Status:
RECRUITING
Sumamos Excelencia Project: Implementation of Best Practices in Clinical Practice (Thrid Edition)
Lead Sponsor:
Instituto de Salud Carlos III
Collaborating Sponsors:
The Spanish Centre for Evidence Based Nursing and Healthcare
Conditions:
Pain
Obesity, Childhood
Eligibility:
All Genders
Phase:
NA
Brief Summary
There is a gap between research and clinical practice, leading to variability in decision-making. Multifaceted implementation strategies are for improving implementation of best practices. Quasi-exper...
Detailed Description
Aim: To assess the effectiveness of implementing evidence-based recommendations using multifaceted implementation strategy on patient outcomes and healthcare quality. Design: Quasi-experimental, multi...
Eligibility Criteria
Inclusion
- Unit inclusion criteria:
- NHS units and nursing homes which voluntary adhere to the project.
- NHS units and nursing homes providing direct patient care and commit to implement evidence-based recommendations on hand hygiene and one of the following topics: pain assessment and management, urinary incontinence management, obesity prevention and breastfeeding promotion, Smoking Cessation, falls prevention, pressure injuries prevention. For the purposes of this study, a "unit" is defined as any service, centre or institution that delivers health services to a homogeneous group of patients who share similar characteristics.
- Patient inclusion criteria: The study will include all patients attended in the units participating in the study, who meet the following criteria, depending on the recommendations to be implemented in each unit:
- Pain:
- People susceptible to suffering some type of pain regardless of age.
- Patients treated in acute or chronic health institutions (Hospitals, Nursing Homes or Primary Care).
- Urinary incontinence:
- \- Patients 18 years or older.
- \- Patients with uncomplicated stress, urge or mixed urinary incontinence
- \- At least 7 days of admission or possibility of continuity of care preferably up to 6 weeks.
- Obesity:
- Babies and preschool children up to 12 years old.
- For ages 2 to 12 years (inclusive), children must not be overweight or obese 1 year prior to baseline measurement (in February 2021 or at the closest review to February 2021 at which BMI is recorded).
- Good general health.
- Breastfeeding:
- Lactating people.
- Healthy neonates of gestational age greater than 36 weeks, with birth weight greater than or equal to 2500 gr.
- Couples and relatives within the support network.
- Postpartum period and up to 6 months of life of the baby (183 days of life, included).
- In primary care, only non-urgent care will be included.
- Smoking Cessation:
- \- ≥ 18 years of age
- Smokers
- Pressure injury prevention:
- \- Adults population (≥ 18 years).
- Admitted to hospitals, nursing homes or included in home care programmes.
- Patients at risk of developing pressure injuries.
- Falls prevention:
- Adults aged 65 years or older, and adults aged 18 years or older who may potentially present problems in walking as a result of neurological or traumatic diseases, medication, or who suffer from loss of strength or drowsiness.
- Hand hygiene:
- \- All health professionals who care for patients in the units participating in the study.
Exclusion
- \-
Key Trial Info
Start Date :
September 1 2024
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
January 30 2026
Estimated Enrollment :
400 Patients enrolled
Trial Details
Trial ID
NCT06522529
Start Date
September 1 2024
End Date
January 30 2026
Last Update
July 26 2024
Active Locations (1)
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1
Instituto de Salud Carlos III - Unidad de Investigación en Cuidados y Servicios de Salud
Madrid, Spain, 28029