de Pedro-Gómez Joan, Morales-Asencio José Miguel, Sesé Abad Albert, Bennasar Veny Miquel, Artigues Vives Guillem, Perelló Campaner Catalina
Departamento de Enfermería y Fisioterapia, Universitat de les Illes Balears, Palma de Mallorca, España.
Gac Sanit. 2011 May-Jun;25(3):191-7. doi: 10.1016/j.gaceta.2010.11.007. Epub 2011 Feb 25.
To determine the factors that nursing professionals perceive as facilitating evidence-based clinical practice (EBCP) in the Balearic Islands Health Service (Spain) by identifying possible differences according to nurses' characteristics and their occupational settings.
We performed a multicenter, cross-sectional, observational study of 3,129 staff nurses in the Balearic Islands Health Service in 2009, who were surveyed using the Evidence-Based Practice Questionnaire (EBPQ) and the Nursing Work Index (PES-NWI). The strategy for the analysis encompassed an exploratory analysis, bivariate analysis with parametric and non-parametric tests according to the nature of the distributions (correlation, ANOVA, Kruskall-Wallis, chi square) and multivariate analysis of the main study variables and factors on the PES-NWI and EBPQ questionnaires. The analyses had a confidence level of 95%.
A total of 1,753 questionnaires were received, corresponding to a participation rate of 56.02%. The results established significant differences between the two questionnaires in the analysis of the hospital setting and primary care (p<0.001). These differences remained significant when the questionnaires were compared according to professional category and experience.
This study compared nursing practice environments with different characteristics. Of the factors included in the questionnaires, that with the greatest influence on EBP was the support of nursing managers. This study also found that the two validated instruments are plausible tools for assessing EBCP and help to establish areas for improvement both at the individual and organizational level.
通过根据护士的特征及其职业环境确定可能存在的差异，来确定西班牙巴利阿里群岛卫生服务中心的护理专业人员认为有助于循证临床实践（EBCP）的因素。
2009年，我们对巴利阿里群岛卫生服务中心的3129名注册护士进行了一项多中心、横断面观察性研究，使用循证实践问卷（EBPQ）和护理工作指数（PES-NWI）对他们进行调查。分析策略包括探索性分析、根据分布性质进行参数和非参数检验的双变量分析（相关性、方差分析、克鲁斯卡尔-沃利斯检验、卡方检验）以及对PES-NWI和EBPQ问卷上的主要研究变量和因素进行多变量分析。分析的置信水平为95%。
共收到1753份问卷，参与率为56.02%。结果表明，在医院环境和初级保健的分析中，两份问卷之间存在显著差异（p<0.001）。根据专业类别和经验比较问卷时，这些差异仍然显著。
本研究比较了具有不同特征的护理实践环境。问卷中包含的因素中，对循证实践影响最大的是护理管理者的支持。本研究还发现，这两种经过验证的工具是评估循证临床实践的合理工具，有助于在个人和组织层面确定改进领域。
