Implementing Best Practice Guidelines under the Best Practice Spotlight Organisation: Facilitators and Barriers for Nurses: A Delphi Study

The implementation and sustainability of evidence-based practice (EBP) is a complex process. Best practice guidelines (BPGs) can facilitate the translation of knowledge from theory into practice, but they require working groups to adapt recommendations and encourage adherence to them. <b>The aim</b> of this study was to identify facilitators and barriers of BPGs in the Registered Nurses' Association of Ontario^®, within the framework of Best Practice Spotlight Organisations^® (BPSOs^®), in a hospital setting. <b>Methods:</b> This study was conducted using the modified Delphi method (two rounds) with a cohort of BPSO^® Best Practice Champions. The facilitators and barriers included in the first round were identified through a bibliographic search. The degree of concordance was determined in the second round using the highest mean resulting values. <b>Results:</b> A total of 44 nurses responded, with a mean age of 42.57 ± 8.563. The facilitators included the following: work environment; working in a hospital that encourages research; and dedicating time to EBP (<i>p</i> < 0.001). The barriers included the following: excessive workload; professional mobility (<i>p</i> < 0.001); and lack of time (<i>p</i> = 0.002). <b>Implications for practice</b>: As such, it is necessary to approach human resource management by implementing new policies that guarantee systemic sustainability. The BPSO^® programme is an excellent framework for promoting the translation of theoretical knowledge into practice and effecting institutional change.