Perception of Spanish primary healthcare nurses about evidence-based clinical practice: a qualitative study

Authors

  • J. Pericas-Beltran RN, PhD,

    Full Professor
    1. Nursing Department, Evidence, Lifestyles and Health Research Group Members, Universitat de les Illes Balears, Palma, Spain
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  • S. Gonzalez-Torrente RN, MSc,

    PhD Candidate
    1. Nursing, Primary Health Care, Balearic Islands Health Service, Palma, Spain
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  • J. De Pedro-Gomez RN, PhD,

    Full Professor
    1. Nursing Department, Evidence, Lifestyles and Health Research Group Members, Universitat de les Illes Balears, Palma, Spain
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  • J.M. Morales-Asencio RN, PhD,

    Full Professor
    1. Faculty of Nursing, Physiotherapy, Podology and Occupational Therapy, University of Malaga, Malaga, Spain
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  • M. Bennasar-Veny RN, PhD

    Full Professor, Corresponding author
    1. Nursing Department, Evidence, Lifestyles and Health Research Group Members, Universitat de les Illes Balears, Palma, Spain
    • Correspondence address: Miquel Bennasar-Veny, Nursing Department, Evidence, Lifestyles and Health Research Group Members, Universitat de les Illes Balears, Ctra. Valldemosa km 7.5, 07122 Palma, Islas Baleares, Spain; Tel: +34-971-172367; Fax: +34-971-173190; E-mail: miquel.bennasar@uib.es.

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  • Funding statement

    This article forms part of a project entitled ‘Determining Factors in Evidence-Based Clinical Practice among Hospital and Primary Care Nursing Staff in the Balearics. A Facilitation Proposal Based on the PARIHS Model’, financed by the Health Research Fund (PI 09/90512, Health Ministry) following a rigorous peer-reviewed funding process.

  • Conflict of interest

    No conflict of interest.

Abstract

Background

Although evidence-based clinical practice constitutes a priority for healthcare services in many countries within the last few years, there is a general lack of implementation of evidence-based clinical practice in nursing care, especially in primary health care. Few qualitative studies concerning the influencing factors on evidence-based clinical practice for community nurses have been carried out.

Aim

This study examined the perception of nurses in Spanish primary health care with regard to the knowledge, advantages and barriers within the application process with evidence-based clinical practice.

Methods

We used a descriptive qualitative study with focus groups to collect data. Forty-six primary care nurses took part in this study and they were distributed into five focus groups.

Results

Five main topics arose from the results achieved: knowledge and development of evidence-based clinical practice, evidence searching, evidence dissemination, advantages of use of evidence-based clinical practice, and barriers for its application and implementation. Participants had a positive attitude towards evidence-based practice, although they used this infrequently because of lack of competence and organizational support for its application.

Conclusion

Our participants are increasingly determined to take into account evidence within the decision-making processes in their usual clinical practice. We consider it advisable to develop specialized training strategies as well as provide necessary resources for the implementation of evidence-based clinical practice duly adapted to the field of primary health care.

Implications for nursing and health policy

This study highlights the existing gap in translating knowledge to practice and its potential implications in the effectiveness of nursing interventions and decision making in primary health care, and thus its implications for education policy.

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