Fernández-Salazar Serafín, Ramos-Morcillo Antonio Jesús, Leal-Costa César, García-González Jessica, Hernández-Méndez Solanger, Ruzafa-Martínez María
Estrategia de Cuidados de Andalucía, Servicio Andaluz de Salud, AGS Nordeste de Jaén, Úbeda, Jaén, España.
Departamento de Enfermería, Facultad de Enfermería, Campus de Espinardo, Universidad de Murcia, Murcia, España.
Aten Primaria. 2021 Aug-Sep;53(7):102050. doi: 10.1016/j.aprim.2021.102050. Epub 2021 Apr 20.
To describe the Evidence-Based Practice (EBP) competency level in Primary Care (PC) nurses in Spain and to determine the associated factors.
Cross-sectional, national survey design, carried out between January and March 2020.
PC in Spain.
Seven hundred eighty PC active nurses in the National Health Service with at least one year of professional experience.
(1) Sociodemographic, professional and access to scientific information variables; (2) outcome variable: EBP competency (attitude, knowledge, skills and utilization) assessed through the EBP-COQ Prof© questionnaire. Bivariate and multiple lineal regression analyses were carried out.
The mean score for the EBP competency of the PC nurses was 131.5 (standard deviation [SD] 17.0), according to dimensions: attitude 36.8 (SD 3.6); knowledge 38.2 (SD 8.9); skills 23.0 (SD 3.5); and utilization 33.3 (SD 6.1). The number of articles read in the last month has showed the most influence on all the EBP-COQ Prof© dimensions, followed by EBP training (more than 150h) and nursing students mentoring. The education level (master, specialist and doctorate) is associated with knowledge and skills dimensions, meanwhile belonging to a BPSO® center is associated with the EBP utilization.
These findings can guide PC service managers to plan strategies that improve the EBP competency level of the nurses, aimed mainly at achieving real application in clinical practice. However, it is necessary to consider the possible impact of selection bias on the results.
描述西班牙初级护理（PC）护士的循证实践（EBP）能力水平，并确定相关因素。
2020年1月至3月期间进行的全国性横断面调查设计。
西班牙的初级护理。
国家卫生服务系统中780名具有至少一年专业经验的在职PC护士。
（1）社会人口统计学、专业和获取科学信息的变量；（2）结果变量：通过EBP-COQ Prof©问卷评估的EBP能力（态度、知识、技能和应用）。进行了双变量和多元线性回归分析。
PC护士EBP能力的平均得分为131.5（标准差[SD]17.0），按维度划分：态度36.8（SD 3.6）；知识38.2（SD 8.9）；技能23.0（SD 3.5）；应用33.3（SD 6.1）。上个月阅读的文章数量对EBP-COQ Prof©的所有维度影响最大，其次是EBP培训（超过150小时）和指导护理专业学生。教育水平（硕士、专科和博士）与知识和技能维度相关，同时隶属于BPSO®中心与EBP应用相关。
这些发现可为PC服务管理者规划提高护士EBP能力水平的策略提供指导，主要目标是在临床实践中实现实际应用。然而，有必要考虑选择偏倚对结果可能产生的影响。
