Transformando la enfermería a través el conocimiento: pasado, presente y futuro del programa de guías de buenas prácticas de Registered Nurses’ Association of Ontario

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 t...

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Autores:: Grinspun, Doris

Tipo de recurso:: Article of investigation

Fecha de publicación:: 2021

Institución:: Universidad Autónoma de Bucaramanga - UNAB

Repositorio:: Repositorio UNAB

Idioma:: spa

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dc.title.spa.fl_str_mv	Transformando la enfermería a través el conocimiento: pasado, presente y futuro del programa de guías de buenas prácticas de Registered Nurses’ Association of Ontario
dc.title.translated.eng.fl_str_mv	Transforming nursing through knowledge: past, present and future of the Registered Nurses’ Association of Ontario good practice guidance program
dc.title.translated.por.fl_str_mv	Transformando a enfermagem através do conhecimento: passado, presente e futuro do programa de orientação de boas práticas da Registered Nurses’ Association of Ontario
title	Transformando la enfermería a través el conocimiento: pasado, presente y futuro del programa de guías de buenas prácticas de Registered Nurses’ Association of Ontario
spellingShingle	Transformando la enfermería a través el conocimiento: pasado, presente y futuro del programa de guías de buenas prácticas de Registered Nurses’ Association of Ontario Guía de práctica clínica Práctica clínica basada en la evidencia Enfermería basada en la evidencia Medios de comunicación Educación en enfermería Programa Medical sciences Life sciences Practice guideline Evidence-based practice Evidence-based Nursing Communications media Social media Education nursing Program Medical sciences Life sciences Health sciences Guía de prática clínica Prática clínica baseada em Evidências Enfermagem baseada em evidências Meios de comunicação Educação em Enfermagem Programa Ciências médicas Ciências da vida Ciências da saúde Ciencias médicas Ciencias de la vida Ciencias de la salud
title_short	Transformando la enfermería a través el conocimiento: pasado, presente y futuro del programa de guías de buenas prácticas de Registered Nurses’ Association of Ontario
title_full	Transformando la enfermería a través el conocimiento: pasado, presente y futuro del programa de guías de buenas prácticas de Registered Nurses’ Association of Ontario
title_fullStr	Transformando la enfermería a través el conocimiento: pasado, presente y futuro del programa de guías de buenas prácticas de Registered Nurses’ Association of Ontario
title_full_unstemmed	Transformando la enfermería a través el conocimiento: pasado, presente y futuro del programa de guías de buenas prácticas de Registered Nurses’ Association of Ontario
title_sort	Transformando la enfermería a través el conocimiento: pasado, presente y futuro del programa de guías de buenas prácticas de Registered Nurses’ Association of Ontario
dc.creator.fl_str_mv	Grinspun, Doris
dc.contributor.author.none.fl_str_mv	Grinspun, Doris
dc.subject.spa.fl_str_mv	Guía de práctica clínica Práctica clínica basada en la evidencia Enfermería basada en la evidencia Medios de comunicación Educación en enfermería Programa
topic	Guía de práctica clínica Práctica clínica basada en la evidencia Enfermería basada en la evidencia Medios de comunicación Educación en enfermería Programa Medical sciences Life sciences Practice guideline Evidence-based practice Evidence-based Nursing Communications media Social media Education nursing Program Medical sciences Life sciences Health sciences Guía de prática clínica Prática clínica baseada em Evidências Enfermagem baseada em evidências Meios de comunicação Educação em Enfermagem Programa Ciências médicas Ciências da vida Ciências da saúde Ciencias médicas Ciencias de la vida Ciencias de la salud
dc.subject.keywords.eng.fl_str_mv	Medical sciences Life sciences Practice guideline Evidence-based practice Evidence-based Nursing Communications media Social media Education nursing Program Medical sciences Life sciences Health sciences
dc.subject.keywords.por.fl_str_mv	Guía de prática clínica Prática clínica baseada em Evidências Enfermagem baseada em evidências Meios de comunicação Educação em Enfermagem Programa Ciências médicas Ciências da vida Ciências da saúde
dc.subject.lemb.spa.fl_str_mv	Ciencias médicas Ciencias de la vida
dc.subject.proposal.spa.fl_str_mv	Ciencias de la salud
description	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 sostenibilidad de las guías de buenas prácticas. La expansión del programa se da a tres niveles: 1) ampliación hacia arriba, o mediante la ampliación de la cobertura; 2) ampliación hacia afuera, o mediante la adaptación de políticas, leyes y directrices; 3) ampliación hacia adentro, o mediante el cambio de normas y cultura. En relación con la difusión del programa de guías de buenas prácticas a gran escala se logran identificar factores de éxito tales como: localización, integralidad, solidez, resultados comprobados, accesibilidad, vanguardia e identidad colectiva. Conclusiones: El programa hace posible que las instituciones y los sistemas sanitarios se centren en la atención al paciente y en la excelencia clínica, usando la investigación más reciente para servir de base para la práctica y optimizar los resultados. El programa de guías ha ayudado a impulsar las prioridades gubernamentales, así como los resultados de pacientes, profesionales, instituciones y sistemas sanitarios.
