Clinical efficacy questionnaire and evidence-based practice
confirmatory factorial analysis in a nurse sample
DOI:
https://doi.org/10.29352/mill0205e.13.00337Keywords:
evidence-based nursing, methods, evidence-based practiceAbstract
Introduction: Health care, as it is currently conceived, is based on the view that clinical decisions must be based on the best scientific evidence available, while recognizing the patient's preference, health care context and clinical judgment.
Objetives: To evaluate the validity of the Clinical Effectiveness and Evidence-Based Practice Questionnaire (QECPBE).
Methods: Methodological study in order to determine internal consistency using Cronbach's alpha and confirmatory factor analysis
Results: 738 nurses were included, with an average age of 37.57 years, 76.0% of whom were women. After the questionnaire was refined, the final confirmatory factor analysis showed a good quality of adjustment of the factor structure composed of 3 factors with 19 items (x2/gl = 2.030; CFI = 0.967; GFI = 0.926; RMSEA = 0.053; RMR = 0.064) . The overall internal consistency was = 0.930, demonstrating a very high reliability, explaining 63.660% of the total variance.
Conclusions: The results showed that the scale is reliable and valid in the evaluation of the structural components of EBP. EBP appears as an enhancer of safe clinical decision, quality of care and autonomy in nursing.
Downloads
References
Abreu, W. (2011). Transições e Contextos Multiculturais – contributos para a anamnese e recurso aos cuidados informais. 2aed. Coimbra: Formasau - Formação e Saúde. ISBN 978-989-8269-13-3.
Alqahtani, N., Oh, K.M., Kitsantas, P., & Rodan, M. (2020). Nurses' evidence-based practice knowledge, attitudes and implementation: A cross-sectional study. Journal of Clinical Nursing, 29, 274–283. Acedido em https://doi.org/10.1111/jocn.15097
António, C., Santos, E., Cunha, M., & Duarte, J. (2019). Estudo psicométrico da Escala de Práticas de Enfermagem na Gestão da Dor. Revista de Enfermagem Referência, Série IV, 22, 51-62. Acedido em http://www.scielo.mec.pt/pdf/ref/vserIVn22/serIVn22a06.pdf
Chicória, M. (2013). Cuidados de Enfermagem: Uma Prática Baseada na Evidência. Dissertação de Mestrado, Coimbra. Acedido em https://repositorio.esenfc.pt/private/index.php?process=download&id=27656& code=210.
Conselho Internacional de Enfermeiros (2012). Combater a desigualdade: Da evidência à ação. Lisboa: Ordem dos Enfermeiros. Acedido em https://www.ordemenfermeiros.pt/media/8904/ind-kit-2012-final- portugu%C3%AAs_vfinal_correto.pdf
Cunha, M., Duarte, J., Cardoso, A., Ramos, A., Quintais, D., Monteiro, R., & Almeida, V. (2018). Inventário habilidades do cuidador: Estrutura fatorial numa amostra de participantes portugueses. Revista Millenium, Série 2, 6, 41-55. DOI:10.29352/mill0206.04.00164
Institute of Medicine. (2003). Health professions education: A bridge to quality. Washington, D.C.: National Academies; Oxford Publicity Partnership. Acedido em https://www.ncbi.nlm.nih.gov/books/NBK221528/
Karki, S., Acharya, R., Budhwani, H., Shrestha, P., Chalise, P., Shrestha, U., & et al. (2015). Perceptions and Attitudes towards Evidence Based Practice among Nurses and Nursing Students in Nepal. Kathmandu Univ Med J, 52(4), 308-15. Acedido em https://www.ncbi.nlm.nih.gov/pubmed/27423280
Lopes, L., & Santos, S. (2010). O modelo de cuidados de saúde baseados na evidência do Instituto Joanna Briggs. Revista Referência. UNIDADE DE INVESTIGAÇÃO (UICISA-dE). II.a Série, 12, 123-133. Coimbra, Portugal. Acedido em https://rr.esenfc.pt/rr/index.php?module=rr&target=publicationDetails&pesqui sa=&id_artigo=2162&id_revista=4&id_edicao=32
Marôco, J. (2014). Análise Estatistica com o SPSS Statistics (6a ed.). Pêro Pinheiro: ReportNumber.
Melnyk, B. M., & Fineout-Overholt, E. (2015). Evidence-based practice in nursing and healthcare: A guide to best practice (3rd edn). Philadelphia, PA: Wolters Kluwer Health. Acedido em https://www.semanticscholar.org/paper/Evidence-Based Practice-in-Nursing-%26-Healthcare%3A-A-Melnyk-Fineout Overholt/c7dd03907f4c34459a991bd728a1f6b6dc0b51ce
Ordem dos Enfermeiros. (Dezembro de 2001). Padrões de Qualidade dos Cuidados de Enfermagem: Enquadramento Conceptual; Enunciados Descritivos. Acedido em https://www.ordemenfermeiros.pt/media/8903/divulgar-padroes-de-qualidade dos-cuidados.pdf
Ordem dos Enfermeiros. (2015). Estatuto da Ordem dos Enfermeiros e REPE. Lisboa. Acedido em https://www.ordemenfermeiros.pt/arquivo/publicacoes/Documents/nEstatuto_ REPE_29102015_VF_site.pdf
Pereira, R., Guerra, A., Cardoso, M., Santos, A., Figueiredo, M., & Vaz Carneiro, A. (2015). Validação da versão portuguesa do Questionário de Eficácia Clínica e Prática Baseada em Evidências. Revista Latino Americana de Enfermagem, 23, 345-351. DOI:10.1590/0104-1169.0367.2561
Vaz Serra, A., Canavarro, M. C., Simões, M. R., Pereira, M., Gameiro, S., Quartilho, M. J., Carona, C., & Paredes, T. (2006). Estudos psicométricos do instrumento avaliação da Qualidade de Vida da Organização Mundial de Saúde (WHOQOL-Bref) para Português de Portugal. Psiquiatria Clínica, 27(1), 41-49. Acedido em https://estudogeral.sib.uc.pt/bitstream/10316/21539/1/2006%20Estudos%20psicom%c3%a9tricos%20do%20WHOQOL-Bref.pdf
Downloads
Published
How to Cite
Issue
Section
License
Authors who submit proposals for this journal agree to the following terms:
a) Articles are published under the Licença Creative Commons (CC BY 4.0), in full open-access, without any cost or fees of any kind to the author or the reader;
b) The authors retain copyright and grant the journal right of first publication, allowing the free sharing of work, provided it is correctly attributed the authorship and initial publication in this journal;
c) The authors are permitted to take on additional contracts separately for non-exclusive distribution of the version of the work published in this journal (eg, post it to an institutional repository or as a book), with an acknowledgment of its initial publication in this journal;
d) Authors are permitted and encouraged to publish and distribute their work online (eg, in institutional repositories or on their website) as it can lead to productive exchanges, as well as increase the impact and citation of published work
Documents required for submission
Article template (Editable format)
