Perception of the use of evidence in nursing, primary health care, peñaflor, chile. mixed study
DOI:
https://doi.org/10.56294/saludcyt20251335Keywords:
Primary Health Care, Health Care Quality, Nurses, Evidence-Based NursingAbstract
Introduction: Evidence-Based Nursing is essential in Primary Health Care, but its implementation in Chile remains limited. Objective: To identify attitudes, knowledge, skills and perceptions of Primary Health Care nurses regarding the use of this tool in their professional practice. Method: Concurrent mixed study, with nursing professionals from the Doctor Fernando Monckeberg Family Health Center, a universe of fifteen nurses. The Clinical Effectiveness and Evidence-Based Practice Questionnaire was applied, an ad-hoc instrument with variables such as age, gender, years of professional practice, internet use, training, and English proficiency. Semi-structured interviews were used for qualitative analysis, with prior signing of informed consent. Results: The fourteen participants (93.3%) were women, mean age 34.5 years, 20% declared training in Evidence-Based Nursing in the last 2 years, 47% applied it in their work environment. In the analysis of the Instrument, the total mean was 5.6. The “Attitude” dimension had the highest score, 6.6. The qualitative analysis established four categories, three meta-inferences: Attitudes towards Evidence-Based Nursing and its impact on Practice, Training and Knowledge, Related Skills and Professional Practice. Conclusion: Attitudes towards Evidence-Based Nursing are favorable, nurses face practical obstacles that limit its application. Adequate training and nursing leadership are essential to overcome these barriers.
References
1. Grol, R., & Wensing, M. Improving the quality of care: The role of evidence-based practice. 2021. Disponible en: DOI: 10.1097/JNN.0000000000000365
2. Starfield, B., & Shi, L. Primary care and public health outcomes: The role of evidence-based practice in improving health. 2020. Disponible en: DOI: 10.1056/NEJMp2002952
3. Rodríguez Campo VA, Paravic Klijn TM. Enfermería basada en la evidencia y gestión del cuidado. Enferm. globo [Internet]. octubre de 2011 [citado 7 de septiembre de 2022]; 10 (24). Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1695-61412011000400020&lng=en. https://dx.doi.org/10.4321/S1695-61412011000400020.
4. Melnyk BM, Fineout-Overholt E. Evidence-based practice in nursing & healthcare: A guide to best practice. 4th ed. Philadelphia. 2018.
5. Beyea C S, Slattery MJ. Historical Perspectives on Evidence-Based Nursing. Nurs Sci Q [Internet]. 2013 [citado 7 de septiembre de 2022]; 26(2):152-5. Disponible en: https://doi.org/10.1177%2F0894318413477140
6. Silva Galleguillos A, Beneit Montesinos JV, Velasco Sanz TR, Rayón Valpuesta E. ENFERMERÍA BASADA EN LA EVIDENCIA: REVISIÓN DE ALCANCE. Cienc enferm [Internet]. 30 de diciembre de 2021 [citado 7 de septiembre de 2022];27. Disponible en: https://revistas.udec.cl/index.php/cienciayenfermeria/article/view/7072
7. Organización Mundial de la Salud. Atención primaria de salud. 2021. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/primary-health-care
8. Ministerio de Salud. Modelo de atención integral de salud familiar y comunitaria. 2019
9. Ministerio de Salud. División de Prevención y Control de Enfermedades. 2022. Disponible en: https://diprece.minsal.cl/conozcanos/quienes-somos/
10. Departamento de Epidemiología, División de Planificación Sanitaria, Subsecretaría de Salud Pública. ENCUESTA NACIONAL DE SALUD 2016-2017 Primeros resultados. 2017. Disponible en: chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://www.minsal.cl/wp-content/uploads/2017/11/ENS-2016-17_PRIMEROS-RESULTADOS.pdf
11. Chile. Ministerio de Salud. Enfermedades No Transmisibles [Internet]. 2022 [citado 01 de octubre de 2022]. Disponible en: https://diprece. minsal.cl/programas-de-salud/enfermedades-no-transmisibles/
12. Berta, W., et al. Implementing evidence-based practices in primary care settings: A systematic review. 2022. Disponible en: DOI: 10.1111/jonm.13482
13. Kitson, A., et al. The state of evidence-based practice: Mapping the challenges and solutions in implementation. 2020. Disponible en: DOI: 10.1136/bmjopen-2020-036487
14. Aarons, G. A., et al. Evidence-based practice training and its impact on primary care providers. 2021. Disponible en: DOI: 10.1007/s11606-021-06716-1
15. Aiken, L. H., et al. Organizational culture and the adoption of evidence-based practices in health services. 2020. Disponible en: DOI: 10.1093/heapro/daz042
16. González-Robledo LM, Juárez-Orozco LE, Villegas-Cázares D, et al. Barreras y facilitadores en la implementación de la práctica basada en la evidencia en enfermería: un análisis en hospitales de México. Enferm Clin. 2020;30(3): 201-207.DOI: 10.1016/j.enfcli.2020.02.008.
