Loading...
Publication
Supervision of clinical practice indicators: evidence-based practice in the context of the surgical patient
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 181.91 KB | Adobe PDF |
Advisor(s)
Abstract(s)
Introdução: A supervisão clínica e a Prática Baseada na Evidência (PBE) devem ser entendidas como complementares e
indissociáveis pelos resultados positivos que produzem na qualidade em saúde. Objetivos: Avaliar a predisposição do
enfermeiro para incorporar a PBE nos cuidados e identificar barreiras à implementação da PBE no seu local de trabalho. Material
e Métodos: Estudo exploratório-descritivo, realizado numa unidade de cirurgia de ambulatório de um Hospital Universitário
do Porto, Portugal. Na colheita de dados foi usado o Questionário de Eficácia Clínica e Prática Baseada em Evidências
(QECPBE-20), sendo a amostra, não probabilística intencional, constituída por quarenta e nove enfermeiros. Resultados:
Os enfermeiros são favoráveis à PBE na dimensão “Atitudes” (M = 5,36) atingindo a maior pontuação média, seguida de
“Conhecimentos, Habilidades e Competências” (M = 5,08) e, finalmente, a dimensão “Práticas” (M = 4,89). Os participantes
com treino em Supervisão Clínica apresentam valores mais altos na dimensão “Conhecimentos, Habilidades e Competências”
do que os participantes sem treino em Supervisão Clínica e os enfermeiros com especialidade apresentam valores mais
altos na dimensão “Atitudes”. As barreiras identificadas pelos enfermeiros resumem-se em quatro níveis: organizacional,
profissional, liderança e evidência. Conclusões:Os enfermeiros apresentam conhecimentos e uma atitude positiva em relação
à PBE, contudo mostram uma baixa taxa de utilização da PBE na sua prática diária. A falta de tempo, processos de gestão não
facilitadores por parte das chefias e a dificuldade no acesso à evidência científica são algumas das dificuldades identificadas
pelos participantes. A supervisão clínica apresenta-se como um fator-chave para o desenvolvimento da competência em PBE.
Introduction: Clinical supervision and evidence-based practice (EBP) must be understood as complementary and inseparable practices considering the positive results they produce in health quality. Objectives: To assess nurses’ predisposition to incorporate EBP in care and identify barriers to the implementation of EBP in their workplaces. Material and Methods: An exploratory-descriptive study, carried out in an outpatient surgery unit of a University Hospital in Porto, Portugal, was conducted. Data were collected using the Clinical Effectiveness and Evidence-Based Practice Questionnaire (QECPBE-20) applied to a non-probabilistic intentional sample of forty-nine nurses. Results: Nurses were in favour of EBP according to the dimension “Attitudes” (M=5.36), which had the highest average score, followed by “Knowledge, Skills and Competences” (M=5.08) and, finally, “Practices” (M=4.89). Participants with training in clinical supervision showed higher values in the dimension "Knowledge, Skills and Competencies" than those without training in clinical supervision. Moreover, nurses with a specialization scored higher values in the dimension "Attitudes". The barriers identified by nurses are summarized in four categories: organizational, professional, leadership and evidence. Conclusions: Nurses revealed knowledge and a positive attitude towards EBP. However, they showed a low rate of EBP utilization in their daily practice. Lack of time, lack of effort by managers and difficulty in accessing scientific evidence are some of the challenges identified
Introduction: Clinical supervision and evidence-based practice (EBP) must be understood as complementary and inseparable practices considering the positive results they produce in health quality. Objectives: To assess nurses’ predisposition to incorporate EBP in care and identify barriers to the implementation of EBP in their workplaces. Material and Methods: An exploratory-descriptive study, carried out in an outpatient surgery unit of a University Hospital in Porto, Portugal, was conducted. Data were collected using the Clinical Effectiveness and Evidence-Based Practice Questionnaire (QECPBE-20) applied to a non-probabilistic intentional sample of forty-nine nurses. Results: Nurses were in favour of EBP according to the dimension “Attitudes” (M=5.36), which had the highest average score, followed by “Knowledge, Skills and Competences” (M=5.08) and, finally, “Practices” (M=4.89). Participants with training in clinical supervision showed higher values in the dimension "Knowledge, Skills and Competencies" than those without training in clinical supervision. Moreover, nurses with a specialization scored higher values in the dimension "Attitudes". The barriers identified by nurses are summarized in four categories: organizational, professional, leadership and evidence. Conclusions: Nurses revealed knowledge and a positive attitude towards EBP. However, they showed a low rate of EBP utilization in their daily practice. Lack of time, lack of effort by managers and difficulty in accessing scientific evidence are some of the challenges identified
Description
Keywords
Prática baseada em evidências Enfermeiros Enfermagem perioperatória Procedimentos cirúrgicos ambulatoriais
Citation
RevSALUS Vol. 3: Nº2
Publisher
Rede Académica das Ciências da Saúde da Lusofonia (RACS)