揭示西班牙护理领域实施循证实践的背景

IF 3.8 3区 医学 Q1 NURSING Journal of Advanced Nursing Pub Date : 2024-11-08 DOI:10.1111/jan.16604
Juan Carlos Fernández‐Domínguez, Albert Sesé‐Abad, Joan Ernest De Pedro‐Gómez, Jose‐Miguel Morales‐Asencio, Rafael Jiménez‐López
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Psychometric networks have been utilised as a novel analytical approach.ResultsThe HS‐EBP scores confirm validity and reliability for assessing EBP barriers and facilitators among Spanish nurses. Primary barriers include inadequate EBP discussion spaces, lack of guidance, resistance to change, patient apathy, time constraints and support gaps. Key facilitators are higher academic qualifications, EBP training, professional development participation, educational institution employment and student supervision. Focus is needed on rural nurses and those with heavy clinical duties, facing major EBP barriers.ConclusionSpanish nurses encounter organisational barriers to EBP implementation, including insufficient incentives and support. 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引用次数: 0

摘要

目的本研究探讨了影响西班牙护士采用循证实践(EBP)的背景因素,研究了这些因素与社会人口学和实践变量之间的相互作用,以加强实施策略。方法参与者完成了 12 个项目的 HS-EBP 工具的障碍/促进因素维度,以及与 EBP 实施相关的社会人口学、培训和实践信息。结果HS-EBP得分证实了评估西班牙护士EBP障碍和促进因素的有效性和可靠性。主要障碍包括 EBP 讨论空间不足、缺乏指导、抵制变革、患者冷漠、时间限制和支持差距。主要促进因素包括较高的学历、EBP 培训、专业发展参与、教育机构就业和学生监督。结论西班牙护士在实施 EBP 时会遇到组织障碍,包括激励和支持不足。将实践培训、教学和研究方面的专业发展以及健全的计划放在首位,可以提高护士推进 EBP 实施的能力。影响HS-EBP 问卷在衡量影响 EBP 实施的组织和环境因素方面是可靠的。对行业的启示在西班牙医疗保健系统中成功实施循证实践(EBP)取决于发展适当的组织文化和获得正式领导的支持。此外,培养西班牙护士对患者及其家属重要性的认识对于促进 EBP 的采用至关重要。
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Unveiling the Context for Implementing Evidence‐Based Practice in Spanish Nursing
AimThis study explores contextual factors affecting evidence‐based practice (EBP) adoption among Spanish nurses, examining their interaction with sociodemographic and practice variables to enhance implementation strategies.DesignA national multicenter study employing a cross‐sectional online survey design was conducted with an intentional sample of 934 voluntary Spanish practicing nurses.MethodsParticipants completed the 12‐item Barriers/facilitators dimension of the HS‐EBP instrument, along with sociodemographic, training and practice information relevant to EBP implementation. Psychometric networks have been utilised as a novel analytical approach.ResultsThe HS‐EBP scores confirm validity and reliability for assessing EBP barriers and facilitators among Spanish nurses. Primary barriers include inadequate EBP discussion spaces, lack of guidance, resistance to change, patient apathy, time constraints and support gaps. Key facilitators are higher academic qualifications, EBP training, professional development participation, educational institution employment and student supervision. Focus is needed on rural nurses and those with heavy clinical duties, facing major EBP barriers.ConclusionSpanish nurses encounter organisational barriers to EBP implementation, including insufficient incentives and support. Prioritising hands‐on training, professional development in teaching and research and robust programs can enhance nurses' ability to advance EBP implementation.ImpactThe HS‐EBP questionnaire is reliable in measuring organisational and contextual factors affecting EBP implementation.Implications for the ProfessionSuccessful implementation of evidence‐based practice (EBP) in the Spanish healthcare system depends on developing an appropriate organisational culture and securing support from formal leaders. Additionally, fostering an understanding of the importance of patients and their families among Spanish nurses is crucial for promoting EBP adoption.
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来源期刊
CiteScore
6.40
自引率
7.90%
发文量
369
审稿时长
3 months
期刊介绍: The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.
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