Resumo
Objetivo: Identificar fatores relacionados à prática baseada em evidências (PBE) entre profissionais da saúde. Método: Estudo observacional, transversal, realizado em uma instituição privada de grande porte e alta complexidade, localizada nos municípios de São Paulo e Brasília. Participaram 305 profissionais da saúde. A coleta de dados ocorreu por meio de questionário eletrônico contendo variáveis sociodemográficas e profissionais, além do questionário Prática Baseada em Evidências nas Ciências da Saúde (HS-EBP). A análise incluiu estatística descritiva e inferencial. Utilizou-se o teste de Kruskal–Wallis para avaliar a associação entre satisfação no trabalho e as médias das dimensões do instrumento. O nível de significância foi fixado em 5%. Resultados: A média geral do HS-EBP foi elevada, com maior pontuação na dimensão Crenças–Atitudes, seguida por Prática e Barreiras–Facilitadores. Observou-se associação significativa entre satisfação no trabalho e as dimensões Prática, Barreiras–Facilitadores e a média geral do instrumento. Pontuações mais altas no questionário estiveram associadas à maior frequência de leitura de artigos científicos e à maior participação em treinamentos. Conclusão: Apesar das atitudes favoráveis à PBE, sua operacionalização ainda enfrenta desafios. Esse cenário indica a necessidade de estratégias institucionais que integrem apoio organizacional e educação permanente, com vistas à qualificação da assistência.
Referências
Cormican A, Hirani SP, McKeown E. Healthcare professionals’ perceived barriers and facilitators of implementing clinical practice guidelines for stroke rehabilitation: A systematic review. Clin Rehabil. 2023; 37(5):701-712. https://doi.org/10.1177/0269215522114 1036. PMID: 36475911.
Tenny S, Varacallo MA. Evidence-Based Medicine. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2025. PMID: 29262040
Abu-Odah H, Said NB, Nair SC, Allsop MJ, Currow DC, Salah MS, et al. Identifying barriers and facilitators of translating research evidence into clinical practice: A systematic review of reviews. Health Soc Care Community. 2022;30(6):e3265-e3276. https://doi.org/1 0.1111/hsc.13898. PMID: 35775332.
Atalla ADG, El-Ashry AM, Mohamed SMS. The relationship between evidence-based practices’ facilitators and barriers among nurses and their competencies: self-efficacy as a mediator. BMC Nurs. 2025;24(1):458. https://doi.org/10.1186/s12912-025-02 896-2. PMID: 40281594.
Furtado L, Coelho F, Mendonça N, Soares H, Gomes L, Sousa JP, et al. Exploring Professional Practice Environments and Organisational Context Factors Affecting Nurses’ Adoption of Evidence-Based Practice: A Scoping Review. Healthcare (Basel). 2024; 12(2):245. https://doi.org/10.3390/healthcare12020245. PMID: 38255132.
Pitsillidou M, Roupa Z, Farmakas A, Noula M. Factors Affecting the Application and Implementation of Evidence-based Practice in Nursing. Acta Inform Med. 2021;29(4):281-287. https://doi.org/10.5455/aim.2021. 29.281-287. PMID: 35197664.
Fernández-Domínguez JC, Sesé-Abad A, Morales-Asencio JM, Sastre-Fullana P, Pol-Castañeda S, de Pedro-Gómez JE. Content validity of a health science evidence-based practice questionnaire (HS-EBP) with a web-based modified Delphi approach. Int J Qual Health Care. 2016;28(6):764-773. https://doi.org/10.1093/intqh c/mzw106. PMID: 27655793.
Schwenck RCB, Domenico EBL de. Cross-cultural adaptation and validation of the “health sciences evidence-based practice questionnaire” into Brazilian Portuguese. REME. 2023;27:e-1494. https://doi.org/10. 35699/2316-9389.2023.38648.
Hair Jr. JF, Black WC, Babin BJ, Anderson RE. Multivariate data analysis. 8. ed. Australia: Cengage Learning; 2019.
Kline RB. Principles and practice of structural equation modeling. 4. ed. New York: The Guilford Press; 2016.
Brunt BA, Morris MM. Nursing Professional Development Evidence-Based Practice. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2025. PMID: 36943994
Santos D, Cardoso D, Cardoso AF, Duque FM, Fernandes B, Sousa R, et al. Barriers and facilitators of evidence-based practice in the Portuguese context: perceptions of formal nursing leaders. JBI Evid Implement. 2024;22(4):396-404. https://doi.org/10.109 7/xeb.0000000000000451. PMID: 39045835.
Fossum M, Opsal A, Ehrenberg A. Nurses’ sources of information to inform clinical practice: An integrative review to guide evidence-based practice. Worldviews Evid Based Nurs. 2022;19(5):372-379. https://doi.org/ 10.1111/wvn.12569. PMID: 35244324.
Camargo FC, Iwamoto HH, Galvão CM, Pereira G de A, Andrade RB, Masso GC. Competences and Barriers for the Evidence-Based Practice in Nursing: an integrative review. Rev Bras Enferm. 2018;71(4):2030-2038. https://doi.org/10.1590/0034-7167-2016-0617. PMID: 30156693.
Wood C. Leadership and management for nurses working at an advanced level. Br J Nurs. 2021;30(5):28 2-286. https://doi.org/10.12968/bjon.2021.30.5.282. PMID: 33733852.
Melnyk BM, Fineout-Overholt E, Gallagher-Ford L, Kaplan L. The state of evidence-based practice in US nurses: critical implications for nurse leaders and educators. J Nurs Adm. 2012;42(9):410-417. https://doi. org/10.1097/nna.0b013e3182664e0a. PMID: 229227 50.
Alsadaan N, Ramadan OME. Barriers and facilitators in implementing evidence-based practice: a parallel cross-sectional mixed methods study among nursing administrators. BMC Nurs. 2025;24(1):403. https://doi. org/10.1186/s12912-025-03059-z. PMID: 40211261.
Aromataris E, Lockwood C, Porritt K, Pilla B, Jordan Z, organizadores. JBI Manual for Evidence Synthesis. Adelaide: JBI; 2024. https://doi.org/10.46658/JBIMES-24-01

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