ArticleInternational journal of nursing sciences2026
Implementation of the Registered Nurses' Association of Ontario pressure injury prevention guideline: National outcomes from the Chilean Best Practice Spotlight Organization® program.
Article in International journal of nursing sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Multifactorial Risk Assessment of Hospital-Acquired Pressure Injuries Among High-Risk Patients: A Case-Control Study.Healthcare (Basel, Switzerland) · 2026Article
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2 authors.
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Abstract
Objective: This study aimed to examine the implementation processes and system-level outcomes associated with the national adoption of the Registered Nurses' Association of Ontario (RNAO) pressure injury prevention Best Practice Guideline across high-complexity public hospitals in Chile, from a Best Practice Spotlight Organization® (BPSO®) Host Model perspective. Methods: This study universe included all institutions incorporated into the national BPSO Host Ministry of Health (MINSAL) program between 2018 and 2022 ( Results: Eighteen high-complexity public hospitals submitted complete datasets, of which eleven reported indicators specific to the Pressure Injury Prevention guideline. Improvements were observed across all process indicators, including risk assessment at admission (+2.3 %), risk reassessment (+7.9 %), and use of pressure-redistributing support surfaces (+4.6 %). Although 30.75 % of patients were classified as moderate or high risk, pressure injury incidence remained stable at 1.2 %-1.3 %, well below global pooled estimates. Pioneer hospitals demonstrated consistently higher adherence to preventive processes and lower pressure injury incidence compared with later adopters. Qualitative findings identified leadership, stakeholder engagement, governance structures, and standardized monitoring as key enablers of implementation, while challenges persisted in sustaining bedside practice change and patient engagement. Conclusions: A Host-led national implementation strategy can strengthen adherence to evidence-informed pressure injury prevention practices, reduce system-level variability, and sustain low incidence across a public hospital network. The Chilean BPSO® Host model illustrates how coordinated governance, standardized indicators, and structured implementation support can scale evidence-based practice in middle-income health systems.
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