Mapping of individual perception and the organizational environment for evidence-based clinical practice among renal nurses in Spain
Objective: To analyze the perception of renal nurses in Spain regarding the organizational environment for evidence-based clinical practice (EBCP), and to determine what professional and context factors influence such perception.
Material and Method: A cross-sectional observational multicenter study was carried out in 15 nephrology services from different Spanish hospitals and 2 dialysis centers. The Practice Environment Scale of Nursing Work Index (PES-NWI) and Evidence-Based Practice Questionnaire (EBPQ) tools were used. A descriptive, bivariate statistical analysis (ANOVA, Kruskall-Wallis) and logistic regression were performed with the EBPQ total score as the dependent variable.
Results: A total of 397 surveys were received (participation rate: 84.28%), and after processing the surveys 382 were valid (81.1% of the population): 82.7% were women, with a mean age of 42 years, a mean of 18.2 years of professional experience as a nurse (12.2 years in nephrology), 94.8% were clinical nurses, and 81.9% worked in hemodialysis. The average PES-NWI score was 62.35±15.10 (95% CI:60.78-48.06). Nurses in centers with more than 500 nurses, those who worked in hemodialysis, and those with more than 11 years of professional experience had lower scores on some PES-NWI factors. Nurse managers had higher scores in all PES-NWI factors. The average EBPQ score was 81.05±21.92 (95% CI:78.70-83.4). Nurses with less professional experience the better PES-NWI scores; also, postgraduate nurses had higher scores on several EBPQ factors.
Conclusions: Factors that most influence the perception of Spanish renal nurses are professional experience, role within the organization, a favorable context, and postgraduate education.
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José Luis Cobo-Sánchez1,2, Francisco Cirera-Segura3, Mirian García-Martínez1, Luis Miguel Vieira-Barbosa Lopes4, Catalina Jaume-Riutort5, Julia Hernando-García6, Pilar Marrero-Fernández7, Miguel Ángel Moreno-García8, Fernando González-García9, Irene Larrañeta-Inda10, Ana Ulzurrún-García10, Rafael Casas-Cuesta11, Andrés Ila-García12, Ian Blanco-Mavillard5, 13, 14 1Hospital Universitario Marqués de Valdecilla, IDIVAL. Santander. España.
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