publishDate	2021
dc.date.issued.none.fl_str_mv	2021-06-28
dc.date.accessioned.none.fl_str_mv	2024-07-29T20:27:19Z
dc.date.available.none.fl_str_mv	2024-07-29T20:27:19Z
dc.type.eng.fl_str_mv	Article
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dc.type.local.spa.fl_str_mv	Artículo
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dc.identifier.doi.none.fl_str_mv	https://doi.org/10.29375/01237047.3977
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dc.relation.spa.fl_str_mv	https://revistas.unab.edu.co/index.php/medunab/article/view/3977/3458
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dc.relation.references.none.fl_str_mv	Cortés OL, Serna-Restrepo A, Salazar-Beltrán LD, Rojas-Castañeda YA, Cabrera-González S, Arévalo- Sandoval I. Implementación de guías de práctica clínica de la Asociación de Enfermeras de Ontario- RNAO: Una experiencia de enfermería en un hospital colombiano. MedUNAB. 2016;19(2): 103-114. doi: https://doi.org/10.29375/01237047.2617 Field M, Lohr K. Committee to Advise the Public Health Service on Clinical Practice Guidelines, Institute of Medicine. Clinical practice guidelines: Directions for a new program. Washington, D.C., DC: National Academies Press; 1990. p.8. Disponible en: https:// www.ncbi.nlm.nih.gov/books/NBK235751/ Grinspun D, Lloyd M, Xiao S, Bajnok I. Midiendo la calidad del cuidado de enfermería basado en la evidencia: NQuIRE - Sistema de Indicadores de Calidad en Enfermería para reportar y evaluar. MedUNAB. 2015;17(3): 170-175. doi: https://doi. org/10.29375/01237047.2384. Grinspun, D. Conversaciones con Nightingale: Pensamientos de una de sus discípulas. Metas Enferm. 2020;23(7): 3-6. Disponible en: https://www. enfermeria21.com/revistas/metas/articulo/81632/ Grinspun D. Transformando la Enfermería a través del conocimiento: avances del Programa de Guías de Buenas Prácticas de la Registered Nurses’ Association of Ontario (RNAO), Enfermería Clínica. 2020;30(3):133-13. doi: https://doi.org/10.1016/j. enfcli.2020.03.002. Grinspun, D, Virani T, Bajnok I. Nursing Best Practice Guidelines: The RNAO Project. Hospital Quarterly, Winter, 2002. doi: http://doi.org/10.12927/hcq..16690 Scarrow, J. Revolutionizing nursing practice. Registered Nurse Journal, 2008;20(2), 12–17. Disponible en: https://rnao.ca/sites/rnao-ca/files/Mar- Apr_0.pdf JPNC Implementation Monitoring Subcommittee. Good nursing, good health: The return on our investment—Progress report. Toronto, ON: Queen’s Printer for Ontario. 2003. Disponible en: https://www. health.gov.on.ca/en/common/ministry/publications/ reports/nurserep01/nurse_rep.aspx Registered Nurses’ Association of Ontario (RNAO). Developing and Sustaining Nursing Leadership (2nd ed.). Toronto, ON: Registered Nurses’ Association of Ontario. 2013. Disponible en: https://rnao.ca/sites/ rnao-ca/files/LeadershipBPG_Booklet_Web_1.pdf Registered Nurses’ Association of Ontario (RNAO). Preventing and Managing Violence in the Workplace. Toronto, ON: Registered Nurses’ Association of Ontario. 2009. Disponible en: https://rnao.ca/sites/ rnao-ca/files/Preventing_and_Managing_Violence_ in_the_Workplace.pdf Registered Nurses’ Association of Ontario (RNAO). Care Transitions. Toronto, ON: Registered Nurses’ Association of Ontario. 2014. Disponible en: https:// rnao.ca/sites/rnao-ca/files/Care_Transitions_BPG. pdf Grinspun D. Transformando la enfermería a través del conocimiento: resultados del programa de guías de buenas prácticas de la Registered Nurses’ Association of Ontario (RNAO). MedUNAB [Internet]. 