Pericas-Beltran J, Gonzalez-Torrente S, De Pedro-Gomez J, Morales-Asencio J M, Bennasar-Veny M
Nursing Department, Evidence, Lifestyles and Health Research Group Members, Universitat de les Illes Balears, Palma, Spain.
Int Nurs Rev. 2014 Mar;61(1):90-8. doi: 10.1111/inr.12075. Epub 2014 Jan 27.
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.
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.
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.
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.
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.
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.
尽管在过去几年里，循证临床实践已成为许多国家医疗服务的优先事项，但在护理工作中，尤其是在初级卫生保健中，循证临床实践的实施普遍不足。关于社区护士循证临床实践影响因素的定性研究很少。
本研究调查了西班牙初级卫生保健护士对循证临床实践应用过程中的知识、优势和障碍的看法。
我们采用了焦点小组描述性定性研究来收集数据。46名初级保健护士参与了本研究，他们被分成5个焦点小组。
研究结果产生了五个主要主题：循证临床实践的知识与发展、证据检索、证据传播、循证临床实践应用的优势以及其应用和实施的障碍。参与者对循证实践持积极态度，尽管由于缺乏应用能力和组织支持，他们很少使用。
我们的参与者越来越决心在日常临床实践的决策过程中考虑证据。我们认为，制定专门的培训策略以及为实施充分适应初级卫生保健领域的循证临床实践提供必要资源是可取的。
本研究突出了将知识转化为实践方面存在的差距及其对初级卫生保健中护理干预和决策有效性的潜在影响，从而突出了其对教育政策的影响。
