2nd Edition of Evidence-Based Practice and Personalized Care

A special issue of Nursing Reports (ISSN 2039-4403).

Deadline for manuscript submissions: closed (31 March 2025) | Viewed by 6848

Special Issue Editors


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Guest Editor
Department of Nursing, School of Health Sciences, Hellenic Mediterranean University, 71500 Crete, Greece
Interests: evidence-based practice; nursing; genetics; genomics; precision care; education; simulation; healthcare
Special Issues, Collections and Topics in MDPI journals

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Guest Editor
School of Health Sciences, Hellenic Mediterranean University, 71307 Heraklion, Crete, Greece
Interests: intellectual disabilities; mental health; family healthcare
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

This Nursing Reports Special Issue on the “2nd Edition of Evidence-Based Practice and Personalized Care” will focus on these two topics by bringing together experts who present research in these fields.

The main goal of evidence-based practice (EBP) is the optimization of healthcare based on the integration of clinical expertise, patients’ values, and the well-thought-out quality of scientific evidence that is followed in a clinical setting regarding a disease or a condition by all the medical professionals, including nursing personnel.

On the other hand, personalized care (PC) is considered an inevitability for health providers, as it aims to provide the best therapy per person or is optimized for a group of patients with similar characteristics (stratified medicine). EBP and PC as complementary terms aim at the integration of best practices, based on the recent research evidence and the individual patient’s characteristics to improve the quality of healthcare and ensure health promotion.

Topics of interest include, but are not limited to, the following:

  • Epidemiological studies concerning quantitative or qualitative design investigating evidence-based practice and personalized care approaches in healthcare.
  • Studies on the topic of health professionals’ education regarding EBP and PC are also welcome.
  • Studies investigating the competencies of nurses, health professionals in general, and EBP.
  • Studies investigating the competencies of nurses and health professionals in general in the field of precision medicine and PC.
  • EBP intervention studies and innovations in health promotion and quality improvement.
  • Studies and manuscripts highlighting future directions for these subjects are strongly encouraged.

We also welcome high-quality systematic/scoping/narrative reviews related to these issues.

Dr. Athina E. Patelarou
Dr. Alexandros Argyriadis
Guest Editors

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Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Nursing Reports is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 1800 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • education
  • evidence-based practice
  • nursing and personalized care
  • precision medicine

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Published Papers (6 papers)