31 de marzo de 2020 [citado 24 de junio de 2021];23(1):8- 10. doi: https://doi.org/10.29375/01237047.3856 Grinspun D, Bajnok I. Transforming nursing through knowledge: best practices for guideline development, implementation science, and evaluation. Indianapolis, IN, USA: Sigma Theta Tau International Honor Society of Nursing; 2018. p 3-27. Disponible en: https://www.goodreads. com/book/show/40398987-transforming-nursingthrough- knowledge Registered Nurses’ Association of Ontario (RNAO). RNAO partners with seven health-care organizations to implement and evaluate nursing BPGs. 2004, January 13. Disponible en: https://rnao.ca/fr/news/ media-releases/RNAO-partners-with-seven-healthcare- organizations-to-implement-and-evaluatenursing- BPGs WHO Regional Office for Europe. Spain BPSO Host. Nurses and Midwifes: A vital resource for Health. European compendium of good practices in nursing and midwifery towards Health 2020 goals. SPAIN: Implementation of evidence-based guidelines to establish a network of centres committed to using best care practices Copenhagen, Denmark. 2015. pp. 40–42. Disponible en: https://www.euro.who. int/en/health-topics/Health-systems/nursing-andmidwifery/ publications/2015/nurses-and-midwivesa- vital-resource-for-health.-european-compendiumof- good-practices-in-nursing-and-midwiferytowards- health-2020-goals González ME, Moreno-Casbas MT, Albornos- Muñoz L, Grinspun D. Implantación de Guías de buenas prácticas en España a través del Programa de Centros Comprometidos con la Excelencia en Cuidados. Enferm Clin. 2020; 30:136-4. doi: https:// doi.org/10.1016/j.enfcli.2019.09.018 Bajnok I, Grinspun D, Lloyd M, McConnell H. Leading quality improvement through Best Practice Guideline development, implementation, and measurement science. MedUNAB. 2015; 17(3): 155–162. Disponible en: https://revistas.unab.edu. co/index.php/medunab/article/view/2382/2042 Grinspun, D. Guías de práctica clínica y entorno laboral basados en la evidencia elaboradas por la Registered Nurses’ Association of Ontario (RNAO) (Evidence based clinical practice and work environment guidelines prepared by the RNAO). Enferm Clin. 2011;21(1):1-2. doi: https://doi. org/10.1016/j.enfcli.2010.11.002 Registered Nurses’ Association of Ontario (RNAO). About the eHealth Toolkit. 2009. Disponible en: https://rnao.ca/policy/toolkits Registered Nurses’ Association of Ontario (RNAO). Adopting eHealth solutions: Implementation strategies. Toronto, 2017. ON: Registered Nurses’ Association of Ontario. Disponible en: https://rnao.ca/ sites/rnao-ca/files/bpg/Digital_Health_Guideline.pdf Punch D. Upcoming guideline recommends eHealth strategies to improve health system. 2017, February 3. Disponible en: http://rnao.ca/news/mediareleases/ 2017/02/23/ehealth-improve-health Grinspun D, Botros M, Mulrooney LA, Mo J, Sibbald GR, Penney T. Scaling Deep to Improve People’s Health: From Evidence-Based Practice to Evidence-Based Policy. En: Grinspun D, Bajnok I (Eds.). Transforming Nursing Through Knowledge: Best Practices for Guideline Development, Implementation Science, and Evaluation. 1era Ed. Indianapolis, IN, USA: Sigma Theta Tau International Honor Society of Nursing; 2018. pp. 465-494. Registered Nurses’ Association of Ontario (RNAO). Leadership Manual, 2019-2020 Edition. 2019. Disponible en: https://myrnao.ca/sites/default/files/ related-documents/RNAO%20Leadership%20 Manual%202019-2020.pdf Yufang H, Hailing G, Lijiao Y, Runxi T, Junqiang Z. Overcoming Context and Language Differences: BPSO Trailblazers in China. En: Grinspun D, Bajnok I (Eds.). Transforming Nursing Through Knowledge: Best Practices for Guideline Development, Implementation Science, and Evaluation. 