Competences and Barriers for the Evidence-Based Practice in Nursing: an integrative review

Abstract

Nurses presented favorable attitudes, however, with little knowledge to perform the Evidence-Based Practice. Results can support interventions for its implementation in the hospital.

Prática baseada em evidências: competências entre enfermeiros novatos e preceptores em hospital de ensino

“…One can add that novice nurses had better scores on the "Practice" dimension, despite lower scores on "Knowledge" and "Attitudes" than preceptors. In general, ignoring the search for the best evidence, understanding the results of researches and evaluating them critically, as well as applying them in practice to generate propositional changes have been pointed out as difficulties for the evidence-based practice among nurses in different countries (13)(14)(15) .…”

“…This action tends to reflect beneficially to qualify care, increase patient safety and support hospital cost control (3)(4) . Analyzing the teaching-service integration to strengthen this practice is interesting for current scientific production -mainly in Latin America and the Caribbean, where training and teaching for the evidence-based practice are few discussed, as evidenced by an integrative review on the theme (7) .…”

“…In this perspective, the preceptorship in Hospital Nursing, whether in postgraduate, residency programs or supervised hospital internship during the last year of the nursing undergraduate course, is strategic to develop the skills of novice nurses (7)(8)(9) . However, preceptorship in nursing has been little discussed in the literature (9) .…”

Avaliação de um protocolo clínico por enfermeiros no tratamento da sepse

“…As falas denotam a Prática Baseada em Evidência, a qual é definida como uma abordagem de soluções de problemas, de forma consciente, explícita e criteriosa, da melhor evidência disponível na tomada de decisão para prestar o melhor cuidado em saúde. Requer uma associação da literatura à experiência clínica do profissional 17 . Outro estudo realizado em um hospital em Porto Rico teve como objetivo verificar a incidência de sepse e suas consequências.…”

The Electronic Health Record: A Friend or Foe of Translational Research and Evidence‐Based Practice?

“…At the end of our hour‐long meeting, it became crystal clear that we were looking at a long, lengthy, process (somewhere between 12 and 18 months)! Our goal of rapidly moving research findings into clinical practice faded as the team recognized that the litany of well‐described barriers to EBP described in the literature (Camargo et al., ; Melnyk, Fineout‐Overholt, Gallagher‐Ford, & Kaplan, ) was not our major obstacle, but rather it was our internal institutional processes for making changes in the EHR that stood in the way.…”