Unveiling the Context for Implementing Evidence-Based Practice in Spanish Nursing.
Juan Carlos Fernández-Domínguez, Albert Sesé-Abad, Joan Ernest De Pedro-Gómez and 2 others
PMID 39513744WHAT IT FOUND
Spanish nurses rated workplace factors for evidence-based practice below the midpoint of a 10-point scale.
Time to search for evidence and rewards for applying it were the weakest links. Nurses with more clinical care duties perceived the most barriers.
Key findings
01No workplace factor for evidence-based practice scored above 7 on a 10-point scale, with time availability and rewards for application rated lowest.
02Nurses whose work was clustered around direct clinical care reported significantly more barriers to evidence-based practice than those focused on research and teaching.
03Having any level of evidence-based practice training was associated with lower perceived barriers, regardless of the extent of that training.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study used non-probabilistic, voluntary sampling, so the participants may not represent all Spanish nurses. All data were self-reported, which can introduce bias. The survey measured perceptions of barriers, not actual adherence to evidence-based practice. The cross-sectional design cannot prove that training or job roles cause changes in barrier perception.
Declared interests
The authors declare no conflicts of interest.
The easy way to misread this
Do not interpret this as evidence that training nurses in evidence-based practice will improve patient care. The study only shows that nurses with training perceive fewer workplace barriers, and it did not measure patient outcomes or actual practice changes.