1era Ed. Indianapolis, IN, USA: Sigma Theta Tau International Honor Society of Nursing; 2018. pp. 333-357. Serna-Restrepo A, Esparza-Bohorquez M, Abad- Vasquez S, Cortes OL, Granados-Oliveros LM, Belmar- Valdebenito A, Grinspun D. The Latin-American BPSO Experience: A Consortium Model. En: Grinspun D, Bajnok I (Eds.). Transforming Nursing Through Knowledge: Best Practices for Guideline Development, Implementation Science, and Evaluation. 1era Ed. Indianapolis, IN, USA: Sigma Theta Tau International Honor Society of Nursing; 2018. pp. 359-391. Bonner R, Hurley J, Ho E, Dabars E. Value for Money: Measuring the Economic Impact of BPSOs in Australia. En: Grinspun D, Bajnok I (Eds.). Transforming Nursing Through Knowledge: Best Practices for Guideline Development, Implementation Science, and Evaluation. 1era Ed. Indianapolis, IN, USA: Sigma Theta Tau International Honor Society of Nursing; 2018. pp. 433-461 Grdisa V, Grinspun D, Toor KG, Owusu Y, Naik S, Smith K. Evaluating BPG Impact: Development and Refinement of NQuIRE. En: Grinspun D, Bajnok I (Eds.). Transforming Nursing Through Knowledge: Best Practices for Guideline Development, Implementation Science, and Evaluation. 1era Ed. Indianapolis, IN, USA: Sigma Theta Tau International Honor Society of Nursing; 2018. pp. 395-431. Grinspun, D. Experiencia obtenida con la herramienta Indicadores de Calidad de Enfermería para Informes y Evaluación NQuIRE distribución. MedUNAB. 2018; 20(3):30-31. Disponible en: https://revistas. unab.edu.co/index.php/medunab/issue/view/243/ Vol.20.N%C3%BAmero.3-Suplemento-2018 Grinspun, D. Transforming Nursing Practice through Evidence. MedUNAB. 2015;17(3): 133-134. doi: https://doi.org/10.29375/01237047.2377 Edwards, N., Rowan, M., Marck, P., Grinspun, D. Understanding whole systems change in health care: The case of the nurse practitioners in Canada. Policy, Politics, & Nursing, 2011;12(1), 4–17. doi: https:// doi.org/10.1177/1527154411403816 Moore, M., Riddell, D., Vocisano, D. Scaling out, scaling up, scaling deep: Strategies of nonprofits in ad- vancing systemic social innovation. Journal of Corporate Citizenship, 2015;(58): 67–84. Disponible en: https://www.researchgate. net/publication/298971574_Scaling_Out_Scaling_ Up_Scaling_Deep_Strategies_of_Non-profits_in_ Advancing_Systemic_Social_Innovation Rogers, E.M. Diffusion of innovations. New York, NY: Free Press of Glencoe. 1962. doi: https://doi. org/10.1002/jps.2600520633 Rogers, E.M. Diffusion of innovations (5th ed.). New York, NY: Free Press. 2003. Melucci, A. The new social movements: A theoretical approach. Social Science Information, 1980;19(2), 199– 226. doi: https://doi.org/10.1177/053901848001900201 Melucci, A. Nomad of the present: Social movements and individual needs in contemporary society. Philadelphia, PA: Temple University Press.1989. p34 Melucci, A. Challenging codes: Collective action in the information age. Cambridge, UK: Cambridge University Press.1996. doi https://doi. org/10.1017/CBO9780511520891 Curran, J.A., Grimshaw, J.M., Hayden, J.A., & Campbell, B. Knowledge translation research: The science of moving research into policy and practice. Journal of Continuing Education in the Health Professions, 2011;31(3), 174–180. doi: https://doi. org/10.1002/chp.20124 Grimshaw, J.M., Eccles, M.P., Lavis, J.N., Hill, S.J., & Squires, J.E. Knowledge translation of research findings. Implementation Science, 2012;7, 50. doi: https://doi.org/10.1186/1748-5908-7-50 Sales, A., Smith, J., Curran, G., Kochevar, L. Models, strategies, and tools: Theory in implementing evidencebased findings into health care practice. Journal of General Internal Medicine, 2006;21(Supplement 2), S43–S49. doi: https://doi.org/10.1111/j.1525- 1497.2006.00362.x Shekelle, P.G., Woolf, S.H., Eccles, M., Grimshaw, J. Developing guidelines. BMJ, 1999;318(7183), 593– 598. doi: https://doi.org/10.1136/bmj.318.7183.593 Straus, S., Tetroe, J., Graham, I. (Eds). Knowledge translation in health care (2nd ed.) Oxford, UK: Wiley- Blackwell. 