title: [Approaches, knowledge and capabilities of nurses and physicians regarding evidence-based clinical practice in the Imbadura province (Ecuador)].
abstract: OBJECTIVE
  The research raises the need to increase understanding of organizational and personal factors that influence the attitude and aptitude of each professional, with respect to evidence-based clinical practice. The aim of this study is to describe the transfer of knowledge into clinical practice in hospital units in Imbabura (Ecuador) identifying the obstacles to implementing evidence-based clinical practice validated questionnaire EBPQ-19.
  
  
  METHODS
  A cross-sectional observational study was conducted in hospitals of the Ministry of Public Health of Imbabura of Ecuador took place, including a total of 281 nurses and physicians.
  
  
  RESULTS
  Nurses and physicians showed positive attitudes toward evidence-based clinical practice (EBCP) and their use to support clinical decision-making. This research evidences perceptions of professionals on strategies for knowledge transfer and obstacles to carry it out. Significant differences between the perception of the use of EBCP strategies between nurses and physicians are observed. Physicians consider they use them frequently, while nurses acknowledge using them less (chi-square: 105.254, P=.018).
  
  
  CONCLUSIONS
  In conclusion, we can say that these factors should be considered as necessary to improve the quality of care that is provided to users based on the best available evidence. It is necessary to start developing change interventions in this regard to remedy the current situation of clinical practice based not on evidence, but rather on experience only. Experimental studies demonstrating the effectiveness of strategies to eliminate barriers to scientific evidence-based clinical practice should be conducted.
authors: Secretaría Nacional de Ecucación Superior, Ciencia y Tecnología del Ecuador (SENESCYT), Ibarra, Ecuador; Departamento de Enfermería y Fisioterapia, Universitat de les Illes Balears, Palma de Mallorca, España. Electronic address: jesus.molina@uib.es.
authors: Jesús
authors: J
authors: Molina Mula
authors: Facultad de Ciencias de la Salud, Universidad Técnica del Norte, Ibarra, Ecuador.
authors: Paulina
authors: P
authors: Muñoz Navarro
authors: Facultad de Ciencias de la Salud, Universidad Técnica del Norte, Ibarra, Ecuador.
authors: Janeth
authors: J
authors: Vaca Auz
authors: Facultad de Ciencias de la Salud, Universidad Técnica del Norte, Ibarra, Ecuador.
authors: Carmita
authors: C
authors: Cabascango Cabascango
authors: Facultad de Ciencias de la Salud, Universidad Técnica del Norte, Ibarra, Ecuador.
authors: Katty
authors: K
authors: Cabascango Cabascango
mesh_terms: D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D004484:Ecuador; D055317:Evidence-Based Practice; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D009726:Nurses; D010820:Physicians
keywords: Actitudes y prácticas en salud; Attitudes and practice in health; Calidad de la atención de salud; Conocimientos; Enfermería basada en la evidencia; Evidence-based nursing; Health knowledge; Quiality of health care