title: Determining factors in evidence-based clinical practice among hospital and primary care nursing staff.
abstract: OBJECTIVE
  The general aim of this study is to identify key factors perceived by nurses to influence evidence-based clinical practice at different centres.
  
  
  BACKGROUND
  During the last decade, there has been an increased interest in the identification of factors that facilitate the transfer of knowledge into clinical practice, among health care professionals. Previous research states that a suitable organisational framework and practice environment seems to have influence on a greater use of scientific evidence by nurses, which can be directly observed in patient outcomes. In consequence, several authors suggest that strategies should be encouraged from managers and nurse executives to guarantee the existence of environments that avoid emotional exhaustion and improve satisfaction of nurses with their work, and at the same time, ensure the use of research-guided nursing decisions.
  
  
  METHODS
  Following the Spanish validation of the Practice Environment Scale-Nursing Work Index and Evidence Based Practice Questionnaire, a descriptive observational cross-sectional study has been conceived, from 2010 to 2011, in order to identify determining factors in evidence-based clinical practice at different centres. In a second phase, a qualitative study has been designed, using focus groups, to identify practice factors that can lead to a successful implementation of evidence-based clinical practice.
  
  
  CONCLUSIONS
  Organisational and attitudinal interventions are needed in order to implement evidence-based clinical practice that improves the quality of patient care.
authors.affiliation: Department, Evidence Based Clinical Practice and Knowledge Transfer Research Group Member, Balearic Islands University, Spain. depedro@uib.es
authors.forename: Joan
authors.initials: J
authors.lastname: De Pedro-Gómez
authors.forename: José Miguel
authors.initials: JM
authors.lastname: Morales-Asencio
authors.forename: Miquel
authors.initials: M
authors.lastname: Bennasar-Veny
authors.forename: Guillem
authors.initials: G
authors.lastname: Artigues-Vives
authors.forename: Catalina
authors.initials: C
authors.lastname: Perelló-Campaner
authors.forename: Patricia
authors.initials: P
authors.lastname: Gómez-Picard
mesh_terms: D003430:Cross-Sectional Studies; D004059:Diffusion of Innovation; D055317:Evidence-Based Practice / Q000458:organization & administration*; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D016294:Models, Nursing; D015404:Nursing Methodology Research; D009740:Nursing Staff / Q000458:organization & administration*; D015279:Organizational Culture; D059017:Primary Care Nursing; D036301:Qualitative Research; D012107:Research Design; D013030:Spain; D017132:Workplace / Q000458:organization & administration