2013. Disponible en: https://ktru.iums.ac.ir/ files/ktru/files/KT_in_HeaLth_Care-2013.pdf Grinspun D. Transforming Nursing Through Knowledge: The Conceptual and Programmatic Underpinnings of RNAO’s BPG Program. En: Grinspun D, Bajnok I (Eds.). Transforming Nursing Through Knowledge: Best Practices for Guideline Development, Implementation Science, and Evaluation. 1era Ed. Indianapolis, IN, USA: Sigma Theta Tau International Honor Society of Nursing; 2018.pp. 3-27 Grinspun, D. Mobilizing Knowledge Through the RNAO Program: A Social Movement. MedUNAB. 2017; 20(2): 113-114. doi: https://doi. org/10.29375/01237047.3235 Grinspun, D., Lloyd, M., Xiao, S., Bajnok, I. Measuring the Quality of Evidence-Based Nursing Care: NQuIRE – Nursing Quality Indicators for Reporting and Evaluation Data-System. MedUNAB. 2015;17(3): 170-175. doi: https://doi.org/10.29375/01237047.2384 Grinspun, D. Leading evidence-based nursing care through systematized processes (Editorial). MedUNAB. 2016; 19(2): 83-84. doi https://doi. org/10.29375/01237047.2615 Belmar, A., Guell, M., Chaparro, J., Grinspun, D. Implementación de buenas prácticas en enfermería: Programa BPSO herramienta principal. Revista Médica Clínica Las Condes, 2018; 29(3), 311-321. doi: https:// doi.org/10.1016/j.rmclc.2018.04.009 Grinspun D, Bajnok I. Transforming Nursing Through Knowledge: Best Practice Guideline Development, Implementation Science and Evaluation. 1era. Ed. . Indianapolis, IN, USA: Sigma Theta Tau International Honor Society of Nursing; 2018. 560 p. Bates, P., Robert, G., Bevan, H. The next phase of healthcare improvement: What can we learn from social movements? Quality & Safety in Health Care, 2004;13(1), 62–66. doi: https://doi.org/10.1136/ qshc.2003.006965 Bajnok, I. Healthy work environment Best Practice Guidelines [Letter to the editor]. Welland Tribune.2. 2008, May 23. Bajnok, I. Falls in older adults and recommendations in RNAO’s BPG [Letter to the editor]. National Post.2009. August 7. Virani, T. Combatting obesity: MDs urge new checkup routine: Height, weight-and waistline. The Globe and Mail.2007. April 10. Zych, M. Health-care professionals mark Nursing Week with a commitment to better patient care. 2012, May 3. Disponible en: https://rnao.ca/category/topics/ bpso Grinspun D, Moreno-Casbas T, Skol, P. Mejorando La Salud de Nuestros Pueblos a Través de Práctica Basada en Evidencia: Un Movimiento Social Seminario web de Enfermería Ahora. Keynote presentation (virtual) for Nursing Now International. 2019, November Di-Costanzo, M. Therefore, be it resolved that Registered Nurse Journal, 2014;26(4): 23–25. Disponible en: https://rnao.ca/sites/rnao-ca/files/ Therefore_be_it_resolved.pdf Grinspun, D. Transformando la enfermería a través del conocimiento: Programa de Guías de Buenas Prácticas de la Asociación de Enfermeras Profesionales, Ontario, Canadá (RNAO). MedUNAB. 2018; 20(3):9-10. Disponible en: https://revistas. unab.edu.co/index.php/medunab/issue/view/243/ Vol.20.N%C3%BAmero.3-Suplemento-2018
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spelling	Grinspun, Dorisad11f0ae-1742-4fdb-b464-e5e1876776192024-07-29T20:27:19Z2024-07-29T20:27:19Z2021-06-28i-ISSN 0123-7047e-ISSN 2382-4603http://hdl.handle.net/20.500.12749/25782instname:Universidad Autónoma de Bucaramanga UNABreponame:Repositorio Institucional UNABrepourl:https://repository.unab.edu.cohttps://doi.org/10.29375/01237047.3977El 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 sostenibilidad de las guías de buenas prácticas. La expansión del programa se da a tres niveles: 1) ampliación hacia arriba, o mediante la ampliación de la cobertura; 2) ampliación