Best Practice Spotlight Organization®

Improving health outcomes

The ANMF (SA Branch) is the Australian host of the Best Practice Spotlight Organization®—a program founded by the Registered Nurses’ Association of Ontario (RNAO) that leads the way for health providers to improve patient outcomes through the implementation of evidence-based best practice guidelines (BPGs) 

In South Australia, the ANMF (SA Branch) has led the BPSO program——to help the following major public health networks achieve significant improvements to patient outcomes and cost savings: 
Northern Adelaide Local Health Network
Central Adelaide Local Health Network (firstly at the Rehabilitation services and now within mental health and at TQEH)
Women’s and Children’s Health Network. 

The ANMF (SA Branch) is continuing to actively lead the implementation of evidence-based practice programs and provide support to the above sites, and identify others within our health system that would benefit from the program.

Our role as Australian BPSO® Host

The ANMF (SA Branch) is committed to creating and maintaining a culture of excellence in health care by forging innovative and evidence-based nursing and healthcare delivery through: 

transferring knowledge through evidence-based practice learning institutes and workshops in Australia;
being the Australian link to the global BPSO® collaborative and support network;
actively mentoring organisations on the implementation of the RNAO’s Best Practice Guidelines and other BPSO-related activities;
managing BPSO® applications and contracts in Australia;
assisting with BPSO evaluation activities; and
developing and supporting BPSO®/champion networks across Australia.

Why BPSO®?

The Best Practice Spotlight Organisation (BPSO®) program provides a structured methodology for organisations to prepare, implement and evaluate evidence-based practice in a way that is sustainable over time.

The objectives of the BPSO® program are four-fold:
Establish dynamic, long-term partnerships that focus on patient care through supporting knowledge-based nursing/midwifery practice;
Demonstrate creative strategies for successfully implementing nursing and midwifery best practice guidelines (BPGs) at the individual and organisation level;
Establish and utilise effective approaches to evaluate implementation activities utilising structure, process and outcomes indicators; and,
Identify effective strategies for system-wide dissemination of BPG implementation and outcomes.

For more information on the rationale for the BPSO program, click here.

About the BPSO® Best Practice Guidelines

The Best Practice Guidelines (BPGs) are the foundation of the Registered Nurses’ of Ontario (RNAO) Best Practice Spotlight Organisation® (BPSO®) program. The RNAO is recognised as a world leader in best practice guideline development, dissemination, implementation and evaluation.

The BPGs are developed—and are regularly reviewed—using the best available evidence to provide clinicians with evidence-informed recommendations that:
support clinical practice; and 
guide practitioner and patient decisions regarding appropriate healthcare in specific practice settings and circumstances.

When implemented, the BPGs support:
Consistency in practice and care delivery;
Improvement in clients’/patients’ health care experiences;
Monitoring and evaluation of health care outcomes;
Alignment of evidence-based practice with current accreditation standards.

To date, the BPGs implemented in South Australia include:
Assessment and Care of Adults at Risk for Suicidal Ideation and Behaviour
Breastfeeding – Promoting and Supporting the Initiation, Exclusivity and Continuation of Breastfeeding in Newborns, Infants and Young Children
Care Transitions 
Delirium, Dementia and Depression in Older Adults : Assessment and Care
Person and Family Centred Care
Preventing Falls and Reducing Injury from Falls
Promoting Asthma Control in Children
Promoting Continence Through Prompted Voiding, 
Promoting Safety – Alternative Approaches to the use of Restraints 
Reducing Foot Complications for people with Diabetes
Risk Assessment and Prevention of Pressure Ulcers 
Supporting and Strengthening Families Through Expected and Unexpected Life Events
Woman Abuse: Screening, Identification and Initial Response

View a list of all available RNAO Best Practice Guidelines, click here.  

BPSO® program outcomes

Locally, thousands of health professionals have championed and embraced the implementation of international best-practice processes in major public sector health networks that have made a real difference to outcomes for South Australian patients and clients. 

International studies demonstrate that Best Practice Spotlight Organizations are more equipped to:
achieve positive health outcomes for patients/clients;
retain a qualified nursing and midwifery workforce;
successfully attract staff; and 
make significant and sustained improvements in system performance and in reduction in costs.

In South Australia, the implementation of Registered Nurses’ Association of Ontario (RNAO) Best Practice Guidelines in nursing/midwifery environments has led to significant improvements in client care, including:
reductions in falls, pressure ulcers and amputations, 
reduced length of stay 
reduced incidence of urinary incontinence
increased number of new mothers breastfeeding for longer periods.

BPSO® Practice Champions

Best Practice Champions are nurses, midwives and others who are passionate about improving nursing/midwifery practice and person-centred care within their organisation.  

Best Practice Champions attend workshops and receive training in the relevant Best Practice Guideline/s, empowering them to:
raise awareness
role model and influence changes; and
facilitate and support BPG implementation within their workplace.

BPSO® candidate worksites require a critical mass (target 15%) of key nurses and midwives to become BPSO Champions who are educated to lead and embed practice change at a ward/unit level.

The Champions model is well established in literature as an effective method of knowledge transfer to incorporate evidence into practice by facilitating the:
Dissemination of evidence
Transfer of knowledge 
Uptake of best practices
Sharing of resources
Prevention of “shelf-itis”
Sustainability of the change

For more information on the Best Practice Champions Network, visit