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- Supervision in Clinical Practice Indicator: Evidence Based Practice in the Context of Outpatient SurgeryPublication . Teixeira, Leonor Olímpia; Teixeira, Ana; Barroso, Cristina; Carvalho, António LuísClinical supervision and evidence-based practice in nursing should be understood as complementary and indissociable as they go hand in hand towards the same objectives. Therefore, the supervising process should boost the evidence-based practice in order to promote better nursing care. The purpose of this study was to evaluate nurse’s predisposition to incorporate evidence-based practice into their care and to identify barriers to its application with the purpose of proposing contributions for the implementation of a nursing clinical supervision model that encourages the use of the best evidence available into the daily practice. The study is integrated into the research project “SAFECARE – Supervisão Clínica para a segurança e qualidade dos cuidados”. It was developed as an exploratory-descriptive study in an ambulatory surgery unit of a University Hospital in Porto, Portugal. It had a target population of 59 nurses, and it was used the “Evidence-Based Practice Questionnaire” as a method of collecting data. From the 49 questionnaires collected, we find that the subscale “Practices” has an average score of 4.89, the subscale “Attitudes” 5.36 and the subscale “knowledge/skills and competences” 5.08. These results showed that nurses have a low use of evidence-based practice when compared with the level of knowledge, skills and competences shown, although they seem to have a positive attitude towards this subject. These results can be partially explained by the overburden felt by the n urses, which identified the lack of time and motivation, but also inappropriate training and scarcity of team meetings and proper tools in the workplace as barriers
- Development of nurses' evidence-based practice skills: contributions of clinical supervisionPublication . Teixeira, Ana Isabel Carvalho; Teixeira, Leonor Olímpia; Pereira, Rui Pedro Gomes; Barroso, Cristina; Carvalho, António Luís; Püschel, Vilanice Alves de AraújoObjective: to evaluate the impact of the implementation of the SafeCare Model on the evidence-based practice competencies of nurses. Methods: mixed method characterized by concomitant triangulation. Quantitative data were collected before and after the implementation of the Model, by means of the Clinical Effectiveness and Evidence-Based Practice Questionnaire, with descriptive statistical analysis. Evidence values were obtained using the Wilcoxon test. Thirteen nurses participated. Qualitative data were obtained from interviews with 11 nurses from a public hospital and analyzed using the Content Analysis technique. Results: there were no statistically significant differences with the implementation of the model. However, nurses identified increased competencies in evidence-based practice with the recognition of advantages in their professional development, organization, and patient care. Conclusion: the implementation of the model has been shown to have contributed to the development of competencies in evidence-based practice.
- Implementação de um modelo de supervisão clínica em enfermagem – modelo SAFECAREPublication . Barroso, Cristina; Carvalho, António Luís; Augusto, Cristina; Teixeira, Leonor Olímpia; Teixeira, Ana; Rocha, InêsThe actual context, marked by the high cost of health care associated with technological advances, the increase in the workload of health professionals and the aging of the population with multiple chronic diseases. There are concerns raised by health organizations regarding the quality of care, with emphasis on actions aimed to the continuous quality improvement. The effects of clinical supervision on quality of care defined as a target area by the World Health Organization are a key aspect in improving quality. The literature shows that there is no model of nursing clinical supervision capable to respond to the actual context needs. The objective of this exploratory, descriptive and longitudinal study was to implement a contextualized nursing clinical supervision model, SafeCare model, in order to identify the contributions of its implementation in the indicators sensitive to nursing clinical supervision. The study was conducted in the surgery department of a health care institution and the nurses of the surgery department composed the sample. With this article we intend to disseminate the results of the implementation of the SafeCare model and to prove that the implementation of a contextualized Nursing clinical supervision model based on nurses’ needs, SafeCare Model, has contributed to obtaining higher quality and safer care for clients.