17. Reynolds M, McSherry R, Barrow A, et al. Exploring the barriers to evidence-based practice in nursing: A study of nurses in the UK. J Nurs Manag. 2021;29(2):315-323 doi:10.1111/jonm.13109.
18. Bakken S, Ryan P, Brown C, et al. Addressing the gap between evidence and practice in nursing: New strategies to overcome barriers. Nurs Outlook. 2020;68(6):741-749 doi: 10.1016/j.outlook.2020.08.003.
19. Greenhalgh T, Papoutsi C, Goodwin N, et al. Implementation science in healthcare: A review of the evidence to guide the implementation of evidence-based practices. BMJ Open. 2020;10(4): e033679. doi:10.1136/bmjopen-2019-033679
20. MINSAL. Estrategia nacional de salud para los objetivos sanitarios al 2030. Disponible en: chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://www.minsal.cl/wp-content/uploads/2022/03/Estrategia-Nacional-de-Salud-2022-MINSAL-V8.pdf
21. Alqahtani JM, Carsula RP, Alharbi HA, Alyousef SM, Baker OG, Tumala RB. Barriers to Implementing Evidence-Based Practice among Primary Healthcare Nurses in Saudi Arabia: A Cross-Sectional Study. Nurs Rep. 2022 Apr 28;12(2):313-323. doi: 10.3390/nursrep12020031. PMID: 35645357; PMCID: PMC9149906.
22. Ahmad MM, Al-Daken LI. (2021). "Barriers to and facilitators of implementing evidence-based practice in a primary health care setting: Perspectives of registered nurses in Jordan."
23. Li S, Cao M, Zhu X. Evidence-based practice attitudes and implementation among community health nurses: A systematic review. 2019
24. Stevens KR, Puga F, Low P, Plonczynski DJ, Dobbins M. The impact of evidence-based practice implementation models on patient outcomes in primary care settings: An integrative review. 2020.
25. Warren JI, Perkins MH, Merrill KC, et al. A pragmatic approach to implementing evidence-based practice in a primary care network. 2022.
26. Cummings, G. G., et al. (2022). "Leadership styles and their impact on the adoption of evidence-based practices in healthcare." DOI: 10.1016/j.jpsychores.2022.04.001
27. Tashakkori A, Teddlie C. Mixed Methods in Social and Behavioral Research. 2nd Edition. Los Angeles CA: Sage; 2010.
28. Pedro, Joan at él. Validación de la versión española del cuestionario sobre la práctica basada en la evidencia en enfermería. 2002 Disponible en: https://www.scielosp.org/article/resp/2009.v83n4/577-586/es/
29. McSherry R, Embleton C, Cummings T, et al. The impact of leadership styles on evidence-based practice implementation in health settings: A systematic review. J Nurs Adm. 2021;51(6):329-336. doi:10.1097/NNA.0000000000000974.
30. Wilson C, Taylor D, Dempsey M. Aligning organizational and individual values to improve evidence-based practice adoption. BMC Health Serv Res. 2023;23(1):1-9. doi:10.1186/s12913-023-10079-0.
31. Levin RL, Sullivan S, Carson K, et al. The role of nursing experience in the adoption of evidence-based practices in primary care settings. J Nurs Care Qual. 2021;36(2):167-175. doi:10.1097/NCQ.0000000000000456.
32. Harrison J, Cheung K, Shafiee H. Factors influencing the integration of evidence-based practice in primary care nursing: A mixed-methods study. BMC Nurs. 2023;22(1):15. doi:10.1186/s12912-023-01001-1.
33. Adams JL, Anderson D, Thompson J. Leadership, and evidence-based practice: The role of nursing leadership in successful implementation. J Nurs Leadership. 2023;29(1):50-60. doi:10.1111/jonm.13110.
34. Jones J, Williams A, Gilbert H. Enhancing leadership in nursing to support evidence-based practices: A case study in primary care. J Adv Nurs. 2022;78(7):1944-1952. doi:10.1111/jan.15077.
35. Squires J, Munn Z, Downe S, et al. Developing leadership skills for evidence-based practice implementation in nursing. Worldviews Evid Based Nurs. 2022;19(1):9-18. doi:10.1111/wvn.12550.
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Copyright (c) 2025 Amalia Silva Galleguillos , María José Vásquez Mayr, Valeria Díaz Videla, Mirliana Ramírez-Pereira , Esmérita Opazo-Morales , Angélica Villamán Guajardo A pesar (Author)
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