Modelo de Conciliação para a Prática Baseada em Evidências Em Enfermagem Hospitalar

Fernanda Carolina Camargo; Gilberto de Araújo Pereira; Damiana Aparecida Trindade Monteiro; Luan Augusto Alves Garcia; Giuliano César Silveira; Alana Fernandes Ribeiro

doi:10.36489/saudecoletiva.2025v16i102p17864-17879

Authors

Fernanda Carolina Camargo Doutora; Hospital de Clínicas da Universidade Federal do Triângulo Mineiro; filial Ebserh. https://orcid.org/0000-0002-1048-960X
Gilberto de Araújo Pereira Doutor; Universidade Federal do Triângulo Mineiro https://orcid.org/0000-0002-9149-6368
Damiana Aparecida Trindade Monteiro Doutora; Universidade Federal do Triângulo Mineiro https://orcid.org/0000-0002-6740-7687
Luan Augusto Alves Garcia Doutor; Universidade Federal do Triângulo Mineiro https://orcid.org/0000-0003-0984-2688
Giuliano César Silveira Especialista; Hospital de Clínicas da Universidade Federal do Triângulo Mineiro; filial Ebserh. https://orcid.org/0009-0006-9550-5811
Alana Fernandes Ribeiro Mestre; Universidade Federal do Triângulo Mineiro https://orcid.org/0000-0003-1039-9046

DOI:

https://doi.org/10.36489/saudecoletiva.2025v16i102p17864-17879

Keywords:

Evidence-based nursing, Nursing model, Nursing research, Evidence-based practice, Teaching hospitals

Abstract

Objective: To propose a theoretical-empirical model for Evidence-Based Practice (EBP) among hospital nurses, integrating organizational, educational, and business strategy dimensions. Method: As per a practical case report, the model was developed through the analytical integration of initiatives implemented in a teaching hospital of the Brazilian Unified Health System (Sistema Único de Saúde). This was achieved by synthesizing international models (i-PARIHS; ARCC; The Tyler Collaborative Model; The Research Appreciation, Accessibility and Application Model). Results: The resulting "Conciliation Model" comprises four dimensions and ten steps: recognizing problems and opportunities; mobilizing forces for change; legitimizing the process; evaluating and disseminating. It includes the measurement of return and value of investment for evidence-based practice projects. A simulated case illustrates its application, demonstrating projections for nurses in the hospital setting. Conclusion: This case report aligns scientific evidence, management, and financial sustainability. It addresses a critical gap in the literature, especially in the Global South, where there is a lack of contextualized models for evidence-based practice in hospital care.

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