Determining factors in evidence-based clinical practice among hospital and primary care nursing staff

Authors

  • Joan De Pedro-Gómez,

    1. Joan De Pedro-Gómez BSc PhD RN Full Professor Nursing Department, Evidence Based Clinical Practice and Knowledge Transfer Research Group Member, Balearic Islands University, Spain
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  • José Miguel Morales-Asencio,

    1. José Miguel Morales-Asencio BSc PhD RN Associate Professor Faculty of Nursing, Physiotherapy, Podology and Occupational Therapy, University of Málaga, Spain
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  • Miquel Bennasar-Veny,

    1. Miquel Bennasar-Veny BSc MSc RN PhD Student, Lecturer Nursing Department, Evidence Based Clinical Practice and Knowledge Transfer Research Group Members, Balearic Islands University, Spain
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  • Guillem Artigues-Vives,

    1. Guillem Artigues-Vives RN Nurse Public Health Department, Balearic Islands Health Service, Spain
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  • Catalina Perelló-Campaner,

    1. Catalina Perelló-Campaner MSc RN Lecturer Nursing Department, Balearic Islands University, Spain
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  • Patricia Gómez-Picard

    1. Patricia Gómez-Picard RN Director Care Management, Balearic Islands Health Service, Spain
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J. De Pedro-Gómez: e-mail: depedro@uib.es

Abstract

de pedro-gómez j., morales-asencio j.m., bennasar-veny m., artigues-vives g., perelló-campaner c. & gómez-picard p. (2012) Determining factors in evidence-based clinical practice among hospital and primary care nursing staff. Journal of Advanced Nursing 68(2), 452–459.

Abstract

Aim.  The general aim of this study is to identify key factors perceived by nurses to influence evidence-based clinical practice at different centres.

Background.  During the last decade, there has been an increased interest in the identification of factors that facilitate the transfer of knowledge into clinical practice, among health care professionals. Previous research states that a suitable organisational framework and practice environment seems to have influence on a greater use of scientific evidence by nurses, which can be directly observed in patient outcomes. In consequence, several authors suggest that strategies should be encouraged from managers and nurse executives to guarantee the existence of environments that avoid emotional exhaustion and improve satisfaction of nurses with their work, and at the same time, ensure the use of research-guided nursing decisions.

Methods.  Following the Spanish validation of the Practice Environment Scale-Nursing Work Index and Evidence Based Practice Questionnaire, a descriptive observational cross-sectional study has been conceived, from 2010 to 2011, in order to identify determining factors in evidence-based clinical practice at different centres. In a second phase, a qualitative study has been designed, using focus groups, to identify practice factors that can lead to a successful implementation of evidence-based clinical practice.

Discussion.  Organisational and attitudinal interventions are needed in order to implement evidence-based clinical practice that improves the quality of patient care.

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