Organization (BPSO) Designation is internationally renowned and has been a resounding success in demonstrating the uptake and sustained use of Best Practice Guidelines. The BPSO Designation's strategic approach has served to trigger the development of evidence-based cultures, improve patient care, and enrich the professional practice of nurses and other healthcare providers. At the time of writing, there were 7 BPSO Hosts composed of 125 BPSOs Direct that represent over 550 healthcare organizations and academic institutions in 12 countries and 5 continents. ; From conceptual and programmatic underpinnings to lived experiences of faculty, students, nurse executives, and bedside nurses, Transforming Nursing Through Knowledge leaves no stone unturned, allowing readers to gain a full understanding of a nurse's role in developing, using, and evaluating the impact of knowledge tools in healthcare. Authors Doris Grinspun and Irmajean Bajnok designed this text to be a practical, go-to book for healthcare organizations, nurse executives, and professionals learning to create world-class evidence-based cultures—how to get started, move forward, and achieve results. This book will help you: Understand the Registered Nurses' Association of Ontario (RNAO) Best Practice Guidelines (BPG) Program and its galvanizing power as a global movement that builds collective identity Discover the latest in guideline development, implementation science, and evaluation at scale Tackle healthy work environment challenges using BPGs to influence outcomes for health professionals, patients, organizations, and health systems Use implementation science and social movement strategies to successfully implement BPGs in academic and service settings Recognize that transferring and sustaining evidence uptake require active and multilevel interventions Learn to integrate technology, including nursing order sets, to support evidence-based clinical decision making Propel large-scale organizational and health system change using diffusion theory and social movement thinking Be inspired by nursing associations taking political leadership to secure the highest-quality health system for the public Transforming Nursing Through Knowledge enables readers to learn from the evolution of a successful largescale global program focused on advancing evidence to practice, evidence to work environments, and evidence to policy to bring about deep organizational and health system change. This item record pertains to an excerpt from Transforming Nursing Through Knowledge , which is provided free of charge by the publisher. To purchase the entire book from the publisher click here. To order books, buy in bulk, or order for corporate use, contact Sigma Marketplace at 888.NKI.4YOU (888.654.4968/US and Canada) or +1.317.634.8171 (outside US and Canada). To request a review copy for course adoption, email solutions@nursingknowledge.org or call 888.NKI.4YOU (888.654.4968/US and Canada) or +1.317.634.8171 (outside US and Canada) To request author information, or for speaker or other media requests, contact Marketing, Honor Society of Nursing, Sigma Theta Tau International at 888.634.7575 (US and Canada) or +1.317.634.8171 (outside US and Canada).