hacia afuera, o mediante la adaptación de políticas, leyes y directrices; 3) ampliación hacia adentro, o mediante el cambio de normas y cultura. En relación con la difusión del programa de guías de buenas prácticas a gran escala se logran identificar factores de éxito tales como: localización, integralidad, solidez, resultados comprobados, accesibilidad, vanguardia e identidad colectiva. Conclusiones: El programa hace posible que las instituciones y los sistemas sanitarios se centren en la atención al paciente y en la excelencia clínica, usando la investigación más reciente para servir de base para la práctica y optimizar los resultados. El programa de guías ha ayudado a impulsar las prioridades gubernamentales, así como los resultados de pacientes, profesionales, instituciones y sistemas sanitarios.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.O programa de guias de boas práticas da Registered Nurses’ Association of Ontario (RNAO) é integral, pois inclui o desenvolvimento dos guias, apoio ativo para implementação e um sistema internacional de dados para avaliação de resultados. Objetivo. Refletir sobre o processo de transformação da enfermagem através do conhecimento, levando em consideração o passado, o presente e o futuro do programa de guias de boas práticas da RNAO. Síntese. Inicialmente, são apresentados os antecedentes que permitem o desenvolvimento do programa de guias, a divulgação, implementação e sustentabilidade dos guias de boas práticas. A expansão do programa ocorre em três níveis: 1) expansão para cima, ou pela ampliação da cobertura; 2) expansão para fora, ou pela adaptação de políticas, leis e diretrizes; 3) expansão interna, ou pela mudança de normas e cultura. Em relação à divulgação do programa de guias de boas práticas em grande escala, é possível identificar fatores de sucesso como: localização, integralidade, solidez, resultados comprovados, acessibilidade, vanguarda e identidade coletiva. Conclusões. O programa permite que instituições e sistemas de saúde se concentrem no atendimento ao paciente e na excelência clínica, usando as pesquisas mais recentes para informar a prática e otimizar os resultados. O programa de guias ajudou a impulsionar as prioridades do governo, bem como os resultados para pacientes, profissionais, instituições e sistemas de saúde.application/pdfspahttps://revistas.unab.edu.co/index.php/medunab/article/view/3977/3458https://revistas.unab.edu.co/index.php/medunab/issue/view/275Cortés OL, Serna-Restrepo A, Salazar-Beltrán LD, Rojas-Castañeda YA, Cabrera-González S, Arévalo- Sandoval I. Implementación de guías de práctica clínica de la Asociación de Enfermeras de Ontario- RNAO: Una experiencia de enfermería en un hospital colombiano. MedUNAB. 2016;19(2): 103-114. doi: https://doi.org/10.29375/01237047.2617Field M, Lohr K. Committee to Advise the Public Health Service on Clinical Practice Guidelines, Institute of Medicine. 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Value for Money: Measuring the Economic Impact of BPSOs in Australia. En: Grinspun D, Bajnok I (Eds.). Transforming Nursing Through Knowledge: Best Practices for Guideline Development, Implementation Science, and Evaluation. 1era Ed. Indianapolis, IN, USA: Sigma Theta Tau International Honor Society of Nursing; 2018. pp. 433-461Grdisa V, Grinspun D, Toor KG, Owusu Y, Naik S, Smith K. Evaluating BPG Impact: Development and Refinement of NQuIRE. En: Grinspun D, Bajnok I (Eds.). Transforming Nursing Through Knowledge: Best Practices for Guideline Development, Implementation Science, and Evaluation. 1era Ed. Indianapolis, IN, USA: Sigma Theta Tau International Honor Society of Nursing; 2018. pp. 395-431.Grinspun, D. Experiencia obtenida con la herramienta Indicadores de Calidad de Enfermería para Informes y Evaluación NQuIRE distribución. MedUNAB. 