Using knowledge as the basis for evidence-based practice in primary care nurses

• Published in: International nursing review Vol. 63; no. 2; pp. 250 - 258
• Main Authors: Bennasar-Veny, M., Gonzalez-Torrente, S., De Pedro-Gomez, J., Morales-Asencio, J.M., Pericas-Beltran, J.
• Format: Journal Article
• Language: English
• Published: England Blackwell Publishing Ltd 01.06.2016; Wiley Subscription Services, Inc
• Subjects: Clinical competence; Clinical experience; Clinical medicine; Clinical nursing; Clinical practice guidelines; Clinical research; Competence; Coordinators; Evidence based research; Evidence-based nursing; Evidence-based Practice; Focus Groups; Humans; Implementation Research; Information literacy; Information retrieval; Knowledge; Knowledge acquisition; Medical research; Motivation; Nursing; Primary Care; Primary Care Nursing; Primary Health Care; Professional practice; Qualitative Research; Quality of care; Workplaces; Spain; Nursing; Primary Care; Evidence-based Practice; Focus Groups; Implementation Research
• ISSN: 0020-8132; 1466-7657
• DOI: 10.1111/inr.12263

Aim The aim of this study was to explore the perception of primary care nurses regarding the need and use of knowledge from research, as a basis for evidence‐based practice in their workplace. Additionally, the study aimed to determine which factors might hinder or enable implementation into daily practice. Background Evidence‐based practice involves integrating best results in research with clinical experience, which enables us to provide a higher quality of care, as well as to optimize the care given. International studies show that nurses feel that there are still many barriers that hinder their doing research and incorporating new findings into clinical practice; although in the field of primary care, few studies have been carried out. Methods This descriptive qualitative study design used focus groups to collect data. This study was carried out in Spanish primary care centres. Forty‐six registered nurses took part in this study and were divided into five focus groups. Results Three significant themes emerged: awareness of the need to use research, nurses as knowledge‐generation agents and motivation to use research despite barriers. Limitations A limited number of participants and a convenience sample were used. Conclusion Nurses recognize that professional health care must be based on evidence obtained from daily work – both originated by their colleagues and by themselves – and they are willing to work on it although they perceive a lack of competence for this purpose and demand support from their institutions. Implications for nursing policy Primary care institutions should empower nursing coordinators as leaders of evidence‐based practice and implicate clinical nurses from the beginning on the implementation of guidelines.