[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"leadSponsorName\":\"Instituto de Salud Carlos III\",\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:":52},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,1,0,[8],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":17,"sex":18,"minAge":4,"maxAge":4,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":34,"overallStatus":40,"whyStopped":4,"lastUpdateSubmitDate":41,"lastUpdatePostDateStruct":42,"startDateStruct":45,"completionDateStruct":47,"leadSponsor":49,"locationsCount":5},"100556240","sumamos-excelencia-project-implementation-of-best-practices-in-clinical-practice-thrid-edition-100556240",false,"NCT06522529","Sumamos Excelencia Project: Implementation of Best Practices in Clinical Practice (Thrid Edition)","SUMAMOS EXCELENCIA Project: Assessment of Implementation of Best Practices in a National Health System (Thrid Edition)","SE24","Inclusion Criteria:\n\n1. Unit inclusion criteria:\n\n   * NHS units and nursing homes which voluntary adhere to the project.\n   * 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.\n2. 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:\n\n   1. Pain:\n\n      * People susceptible to suffering some type of pain regardless of age.\n      * Patients treated in acute or chronic health institutions (Hospitals, Nursing Homes or Primary Care).\n   2. Urinary incontinence:\n\n      \\- Patients 18 years or older.\n\n      \\- Patients with uncomplicated stress, urge or mixed urinary incontinence\n\n      \\- At least 7 days of admission or possibility of continuity of care preferably up to 6 weeks.\n   3. Obesity:\n\n      * Babies and preschool children up to 12 years old.\n      * 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).\n      * Good general health.\n   4. Breastfeeding:\n\n      * Lactating people.\n      * Healthy neonates of gestational age greater than 36 weeks, with birth weight greater than or equal to 2500 gr.\n      * Couples and relatives within the support network.\n      * Postpartum period and up to 6 months of life of the baby (183 days of life, included).\n      * In primary care, only non-urgent care will be included.\n   5. Smoking Cessation:\n\n      \\- ≥ 18 years of age\n      * Smokers\n   6. Pressure injury prevention:\n\n      \\- Adults population (≥ 18 years).\n      * Admitted to hospitals, nursing homes or included in home care programmes.\n      * Patients at risk of developing pressure injuries.\n   7. Falls prevention:\n\n      * 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.\n   8. Hand hygiene:\n\n      \\- All health professionals who care for patients in the units participating in the study.\n\n      Exclusion Criteria:\n\n      \\-",true,"ALL",{"count":20,"type":21},400,"ESTIMATED","INTERVENTIONAL",[24],"NA","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-experimental, multicentre, before and after. Primary care, hospital units and nursing homes, and the patients attended at both. Implementation of evidence-based recommendations by application of a multifaceted implementation strategy (training, audit, context analysis, local strategies design, feedback, facilitation). Data will be collected at baseline and, during the first year of follow up, at months (4,8,12)",[27,28,29,30,31,32,33],"Pain","Obesity, Childhood","Breast Feeding","Incontinence, Urinary","Smoking Cessation","Pressure Injury","Fall",[35,36,37,38,39],"Implementation","Implementation science","Evidence-based practice","Nursing","Quality of Health Care","RECRUITING","2024-07-24",{"date":43,"type":44},"2024-07-26","ACTUAL",{"date":46,"type":21},"2024-09-01",{"date":48,"type":21},"2026-01-30",{"name":50,"class":51},"Instituto de Salud Carlos III","OTHER_GOV",""]