Modelli e strategie per l’implementazione delle evidence-based practices per infermieri in ambito clinico: una Scoping Review.
Introduction Evidence-Based Practice is essential for high-quality nursing decisions, yet fewer than 20 % of clinical choices are currently evidence-guided, hindered by organizational and cultural barriers. Aim This review seeks to map the models and strategies nurses use to implement evidence in cl...
| Publicado en: | Italian Journal of Nursing (IJN) / Giornale Italiano di Infermieristica no. 4; pp. 36 - 43 |
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| Autores principales: | , , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Collegio IPASVI MI-LO-MB - Ordine Professioni Infermieristiche MI-LO-MB
2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=191095793&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 191095793 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 24208248 LDSK jtl: Italian Journal of Nursing (IJN) / Giornale Italiano di Infermieristica issn: 24208248 maglogo: N pubinfo: dt: 2025 iid: 4 pid: 46092 pub: Collegio IPASVI MI-LO-MB - Ordine Professioni Infermieristiche MI-LO-MB artinfo: ui: 191095793 191095793 191095793 191095793 ppf: 36 ppct: 7 formats: tig: atl: Modelli e strategie per l’implementazione delle evidence-based practices per infermieri in ambito clinico: una Scoping Review. aug: au: Anceschi, Martina Villa, Giulia Poliani, Andrea Marcomini, Ilaria Rosa, Debora Pozzi, Chiara Adele Manara, Duilio Fiorenzo affil: IRCCS Ospedale San Raffaele, Milano, Italia. sug: subj: Nurses Psychosocial Factors Nursing Practice, Evidence-Based Nursing Models, Theoretical Implementation Science Nursing Process Human Female Male Scoping Review Medline Cochrane Library CINAHL Database Psycinfo Descriptive Statistics Education, Nursing Leadership Nursing Management Female Male ab: Introduction Evidence-Based Practice is essential for high-quality nursing decisions, yet fewer than 20 % of clinical choices are currently evidence-guided, hindered by organizational and cultural barriers. Aim This review seeks to map the models and strategies nurses use to implement evidence in clinical settings. Methods Following the Joanna Briggs Institute Manual of Evidence Synthesis and the PRISMA-ScR checklist, we performed a scoping review with no time limits and searching in MEDLINE, The Cochrane Library, CINAHL, and PsycInfo, including studies in English, Italian, and Spanish. Two independent reviewers selected and critically appraised the included sources. Results The search yielded 1,326 records; six articles met the inclusion criteria and none achieved full methodological quality. Sixty-one implementation models were identified. Strategies were grouped into six categories: education, audit and feedback, tools, leadership, Advanced Practice Nurse and structure/organization. Education and leadership emerged as the most frequently adopted approaches. Leadership and the involvement of nursing management permeated all strategies as particularly useful elements. Conclusion The effectiveness of these strategies depends on contextual adaptation and the integration of multiple interventions. The contribution of social psychology, highlighted by Implementation Science for changing professional behaviours remains underexplored. Additional primary studies are needed to robustly characterise the models and assess the impact of the most promising strategies. Increased investment in education, Advanced Practice Nurse roles and nursing leadership could accelerate the uptake of evidence in clinical practice. Introduzione Le Evidence-Based Practice sono essenziali per effettuare decisioni infermieristiche di qualità, ma oggi meno del 20 % delle scelte cliniche è guidato da prove, ostacolato da barriere organizzative e culturali. Obiettivo La presente revisione mira a mappare modelli e strategie usati dagli infermieri per implementare le prove di efficacia nei contesti clinici. Metodi Seguendo il Joanna Briggs Institute Manual of Evidence Synthesis e la checklist PRISMA-ScR, è stata condotta una scoping review consultando MEDLINE, The Cochrane Library, CINAHL e PsycInfo senza limiti temporali, includendo studi in inglese, italiano e spagnolo. Due revisori indipendenti hanno selezionato e valutato criticamente le fonti incluse. Risultati Un totale di 1326 record è emerso dai risultati nelle banche dati. Sei articoli hanno soddisfatto i criteri di inclusione; nessuno ha riportato piena qualità metodologica. Sono stati identificati 61 modelli di implementazione. Le strategie emerse sono state raggruppate in sei categorie: formazione, audit e feedback, strumenti, leadership, Advanced Practice Nurse e struttura/organizzazione. Formazione e leadership risultano le più adottate. La leadership e il coinvolgimento del management infermieristico permeano tutte le strategie come elementi particolarmente utili. Conclusioni L’efficacia delle strategie dipende dall’adattamento al contesto e dall’integrazione di interventi multipli. L’apporto della psicologia sociale, indicato dall’Implementation Science per modificare i comportamenti professionali, rimane poco esplorato. Ulteriori studi primari andrebbero condotti per definire in modo robusto i modelli e valutare l’impatto delle strategie promettenti. Maggiori investimenti in formazione, ruoli di Advanced Practice Nurse e leadership infermieristica potrebbero accelerare l’adozione delle prove di efficacia nella pratica clinica. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: Italian refInfo: holdings: @attributes: islocal: N |
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