Diana Santos

Aim: To identify the strategies used by formal nursing leaders to implement and sustain Evidence‐Based Practice (EBP) in clinical contexts.Background: Formal nursing leaders are responsible for ensuring resources for implementing and sustaining EBP in clinical settings.Methods: A descriptive study with a qualitative approach was developed. Seventeen semistructured interviews were conducted with formal nursing leaders of three Portuguese health institutions. For data analysis, content analysis was conducted according to Bardin (2020) using the MAXQDA Analytic Pro 2022 software.Findings: Eight categories emerged that reflect the strategies adopted: (i) dissemination and availability of resources; (ii) reflection about clinical practice; (iii) involvement of nurses in working groups to support decision‐making; (iv) monitoring and dissemination of the EBP impact; (v) dissemination and implementation of nurses' projects; (vi) partnership between academic world and the clinical practice; (vi) shared decision‐making meetings; and (viii) the Nurses' job rotation.Conclusion: This study allowed identification of the strategies adopted by formal nursing leaders to implement and sustain EBP in three Portuguese healthcare institutions. Future studies should explore and evaluate the effectiveness of these strategies.Summary statement: What is already known about this topic: A culture of EBP is crucial in healthcare organization to improve health outcomes and experience, and to reduce healthcare costs. Formal nursing leaders have a key role to promote EBP. What this paper adds: This study increased knowledge about the strategies developed and/or implemented by formal nursing leaders to promote EBP implementation in three Portuguese clinical contexts. The implication of this paper: Future research studies should focus on the effectiveness of EBP implementation strategies by formal nursing leaders and the perception of the nurses of these teams/institutions about the implementation of these strategies by their formal nursing leaders.

Introduction: Global organizations have pronounced about the importance of involving people in health care, however, this process is challenging. Given the availability of evidence that addresses people's experiences of involvement in nursing care, it is important to produce recommendations at this point by synthesizing the evidence. So, this review aims to synthesize the available qualitative evidence about people's experiences of their involvement in nursing care in a hospital setting. Design: Systematic review of qualitative evidence. Methods: This systematic review was conducted according to the JBI methodology for systematic reviews of qualitative evidence. A comprehensive search strategy was conducted in nine databases/resources. The selection process, methodological quality assessment, and data extraction were conducted independently by two reviewers. The data were synthesized using the meta‐aggregation approach, and the results were graded according to ConQual. Results: A total of 75 findings and 141 illustrations were extracted from the 15 included studies. These findings were aggregated into 12 categories and generated into three synthesized findings: (1) People who are hospitalized conceptualize and attribute importance to involvement in nursing care as an active process of participation and monitoring of care, decision‐making, opinion, and partnership; (2) The establishment of a relationship between hospitalized people and nurses, trust, communication, and information are essential for participation in care; (3) People's participation in care is affected by the person's own constraints and preference for assuming a passive role, by barriers associated with a lack of information, the organization of care, the relationship established between nurses, and paternalistic attitudes. Conclusion: People who were admitted to hospital conceptualized and attached importance to this phenomenon, perceived the conditions necessary to promote it, and the barriers they experienced. Clinical Relevance: This systematic review provides recommendations for nurses' clinical practice (with grade B). It recommends that nurses should establish a partnership relationship with hospitalized people, through trust, communication and information; give people the opportunity to monitor care, participate in decision‐making and give their opinion; assess the person's preferences for involvement and other factors; and that the barriers to this process identified here should be assessed and addressed in each context. As such, this review provides very valuable information for nurses' clinical practice and should also be incorporated into health policy. Protocol Registration: PROSPERO CRD42024506501.

Objective: To map the evidence in the literature on the use of digital technologies to promote sexual health in young adults.

Objetivo: Identificar a evidência na literatura sobre o uso das tecnologias digitais na promoção da saúde sexual de jovens adultos.

Enquadramento: O número de pessoas com demência aumenta significativamente com o processo de envelhecimento, contudo, este pode ser retardado através de intervenções não farmacológicas, como a estimulação cognitiva. Objetivo: Avaliar a efetividade da Estimulação Cognitiva Individual na cognição, qualidade de vida, sintomas neuropsiquiátricos, bem como na qualidade da relação entre a pessoa com demência e cuidador. Metodologia: Foi realizado um estudo quase-experimental, com a duração de 12 semanas. O programa de estimulação cognitiva, designado “Fazer a Diferença 3”, foi implementado a pessoas com demência a residirem na comunidade. A avaliação dos outcomes de interesse foi realizada no pré e pós-intervenção. Resultados: Após a aplicação do programa, verificaram-se melhorias estatisticamente significativa nos sintomas neuropsiquiátricos (p = 0,042) e na cognição (p = 0,038). Conclusão: Sugere-se a forte disseminação e implementação deste tipo de intervenções, pelos ganhos que promove nas pessoas idosas com deterioração cognitiva.

Introduction: Formal nursing leaders play an important role in promoting and sustaining evidence-based practice (EBP) in the clinical context, particularly by creating a conducive environment for change and increasing clinicians’ awareness of the positive results of EBP. However, nursing leaders encounter both barriers and facilitators in their work; therefore, it is important to understand their perceptions on this topic. Objective: The objective of this study was to understand the perceptions of formal nursing leaders about barriers and facilitators for EBP. Methods: A descriptive exploratory study with a qualitative approach was conducted. A convenience sample was obtained, consisting of formal nursing leaders from three Portuguese health care institutions. Data were collected through semi-structured interviews. Content analysis was conducted using MAXQDA Analytic Pro 2022 software. Results: Seventeen formal nursing leaders were interviewed. Five categories of EBP barriers were identified: (1) scarce resources and inefficient resource management; (2) non-conducive organizational culture; (3) distance between academia and the clinical context; (4) demotivation; and (5) resistance to change. Seven categories of EBP facilitators were identified: (1) availability of resources and efficient resource management; (2) conducive organizational culture; (3) partnerships between academia and the clinical context; (4) motivation and commitment; (5) leadership; (6) organization that regulates professional practice; and (7) multidisciplinary meetings. Conclusions: This study identified barriers and facilitators for EBP through the perceptions of formal nursing leaders. Collaborative multidisciplinary efforts by leaders, direct care professionals, academics, and researchers should be conducted to overcome barriers and strengthen facilitators for EBP. Spanish http://links.lww.com/IJEBH/A242