Zabaleta-del-Olmo Edurne, Subirana-Casacuberta Mireia, Ara-Pérez Ana, Escuredo-Rodríguez Bibiana, Ríos-Rodríguez María Ángeles, Carrés-Esteve Lourdes, Jodar-Solà Glòria, Lejardi-Estevez Yolanda, Nuix-Baqué Núria, Aguas-Lluch Asunción, Ondiviela-Cariteu Àngels, Blanco-Sánchez Rafaela, Rosa García-Cerdán María, Contel-Segura Juan Carlos, Jurado-Campos Jeroni, Juvinyà-Canal Dolors
Institut Universitari d'Investigació en Atenció Primària (IDIAP) Jordi Gol, Barcelona, Spain.
Universitat Autònoma de Barcelona, Bellatera, Spain.
J Clin Nurs. 2016 Feb;25(3-4):505-17. doi: 10.1111/jocn.13078.
This study aimed to translate the community nursing version of the Developing Evidence-Based Practice questionnaire, adapt the Spanish translation to the primary care context in Spain, and evaluate its reliability and validity.
Instruments available in Spanish to date are not designed to rigorously evaluate barriers and incentives associated with evidence-based practice implementation in community health nursing.
Classical Test Theory approach.
The 49-item Developing Evidence-Based Practice questionnaire was translated, back-translated and pilot-tested. Two items were added to assess respondents' ability to read and understand the English language. During the first six months of 2010, 513 nurses from 255 primary health care centres in Catalunya (Spain) voluntarily participated in the study. Internal consistency and test-retest reliability were evaluated. Internal structure was analysed by principal component analysis. A randomized, controlled, parallel-design study was carried out to test scores' sensitivity to change with two groups, intervention and control. The intervention consisted of eight hours of in-person training, provided by experts in evidence-based practice.
Of 513 nurses, 445 (86·7%) nurses responded to all 51 items. Factor analysis showed six components that explained 51% of the total variance. Internal consistency and test-retest reliability were satisfactory (Cronbach α and intraclass correlation coefficients >0·70). A total of 93 nurses participated in the sensitivity-to-change tests (42 in the intervention group, 51 controls). After the training session, overall score and the 'skills for evidence-based practice' component score showed a medium (Cohen d = 0·69) and large effect (Cohen d = 0·86), respectively.
The Developing Evidence-Based Practice questionnaire adapted to community health nursing in the primary care setting in Spain has satisfactory psychometric properties.
The Developing Evidence-Based Practice questionnaire is a useful tool for planning and evaluating the implementation of evidence-based practice in community health nursing.
本研究旨在翻译《循证实践发展问卷》的社区护理版本，使西班牙文译本适应西班牙初级保健环境，并评估其信度和效度。
迄今为止，西班牙文可用的工具并非旨在严格评估社区健康护理中与循证实践实施相关的障碍和激励因素。
经典测试理论方法。
对包含49个条目的《循证实践发展问卷》进行翻译、回译和预测试。增加了两个条目以评估受访者阅读和理解英语的能力。在2010年的前六个月，来自西班牙加泰罗尼亚255个初级保健中心的513名护士自愿参与了该研究。评估了内部一致性和重测信度。通过主成分分析对内部结构进行了分析。开展了一项随机、对照、平行设计研究，以测试两组（干预组和对照组）分数对变化的敏感性。干预措施包括由循证实践专家提供的8小时面对面培训。
在513名护士中，445名（86.7%）护士对所有51个条目做出了回应。因子分析显示六个成分，解释了总方差的51%。内部一致性和重测信度令人满意（Cronbach α系数和组内相关系数>0.70）。共有93名护士参与了变化敏感性测试（干预组4名，对照组51名）。培训课程结束后，总分和“循证实践技能”成分得分分别显示出中等效应（Cohen d = 0.69）和较大效应（Cohen d = 0.86）。
改编后的《循证实践发展问卷》适用于西班牙初级保健环境中的社区健康护理，具有令人满意的心理测量特性。
《循证实践发展问卷》是规划和评估社区健康护理中循证实践实施情况的有用工具。
