Unveiling the Context for Implementing Evidence-Based Practice in Spanish Nursing.

Area of Science:

• Nursing Science
• Healthcare Management
• Health Services Research

Background:

• Evidence-based practice (EBP) is crucial for quality healthcare.
• Understanding barriers and facilitators to EBP adoption among nurses is essential for effective implementation strategies.
• Spanish nurses' adoption of EBP is influenced by various contextual factors.

Purpose of the Study:

• To explore contextual factors affecting evidence-based practice (EBP) adoption among Spanish nurses.
• To examine the interaction between sociodemographic, practice variables, and EBP adoption.
• To enhance EBP implementation strategies in the Spanish healthcare system.

Main Methods:

• A national multicenter study with 934 voluntary Spanish practicing nurses.
• Cross-sectional online survey design utilizing the Barriers/facilitators dimension of the HS-EBP instrument.
• Psychometric network analysis to assess EBP barriers and facilitators.

Main Results:

• Key barriers include lack of EBP discussion spaces, guidance, time, and support.
• Facilitators include higher academic qualifications, EBP training, and professional development.
• Rural nurses and those with heavy clinical duties face significant EBP barriers.

Conclusions:

• Organizational barriers, including insufficient incentives and support, hinder EBP implementation.
• Prioritizing hands-on training, professional development, and robust programs can enhance EBP.
• A supportive organizational culture and leadership are vital for successful EBP adoption.