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Abstract

Per favorire lo sviluppo di una cultura e di una prassi professionale basata sulle "prove di efficacia", la Direzione Infermieristica IOSI ha istituito uno specifico Ufficio, che ha deciso di definire le proprie linee d'azione in base ai risultati di una indagine interna condotta fra gli infermieri dell'Istituto, avendo come riferimento il modello dell'action research. Agli infermieri, luglio 2010, è stato inviato un questionario semi-strutturato (self-made) per conoscere le loro opinioni ed esperienze su questi temi e per rilevare le loro proposte e la loro disponibilití  a far parte di una rete di collaboratori interni. Sono tornati 63 questionari su 98 inviati (70,8 %). Molti infermieri hanno conoscenze e/o esperienze in questi campi, ma modificano il loro comportamento professionale soprattutto su pressione del contesto esterno, più che per scelta autonoma. Considerano l'EBP sostanzialmente utile, ma di difficile applicazione soprattutto senza un loro coinvolgimento diretto. Due su tre ne hanno sentito la necessití  nel corso della loro attivití  professionale e vi è disponibilití  a sviluppare ricerche infermieristiche (56 %) e/o a svolgere un ruolo attivo di referente su questi temi nella propria sede di lavoro (35 %). L'indagine ha evidenziato che allo IOSI esiste un substrato favorevole per l'EBP e la ricerca infermieristica (per conoscenze di base e disponibilití ). I dati raccolti sono serviti a definire linee d'azione interne in uno stretto rapporto di collaborazione con le aree cliniche, secondo il modello dell'action research. E' un processo che richiede visione, interventi coordinati, costanza e tempo.

Parole Chiave: pratica basata su evidenze, ricerca infermieristica, infermiere, diffusione delle innovazioni, indagine conoscitiva, ricerca-azione

ABSTRACT

To promote the development of a culture and a professional practice based on "evidence of effectiveness", the IOSI Nursing Officer instituted a specific Unit which decided to establish its own lines of action based on the results of an internal investigation conducted among nurses employed within IOSI, with reference to the model of action research. In July 2010, a semi-structured questionnaire self compiled was sent to all nurses to find out their opinions and experiences on EBP and nursing research, to recognize their proposals, and willingness to be part of an internal network. 63 out of 98 questionnaire were filled in. Several nurses have knowledge and experience in these fields, but change their professional behavior especially under pressure from the external environment, rather than by autonomous choice. They consider EBP substantially useful, but difficult to implement especially without their direct involvement. Two third of the sample have felt the need of EBP during their professional activity and there is a general willingness to develop nursing research (56%) and/or play an active role of "referent" on these issues within own Unit (35%). The survey showed that at IOSI there is a favorable substrate for EBP and nursing research (for basic knowledge and availability). The data collected have served to define internal lines of action in a narrow relationship with the clinical areas, according to the model of action research. It is a process that requires vision, coordinated efforts, perseverance and time.

Key words: Evidence-Based Practise, Nursing Research, Nurses, Diffusion of Innovations, Survey, Action Research

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Valcarenghi, D., Pedrazzani, M., & Bianchi, M. (2013). Conoscere per cambiare: gli infermieri dell’Istituto Oncologico della Svizzera Italiana (IOSI) e il loro rapporto con l’Evidence Based Practice e la ricerca infermieristica. PROFESSIONI INFERMIERISTICHE, 66(3). Recuperato da https://www.profinf.net/pro3/index.php/IN/article/view/37
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