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Background: Although evidence-based clinical practice constitutes a priority for healthcare services in many countries within the last few years, there is a general lack of implementation of evidence-based clinical practice in nursing care, especially in primary health care. Few qualitative studies concerning the influencing factors on evidence-based clinical practice for community nurses have been carried out., Aim: This study examined the perception of nurses in Spanish primary health care with regard to the knowledge, advantages and barriers within the application process with evidence-based clinical practice., Methods: We used a descriptive qualitative study with focus groups to collect data. Forty-six primary care nurses took part in this study and they were distributed into five focus groups., Results: Five main topics arose from the results achieved: knowledge and development of evidence-based clinical practice, evidence searching, evidence dissemination, advantages of use of evidence-based clinical practice, and barriers for its application and implementation. Participants had a positive attitude towards evidence-based practice, although they used this infrequently because of lack of competence and organizational support for its application., Conclusion: Our participants are increasingly determined to take into account evidence within the decision-making processes in their usual clinical practice. We consider it advisable to develop specialized training strategies as well as provide necessary resources for the implementation of evidence-based clinical practice duly adapted to the field of primary health care., Implications for Nursing and Health Policy: This study highlights the existing gap in translating knowledge to practice and its potential implications in the effectiveness of nursing interventions and decision making in primary health care, and thus its implications for education policy., (© 2014 International Council of Nurses.)

Background: The study of the factors that encourage evidence-based clinical practice, such as structure, environment and professional skills, has contributed to an improvement in quality of care. Nevertheless, most of this research has been carried out in a hospital context, neglecting the area of primary health care. The main aim of this work was to assess the factors that influence an evidence-based clinical practice among nursing professionals in Primary Health Care., Methods: A multicentre cross-sectional study was designed, taking the 619 Primary Care staff nurses at the Balearic Islands' Primary Health Care Service, as the study population. The methodology applied consisted on a self-administered survey using the instruments Evidence-Based Practice Questionnaire (EBPQ) and Nursing Work Index (NWI)., Results: Three hundred and seventy seven surveys were received (60.9% response rate). Self-assessment of skills and knowledge, obtained 66.6% of the maximum score. The Knowledge/Skills factor obtained the best scores among the staff with shorter professional experience. There was a significant difference in the Attitude factor (p = 0.008) in favour of nurses with management functions, as opposed to clinical nurses.Multivariate analysis showed a significant positive relationship between NWI and level of evidence-based practice (p < 0,0001)., Conclusions: Institutions ought to undertake serious reflection on the lack of skills of senior nurses about Evidence-Based Clinical Practice, even when they have more professional experience. Leadership emerge as a key role in the transferral of knowledge into clinical practice.

Aim: The aim of this study was to explore the perception of primary care nurses regarding the need and use of knowledge from research, as a basis for evidence ‐ based practice in their workplace. Additionally, the study aimed to determine which factors might hinder or enable implementation into daily practice. Background: Evidence ‐ based practice involves integrating best results in research with clinical experience, which enables us to provide a higher quality of care, as well as to optimize the care given. International studies show that nurses feel that there are still many barriers that hinder their doing research and incorporating new findings into clinical practice; although in the field of primary care, few studies have been carried out. Methods: This descriptive qualitative study design used focus groups to collect data. This study was carried out in Spanish primary care centres. Forty ‐ six registered nurses took part in this study and were divided into five focus groups. Results: Three significant themes emerged: awareness of the need to use research, nurses as knowledge ‐ generation agents and motivation to use research despite barriers. Limitations: A limited number of participants and a convenience sample were used. Conclusion: Nurses recognize that professional health care must be based on evidence obtained from daily work – both originated by their colleagues and by themselves – and they are willing to work on it although they perceive a lack of competence for this purpose and demand support from their institutions. Implications for nursing policy: Primary care institutions should empower nursing coordinators as leaders of evidence ‐ based practice and implicate clinical nurses from the beginning on the implementation of guidelines. [ABSTRACT FROM AUTHOR]