Competencias enfermeras en Práctica Basada en Evidencia, barreras y facilitadores. Estudio mixto: comparativo y mediante técnica Delphi

• Natán Redondo Pérez ^[1] ; María Berdón Berdón ^[1] ; Isaías del Río García ^[1] ; Belén Martín-Gil ^[1] ; Noel Rivas-González ^[1] ; Mercedes Fernández-Castro ^[1]
  1. [1] Hospital Universitario de Valladolid

     Hospital Universitario de Valladolid

     Valladolid, España

     
• Localización: Tesela: Revista de la Asociación Nacional de Directivos de Enfermería, ISSN-e 1887-2255, Nº. 32, 2024
• Idioma: español
• Títulos paralelos:
  • Nurses’ Evidence-Based Practice competences, barriers and facilitators. Mixed study: comparative and through Delphi technique
• Enlaces
  • Texto completo
• Resumen
  • español

    Objetivo principal: Describir los cambios en competencias enfermeras en Práctica Basada en Evidencia (PBE), tras cuatro años de implantación de Guías de Buenas Prácticas (GBP), dentro del marco de Centros Comprometidos con la Excelencia en Cuidados® (CCEC®), e identificar barreras y facilitadores en PBE. Metodología: Las competencias enfermeras en PBE se recogieron mediante encuesta en 2020 y 2023. Las barreras y facilitadores se identificaron mediante técnica Delphi modificada. Resultados principales: Las dimensiones de las competencias en PBE “conocimientos, “habilidades” y “utilización” mejoraron en 2023 frente al 2020. Las principales barreras identificadas fueron: falta de incentivos/recompensas, falta de personal, de tiempo y una cultura de enfermería sometida a reglas jerárquicas. Los facilitadores identificados fueron mayor reconocimiento, trabajar en un hospital que fomenta la investigación y utilizar GBP. Conclusión principal: El programa de CCEC® ha supuesto un buen marco para implementar PBE. Identificar barreras y facilitadores permitirá diseñar estrategias efectivas.

  • English

    Objective: To describe changes in nursing Evidence-Based Practice (EBP) competences, after four years of implementation of Clinical Practice Guidelines, within the framework of Centers Committed to Excellence in Care® (CCEC®), and identify barriers and facilitators to improve EBP. Methods: Nursing competencies in EBP were collected through a survey in 2020 and 2023. Barriers and facilitators were identified using the modified Delphi technique. Results: The dimensions of the EBP competencies "knowledge, "skills" and "utilization" improved in 2023 compared to 2020. The main barriers identified were: lack of incentives/rewards, lack of staff, time and a nursing culture subject to hierarchical rules. The identified facilitators were greater recognition, working in a hospital that encourages research, and using GBP. Conclusions: The CCEC® program has provided a good framework for implementing PBE. Identifying barriers and facilitators will allow the design of effective strategies.

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