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

Juan Carlos Fernández-Domínguez1,2, Albert Sesé-Abad2,3, Joan Ernest De Pedro-Gómez1,2

  • 1Department of Nursing and Physiotherapy, University of the Balearic Islands, Palma, Spain.

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Summary

Spanish nurses face organizational barriers to evidence-based practice (EBP) adoption, such as lack of support and time. Enhancing EBP requires targeted training and fostering a supportive culture.

Keywords:
barriers/facilitatorsevidence‐based practiceimplementation sciencenursingpsychometric methods

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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.