PRÁTICA BASEADA EM EVIDÊNCIA POR ENFERMEIROS DA ESTRATÉGIA SAÚDE DA FAMÍLIA DE CAMPO GRANDE, MS

Abstract

Evidence-based practice is an important tool in all fields and areas of public health practice. In the Family Health Strategy field, nurses can use high-quality scientific evidence to guide their clinical practice, manage services, and plan health actions. Understanding the contexts of health services and the barriers that can hinder the use of evidence in nursing is essential for developing and implementing public policies that overcome such difficulties. This research aimed to analyze the use of scientific evidence by nurses working in the Family Health Strategy in Campo Grande, Mato Grosso do Sul. A quantitative, analytical, cross-sectional study was conducted with nurses working in the Family Health Strategies. Data were collected using a professional sociodemographic questionnaire and the Health Sciences Evidence-Based Practice Questionnaire - HS-EBP. Descriptive statistics with parametric and nonparametric tests were used for data analysis. The study included 133 nurses, of whom 112 (84.2%) were female and 21 (15.8%) were male, with a mean age of 36.41 (SD ± 7.99). The questionnaire showed high internal consistency (Cronbach's alpha = 0.960). The “Beliefs and Attitudes” domain had a mean of 106.41 (SD ± 11.62), while the “Practices” domain had a mean of 265.54 (SD ± 48.83), while the “Barriers or facilitators” domain had a mean of 67.24 (SD ± 24.90), with the total mean of the tool being 439.20 (SD ± 71.02). Work overload and professional experience negatively impacted the practice of evidence, and some institutional barriers were also observed. Despite these limitations, participants demonstrated favorable attitudes toward the use of evidence, with the potential to develop strategies that encourage training and change. The data found suggests the importance of institutional support for Evidence-Based Practices. Professionals demonstrate a willingness to change but lack motivation and adequate tools. The use of tools that equip professionals can improve practice and positively impact the effectiveness of the service. Therefore, additional studies in different contexts are needed to ensure the safety and adequate recognition of the service. Descriptors: Evidence-Based Nursing; Evidence-Based; Clinical Practice; Family Health Strategy; Nursing.