Implementation of evidence-based practice in paediatric nursing care: Facilitators and barriers

被引:0
|
作者
Torres, Cania [1 ,2 ,3 ]
Mendes, Francisco [2 ]
Duarte, Adriana Maria [4 ,5 ]
Vilaca, Simao [7 ]
Barbieri-Figueiredo, Maria do Ceu [1 ,2 ,6 ]
机构
[1] ICBAS, Sch Med & Biomed Sci, R Jorge Viterbo Ferreira 228, P-4050313 Porto, Portugal
[2] Ctr Hlth Technol & Serv Res CINTESIS, Rua Dr Placido Costa, P-4200450 Porto, Portugal
[3] CESPU, Nursing Sch Tamega & Sousa, R Direita 5, P-4560485 Porto, Portugal
[4] Univ Hosp Ctr Sao Joao, Dept Pediat, Alameda Prof Hernani Monteiro, P-4200319 Porto, Portugal
[5] Univ Brasilia, Ceilandia Coll, Ctr Metropolitano, BR-72220275 Brasilia, DF, Brazil
[6] Univ Huelva, Campus El Carmen, Huelva 21071, Spain
[7] Univ Minho, Nursing, Campus Gualtar, P-4710057 Braga, Portugal
关键词
Evidence-based practice; Evidence-based nursing; Family; Paediatric nursing;
D O I
10.1016/j.colegn.2024.07.001
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Background: Evidence-based practice (EBP) is widely recognised in healthcare as a means of improving patient outcomes by incorporating patient preferences, clinical experience, and rigorous research. Although it has demonstrated potential in promoting healthcare, increasing patient safety, and reducing costs, there are still challenges in implementing and applying EBP in practice. The aim of this study was to explore the barriers and facilitators identified by nurses concerning the implementation of EBP in the care provided to children and their families.<br /> Methods: Two focus groups were held with a total of 32 nurses from a paediatric unit of a university hospital. The qualitative data were organised using NVivo, and thematic analysis was undertaken following Bardin's three-phase process. Findings: Three categories emerged: Facilitators for the Implementation of EBP, Barriers to the Implementation of EBP, and Family and Child-Centred Care in Clinical Practice. The main facilitators are the presence of mentors, institutional recognition, an environment that promotes EBPs, and the interest and motivation of the team. The main barriers highlighted were unassertive intradisciplinary and interdisciplinary communication, time management, tradition, and inexperience in research. Organisations must implement policies that promote environments conducive to EBP. Conclusion: It is crucial to prioritise ongoing professional development, integrate this practice into nursing education, promote innovative organisational cultures, and embrace the principles of Family-Centred Care. Nurses recognise the importance of mentors as key to implementing this practice. (c) 2024 Australian College of Nursing Ltd. Published by Elsevier Ltd. This is an open access article under the
引用
收藏
页码:342 / 347
页数:6
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