葡萄牙背景下正式护理领导使用的循证实践实施策略

IF 1.9 4区 医学 Q2 NURSING
Diana Gabriela Simões Marques dos Santos, Daniela Filipa Batista Cardoso, Ana Filipa dos Reis Marques Cardoso, Filipa Margarida Gonçalves Duque, Beatriz Sofia Lavos Fernandes, Maria do Rosário Charneca Caixeiro Pinto Sousa, António Fernando Salgueiro Amaral
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引用次数: 0

摘要

目的确定正式护理领导在临床环境中实施和维持循证实践(EBP)的策略。背景正式的护理领导负责确保在临床环境中实施和维持EBP的资源。方法采用定性方法进行描述性研究。对葡萄牙三家卫生机构的正式护理负责人进行了17次半结构化访谈。对于数据分析,根据Bardin(2020)使用MAXQDA Analytic Pro 2022软件进行内容分析。出现了八个类别,反映了所采取的战略:(i)资源的传播和可得性;(ii)临床实践反思;(iii)护士参与工作小组以支持决策;(iv)监察及传播环境保护工程的影响;(五)传播和实施护士项目;(vi)学术界与临床实践的伙伴关系;共同决策会议;(viii)护士轮岗。结论:本研究确定了正式护理领导在葡萄牙三家医疗机构实施和维持EBP所采用的策略。未来的研究应该探索和评估这些策略的有效性。在医疗保健组织中,EBP文化对于改善健康结果和体验以及降低医疗保健成本至关重要。正式的护理领导在促进EBP中起着关键作用。本研究增加了关于正式护理领导制定和/或实施的策略的知识,以促进在三个葡萄牙临床背景下实施EBP。未来的研究应关注正式护理领导实施EBP策略的有效性,以及这些团队/机构的护士对其正式护理领导实施这些策略的看法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evidence-Based Practice Implementation Strategies Used by Formal Nursing Leaders in a Portuguese Context

Aim

To identify the strategies used by formal nursing leaders to implement and sustain Evidence-Based Practice (EBP) in clinical contexts.

Background

Formal nursing leaders are responsible for ensuring resources for implementing and sustaining EBP in clinical settings.

Methods

A descriptive study with a qualitative approach was developed. Seventeen semistructured interviews were conducted with formal nursing leaders of three Portuguese health institutions. For data analysis, content analysis was conducted according to Bardin (2020) using the MAXQDA Analytic Pro 2022 software.

Findings

Eight categories emerged that reflect the strategies adopted: (i) dissemination and availability of resources; (ii) reflection about clinical practice; (iii) involvement of nurses in working groups to support decision-making; (iv) monitoring and dissemination of the EBP impact; (v) dissemination and implementation of nurses' projects; (vi) partnership between academic world and the clinical practice; (vi) shared decision-making meetings; and (viii) the Nurses' job rotation.

Conclusion

This study allowed identification of the strategies adopted by formal nursing leaders to implement and sustain EBP in three Portuguese healthcare institutions. Future studies should explore and evaluate the effectiveness of these strategies.

Summary statement

What is already known about this topic

  • A culture of EBP is crucial in healthcare organization to improve health outcomes and experience, and to reduce healthcare costs.
  • Formal nursing leaders have a key role to promote EBP.

What this paper adds

  • This study increased knowledge about the strategies developed and/or implemented by formal nursing leaders to promote EBP implementation in three Portuguese clinical contexts.

The implication of this paper

  • Future research studies should focus on the effectiveness of EBP implementation strategies by formal nursing leaders and the perception of the nurses of these teams/institutions about the implementation of these strategies by their formal nursing leaders.
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来源期刊
CiteScore
4.10
自引率
0.00%
发文量
85
审稿时长
3 months
期刊介绍: International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work that advances the international understanding and development of nursing, both as a profession and as an academic discipline. The Journal focuses on research papers and professional discussion papers that have a sound scientific, theoretical or philosophical base. Preference is given to high-quality papers written in a way that renders them accessible to a wide audience without compromising quality. The primary criteria for acceptance are excellence, relevance and clarity. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.
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