Barriers and facilitators of evidence-based practice in the Portuguese context: perceptions of formal nursing leaders.

IF 2.7 4区医学 Q2 HEALTH CARE SCIENCES & SERVICES Jbi Evidence Implementation Pub Date : 2024-11-01 DOI:10.1097/XEB.0000000000000451

Diana Santos, Daniela Cardoso, Ana Filipa Cardoso, Filipa Margarida Duque, Beatriz Fernandes, Rosário Sousa, António Fernando Amaral

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Abstract

Introduction: Formal nursing leaders play an important role in promoting and sustaining evidence-based practice (EBP) in the clinical context, particularly by creating a conducive environment for change and increasing clinicians' awareness of the positive results of EBP. However, nursing leaders encounter both barriers and facilitators in their work; therefore, it is important to understand their perceptions on this topic.

Objective: The objective of this study was to understand the perceptions of formal nursing leaders about barriers and facilitators for EBP.

Methods: A descriptive exploratory study with a qualitative approach was conducted. A convenience sample was obtained, consisting of formal nursing leaders from three Portuguese health care institutions. Data were collected through semi-structured interviews. Content analysis was conducted using MAXQDA Analytic Pro 2022 software.

Results: Seventeen formal nursing leaders were interviewed. Five categories of EBP barriers were identified: (1) scarce resources and inefficient resource management; (2) non-conducive organizational culture; (3) distance between academia and the clinical context; (4) demotivation; and (5) resistance to change. Seven categories of EBP facilitators were identified: (1) availability of resources and efficient resource management; (2) conducive organizational culture; (3) partnerships between academia and the clinical context; (4) motivation and commitment; (5) leadership; (6) organization that regulates professional practice; and (7) multidisciplinary meetings.

Conclusions: This study identified barriers and facilitators for EBP through the perceptions of formal nursing leaders. Collaborative multidisciplinary efforts by leaders, direct care professionals, academics, and researchers should be conducted to overcome barriers and strengthen facilitators for EBP.

Spanish abstract: http://links.lww.com/IJEBH/A242.

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葡萄牙循证实践的障碍和促进因素：正式护士长的看法。

导言：正式的护理领导在促进和维持临床循证实践（EBP）方面发挥着重要作用，尤其是通过创造有利于变革的环境和提高临床医生对 EBP 积极成果的认识。然而，护理领导者在工作中既会遇到障碍，也会遇到促进因素；因此，了解他们对这一主题的看法非常重要：本研究旨在了解正式护理领导对 EBP 的障碍和促进因素的看法：方法：采用定性方法进行描述性探索研究。研究样本来自葡萄牙三家医疗机构的正式护理领导。通过半结构化访谈收集数据。使用 MAXQDA Analytic Pro 2022 软件进行内容分析：结果：17 位正式护理领导接受了访谈。确定了五类 EBP 障碍：(1) 资源稀缺和资源管理效率低下；(2) 组织文化缺乏凝聚力；(3) 学术界与临床环境之间的距离；(4) 缺乏动力；(5) 抵制变革。确定了七类 EBP 促进因素：(1) 可用资源和有效的资源管理；(2) 有利的组织文化；(3) 学术界与临床之间的伙伴关系；(4) 积极性和承诺；(5) 领导力；(6) 规范专业实践的组织；(7) 多学科会议：本研究通过正式护理领导的看法，确定了 EBP 的障碍和促进因素。领导者、直接护理专业人员、学者和研究人员应开展多学科合作，以克服障碍并加强 EBP 的促进因素。西班牙文摘要：http://links.lww.com/IJEBH/A242。

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来源期刊

Jbi Evidence Implementation Multiple-

CiteScore

3.20

自引率

13.00%

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