Mapeo de la percepción individual y del entorno organizacional para la práctica clínica basada en la evidencia entre enfermeras renales en España
Year: 2023
Type: article
Study design: Observational Study
Abstract: 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.
Source: Enfermería Nefrológica
Authors: José Luis Cobo-Sánchez, Francisco Cirera-Segura, Mirian García-Martínez, Luis Miguel Vieira-Barbosa Lopes, Catalina Jaume-Riutort, Julia Hernando-García, Pilar Marrero-Fernández, Miguel Ángel Moreno García, Fernando González-García, Irene Larrañeta-Inda, Ana Ulzurrún-García, Rafael Casas-Cuesta, Andrés Ila-García, Ian Blanco-Mavillard
Institutions: Catholic University of Ávila, Marqués de Valdecilla University Hospital, Instituto de Investigación Marqués de Valdecilla, Hospital Universitario Virgen del Rocío, IDCQ Hospitales y Sanidad, S.L.U., Fundación Hospital Manacor, Hospital Clínico Universitario de Valladolid, Hospital Universitario de Canarias, Hospital Universitario Fundación Alcorcón, Hospital General Universitario Gregorio Marañón, Complejo Hospitalario de Navarra, Hospital Universitario Reina Sofía, Complejo Hospitalario de Jaén, Health Research Institute of the Balearic Islands, Universitat de les Illes Balears
Language: Spanish
Subfield: General Health Professions
Field: Health Professions
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4362520173