RESUMO
BACKGROUND: The adoption of evidence-based practice (EBP) is promoted because it is widely recognized for improving the quality and safety of health care for patients, and reducing avoidable costs. Providers of primary care face numerous challenges to ensuring the effectiveness of their daily practices. Primary health care is defined as: the entry level into a health care services system, providing a first point of contact for all new needs and problems; patient-focused (not disease-oriented) care over time; care for all but the most uncommon or unusual conditions; and coordination or integration of care, regardless of where or by whom that care is delivered. Primary health care is the principal means by which to approach the main goal of any health care services system: optimization of health status. OBJECTIVE: This review aims to scope publications examining beliefs, knowledge, implementation, and integration of EBPs among primary health care providers (HCPs). METHODS: We will conduct a systematic scoping review of published articles in the following electronic databases, from their start dates until March 31, 2017: Medical Literature Analysis and Retrieval System Online (MEDLINE) via PubMed (from 1946), Embase (from 1947), Cumulative Index to Nursing and Allied Health Literature (CINAHL; from 1937), the Cochrane Central Register of Controlled Trials (CENTRAL; from 1992), PsycINFO (from 1806), Web of Science (from 1900), Joanna Briggs Institute (JBI) database (from 1998), Database of Abstracts of Reviews of Effects (DARE; from 1996), Trip medical database (from 1997), and relevant professional scientific journals (from their start dates). We will use the predefined search terms of, "evidence-based practice" and, "primary health care" combined with other terms, such as, "beliefs", "knowledge", "implementation", and "integration". We will also conduct a hand search of the bibliographies of all relevant articles and a search for unpublished studies using Google Scholar, ProQuest, Mednar, and WorldCat. We will consider publications in English, French, Spanish, and Portuguese. RESULTS: The electronic database searches were completed in April 2017. Retrieved articles are currently being screened, and the entire study is expected to be completed by November 2017. CONCLUSIONS: This systematic scoping review will provide a greater understanding of the beliefs, knowledge, implementation, and integration of EBPs among primary HCPs. The findings will inform clinical practice and help to draw a global picture of the EBP research topics that are relevant to primary care providers.
RESUMO
AIMS: To describe the perception of "Good death" among health personnel working in nursing homes in French-speaking Switzerland and to identify the differential explanatory factors. METHODS: A cross sectional study with a self-administered questionnaire, adapted from the "the' new measure of concept of good death", was done among health personnel in 5 nursing homes (2 in Geneva and 3 from Valais) in spring 2004. One hundred and sixty one persons participated at the study representing over 90% of the personel contacted. RESULTS: Four points were considered hallmarks of "Good death" by more than 80% of respondents: i.e. pain control, serenity and peace, presence of family members or close friends, respect of the last will. Up to 70% further consider as important elements the support of health professionals, the opportunity to transmit one's values and access to spiritual and/or religious support. Around 50% of respondents also consider as important "being able to chose the place of death", "having time to prepare one self", "staying conscious to the end" and "having control over body functions". These perceptions vary according to the place of work, the sex, the training in palliative care, the professional experience and of the number of deaths with which respondents were confronted. CONCLUSION: There seems to be converging opinions among health personel on what "Good death" should be. Public health decisions makers need to be informed on this.
