Introduction : application of evidence-based practice (EBP) by nurses is uneven and inconsistent. Background : characteristics related to head nurses and organizations influence their interventions to the detriment of EBP. Objectives : this integrative literature review informed by the knowledge-to-action (KTA) framework developed by Straus, Tetroe, and Graham (1) sought to identify the barriers and facilitators encountered by head nurses when implementing EBP among hospital staff nurses. It also sought to put in evidence interventions to promote lasting implementation of EBP. Method : an electronic search of the empirical literature was conducted on three databases. Of 532 articles found, 16 were retained and analysed. Results : various interventions could be delivered by head nurses and organizations centred on each steps of the KTA process proposed by Straus, Tetroe and Graham (1). Staff nurses would also benefit from interventions targeting communication, role modeling, and support delivered at all times. Conclusion : head nurses and organizations could foster EBP among staff nurses by delivering promising interventions that take account of the local context and of implementation barriers and facilitators.
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http://dx.doi.org/10.3917/rsi.128.0006 | DOI Listing |
Appl Nurs Res
February 2025
University of Helsinki and Helsinki University Hospital, Nursing Research Center, Tukholmankatu 8F, P.O. Box 442, FIN-00029 HUS, Finland; Lovisenberg Diaconal University College, Oslo, Norway. Electronic address:
Aims: This study aims to describe how newly hired nurses assess the quality of the orientation in acute care settings in a university hospital.
Background: Orientation for newly hired nurses in acute care settings, where special competence, ability to collaborate with different professional groups, and wide technical and technological skills are required, is crucial to ensure patient safety and high-quality standards in nursing care.
Methods: A cross-sectional study design was applied.
Rev Esp Anestesiol Reanim (Engl Ed)
January 2025
Servicio de Anestesiología y Reanimación, Hospital General Universitario Gregorio Marañón, Madrid, Spain; Departamento de Medicina Legal, Psiquiatría y Patología, Universidad Complutense, Madrid, Spain. Electronic address:
Introduction: Postoperative pain in ambulatory surgery (AS) continues to be a recurrent problem despite anesthetic and surgical advances. Analgesic prescription and follow-up by patients at home may be a determining factor. Our objective was to evaluate analgesic prescription and its impact on the intensity of postoperative pain at 24 h and 7 days in an AS unit.
View Article and Find Full Text PDFJ Clin Med
January 2025
Management, Association for the Fight against Kidney Diseases ALCER, 28002 Madrid, Spain.
Chronic kidney disease-associated pruritus (CKD-aP) is underdiagnosed and not fully understood by healthcare professionals, which leads to poor patient management and impacts patients' quality of life (QoL). The aim of this study was to analyse unmet needs in CKD-aP management and explore the attributes/characteristics that the ideal CKD-aP treatment should have from the perspective of a group of nephrologists, hospital pharmacists, nurses, patient representatives, and regional health authorities in Spain. A descriptive, cross-sectional study was conducted using an e-survey including ad hoc questions (6-point Likert scale) related to unmet needs in CKD-aP and best-worst scaling (BWS) to prioritise the attributes/characteristics of the ideal CKD-aP treatment.
View Article and Find Full Text PDFBMC Palliat Care
January 2025
Department of Social Sciences and Guidance, Faculty of Health and Social Sciences, University of Inland Norway, Elverum, Norway.
Background: Providing quality palliative care during a pandemic was challenging. Both specialist and community healthcare services cared for patients that faced life-threatening illness and who were influenced by the restrictions of the COVID-19 pandemic. Little knowledge has yet been provided on how registered nurses (RNs) experienced the palliative care quality during the COVID-19 pandemic.
View Article and Find Full Text PDFIntroduction: Job satisfaction and intention to leave have been consistently linked to the working environment. However, there are few studies of interventions for improving the environment or staff outcomes.
Aim: To determine the impact of implementing a framework for safe nurse staffing on the environment and staff outcomes.
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