2018; 20(3):30-31. 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Mejorando La Salud de Nuestros Pueblos a Través de Práctica Basada en Evidencia: Un Movimiento Social Seminario web de Enfermería Ahora. Keynote presentation (virtual) for Nursing Now International. 2019, NovemberDi-Costanzo, M. Therefore, be it resolved that Registered Nurse Journal, 2014;26(4): 23–25. Disponible en: https://rnao.ca/sites/rnao-ca/files/ Therefore_be_it_resolved.pdfGrinspun, D. Transformando la enfermería a través del conocimiento: Programa de Guías de Buenas Prácticas de la Asociación de Enfermeras Profesionales, Ontario, Canadá (RNAO). MedUNAB. 2018; 20(3):9-10. Disponible en: https://revistas. unab.edu.co/index.php/medunab/issue/view/243/ Vol.20.N%C3%BAmero.3-Suplemento-2018http://creativecommons.org/licenses/by-nc-nd/2.5/co/Abierto (Texto Completo)Atribución-NoComercial-SinDerivadas 2.5 Colombiahttp://purl.org/coar/access_right/c_abf2Vol. 24 Núm. 2 (2021): agosto-noviembre, 2021: Telemedicina, Neoplasias, Cannabis; 239-254Guía de práctica clínicaPráctica clínica basada en la evidenciaEnfermería basada en la evidenciaMedios de comunicaciónEducación en enfermeríaProgramaMedical sciencesLife sciencesPractice guidelineEvidence-based practiceEvidence-based NursingCommunications mediaSocial mediaEducation nursingProgramMedical sciencesLife sciencesHealth sciencesGuía de prática clínicaPrática clínica baseada em EvidênciasEnfermagem baseada em evidênciasMeios de comunicaçãoEducação em EnfermagemProgramaCiências médicasCiências da vidaCiências da saúdeCiencias médicasCiencias de la vidaCiencias de la saludTransformando la enfermería a través el conocimiento: pasado, presente y futuro del programa de guías de buenas prácticas de Registered Nurses’ Association of OntarioTransforming nursing through knowledge: past, present and future of the Registered Nurses’ Association of Ontario good practice guidance programTransformando a enfermagem através do conhecimento: passado, presente e futuro do programa de orientação de boas práticas da Registered Nurses’ Association of OntarioArticleinfo:eu-repo/semantics/articleArtículohttp://purl.org/coar/resource_type/c_2df8fbb1http://purl.org/coar/resource_type/c_6501http://purl.org/redcol/resource_type/ARThttp://purl.org/coar/version/c_970fb48d4fbd8a85Universidad Autónoma de Bucaramanga UNABFacultad Ciencias de la SaludORIGINALArtículo.pdfArtículo.pdfArtículoapplication/pdf1314083https://repository.unab.edu.co/bitstream/20.500.12749/25782/1/Art%c3%adculo.pdfce9c4d44828d6eb5fc1475c60a966c93MD51open accessLICENSElicense.txtlicense.txttext/plain; charset=utf-8183https://repository.unab.edu.co/bitstream/20.500.12749/25782/2/license.txt737346e09d47a3db691f1370de49426aMD52open accessTHUMBNAILArtículo.pdf.jpgArtículo.pdf.jpgIM Thumbnailimage/jpeg12335https://repository.unab.edu.co/bitstream/20.500.12749/25782/3/Art%c3%adculo.pdf.jpgf688e506339cd71e5fa57e5a656609e4MD53open access20.500.12749/25782oai:repository.unab.edu.co:20.500.12749/257822024-07-29 22:01:29.307open accessRepositorio Institucional \| Universidad Autónoma de Bucaramanga - UNABrepositorio@unab.edu.coTGFzIHB1YmxpY2FjaW9uZXMgZGUgbGEgcmV2aXN0YSBNZWRVTkFCIGVzdMOhbiBiYWpvIHVuYSBMaWNlbmNpYSBkZSBBdHJpYnVjacOzbiBkZSBCaWVuZXMgQ29tdW5lcyBDcmVhdGl2b3MgKENyZWF0aXZlIENvbW1vbnMsIENDKSB0aXBvIDQuMCwgY29uIGRlcmVjaG9zIGRlIGF0cmlidWNpw7NuIHkgbm8gY29tZXJjaWFs

Transformando la enfermería a través el conocimiento: pasado, presente y futuro del programa de guías de buenas prácticas de Registered Nurses’ Association of Ontario

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