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Research

12 pages, 1219 KiB  
Article
Perception of the Rural Community Regarding the Role of Nursing Professionals: A Study in the High Andean Regions of Peru
by Nelly Martha Rocha Zapana, Elsa Gabriela Maquera Bernedo, William Harold Mamani Zapana, Angela Rosario Esteves Villanueva and Nury Gloria Ramos Calisaya
Nurs. Rep. 2025, 15(5), 148; https://doi.org/10.3390/nursrep15050148 - 29 Apr 2025
Viewed by 36
Abstract
Access to healthcare services in rural areas of Peru remains a challenge, with marked differences compared to urban areas. Despite the importance of primary healthcare (PHC) in these communities, the rural population has a negative perception of the role of nursing staff. This [...] Read more.
Access to healthcare services in rural areas of Peru remains a challenge, with marked differences compared to urban areas. Despite the importance of primary healthcare (PHC) in these communities, the rural population has a negative perception of the role of nursing staff. This study aimed to assess the perceptions of residents in the highland communities of Huata and Ichu, Province of Puno, located in southern Peru, regarding the role of nursing professionals. The general perception of the residents was first analyzed, followed by an evaluation of two dimensions (Fieldwork and Health Education), which allowed for the development of the REFCO (Role of the Nursing professional in the community) scale. The sample included 329 rural adults, mainly between 30 and 59, predominantly female, with incomplete secondary education. The results showed an unfavorable perception (54%) of nursing staff performance. The fieldwork dimension reported low visibility of nursing activities in the community, such as home visits and health programs. The second dimension demonstrated that educational interventions were perceived as infrequent and of low impact, with insufficient adaptation to local needs. These results highlight the need to strengthen the presence and educational strategies of nursing staff in alignment with the cultural and demographic realities of rural communities. Furthermore, it suggests a greater need for interinstitutional collaboration and a more personalized approach to community activities to improve the perception and effectiveness of healthcare services in these areas. Full article
(This article belongs to the Special Issue 2nd Edition of Evidence-Based Practice and Personalized Care)
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13 pages, 219 KiB  
Article
Evaluation of Knowledge, Attitudes, and Skills in Evidence-Based Nursing Practice Among Master’s Degree Nursing Students
by Barbara Abram, Oliwia Radzimska, Jagoda Janiszewska, Aleksandra Świniarska, Roksana Papierkowska, Michał Czapla and Izabella Uchmanowicz
Nurs. Rep. 2025, 15(4), 117; https://doi.org/10.3390/nursrep15040117 - 25 Mar 2025
Viewed by 566
Abstract
Background: Evidence-Based Nursing Practice (EBNP) plays a crucial role in ensuring high-quality patient care. This study evaluates master’s degree nursing students’ knowledge, attitudes, and skills related to EBNP, identifying strengths and key gaps that require curriculum improvements to enhance their competencies in [...] Read more.
Background: Evidence-Based Nursing Practice (EBNP) plays a crucial role in ensuring high-quality patient care. This study evaluates master’s degree nursing students’ knowledge, attitudes, and skills related to EBNP, identifying strengths and key gaps that require curriculum improvements to enhance their competencies in evidence-based practice. Methods: A cross-sectional study was conducted among 103 master’s degree nursing students at Wrocław Medical University. Data were collected using a demographic questionnaire and the standardized Polish version of the Evidence-Based Practice Profile Questionnaire (EBP2Q). Results: The findings indicate that students demonstrated generally positive attitudes toward EBNP (mean score: 53.43 ± 10.05 out of 70). However, knowledge of research terminology was moderate (44.66 ± 18.01 out of 85), and the frequency of EBNP utilization in practice was relatively low (22.15 ± 8.74 out of 45). Significant differences were observed based on study mode and academic progression, with part-time students scoring higher in attitudes toward competency development (p = 0.02). A weak but positive correlation was found between professional experience and the frequency of EBNP utilization (r = 0.182, p = 0.068), while knowledge of research terminology showed a non-significant association with age (r = 0.167, p = 0.092). Conclusions: These findings highlight the need for targeted curriculum enhancements, particularly in research literacy, practical application opportunities, and the integration of mentorship and educational resources. Strengthening EBNP education will better equip nursing students to implement evidence-based practices in clinical settings, ultimately improving patient care quality. Full article
(This article belongs to the Special Issue 2nd Edition of Evidence-Based Practice and Personalized Care)
16 pages, 382 KiB  
Article
Satisfaction Levels of Ambulatory Patients with the Quality of Nursing Care: Validation and Application of the Patient Satisfaction with Nursing Care Quality Questionnaire in Albania
by Sonila Qirko, Vasilika Prifti, Emirjona Kicaj, Rudina Çerçizaj and Liliana Marcela Rogozea
Nurs. Rep. 2025, 15(1), 4; https://doi.org/10.3390/nursrep15010004 - 27 Dec 2024
Viewed by 925
Abstract
Background: In the last decades, there has been a growing demand for outpatient services; understanding the factors influencing patient satisfaction is critical for improving healthcare quality. Objectives: This study evaluates patient satisfaction with nursing care and examines how satisfaction varies based on socio-demographic [...] Read more.
Background: In the last decades, there has been a growing demand for outpatient services; understanding the factors influencing patient satisfaction is critical for improving healthcare quality. Objectives: This study evaluates patient satisfaction with nursing care and examines how satisfaction varies based on socio-demographic factors in ambulatory settings across five healthcare centers in the municipality of Vlora, Albania. Methods: In this cross-sectional study, a total of 246 patients were surveyed using the Patient Satisfaction with Nursing Care Quality Questionnaire (PSNCQQ), adapted for outpatient contexts, after assessing its validity and reliability. The mean age of the sample was 63.9 ± 13.1 years old with a range of 21 to 94 years, and 47.2% were aged between 50 and 69 years. Results: The results indicate that the overall satisfaction level was fair, with a mean PSNCQQ score of 2.55 on a five-point scale. Socio-demographic factors, such as age, gender, education, and socio-economic status, significantly impacted patient satisfaction. Younger patients (aged 20–49), females, and those with a higher education and socio-economic status reported higher satisfaction. Medical history also played a role, with patients attending general check-ups showing greater satisfaction compared to those with chronic conditions. Older patients tend to report a lower level of satisfaction with the care provided compared to younger patients. Conclusions: Communication and nurse–patient interactions emerged as key areas for improvement, particularly in outpatient settings where care is episodic. These findings suggest that personalized care, improved communication, and greater attention to socio-demographic and medical factors can enhance patient satisfaction in ambulatory care settings. Full article
(This article belongs to the Special Issue 2nd Edition of Evidence-Based Practice and Personalized Care)
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21 pages, 633 KiB  
Article
Tailored Multifaceted Strategy for Implementing Fundamental Evidence-Based Nursing Care: An Evaluation Study
by Signe Eekholm, Karin Samuelson, Gerd Ahlström and Tove Lindhardt
Nurs. Rep. 2024, 14(4), 4070-4090; https://doi.org/10.3390/nursrep14040297 - 18 Dec 2024
Viewed by 1282
Abstract
Background/Objectives: Extensive research has emphasised the persistent challenges and failures in providing hospitalised patients with fundamental evidence-based nursing care, often resulting in grave consequences for patient safety. Recommendations from implementation research indicate that a tailored theory- and research-based implementation strategy targeting contextual [...] Read more.
Background/Objectives: Extensive research has emphasised the persistent challenges and failures in providing hospitalised patients with fundamental evidence-based nursing care, often resulting in grave consequences for patient safety. Recommendations from implementation research indicate that a tailored theory- and research-based implementation strategy targeting contextual determinants can optimise the implementation of evidence-based clinical practice for the benefit of patients. This study evaluated the feasibility of an implementation strategy designed to improve the quality of nursing care by targeting behavioural and environmental barriers in a hospital setting. Methods: Proctor’s conceptual model for implementation was applied to evaluate the strategy based on eight outcomes: adoption, acceptability, appropriateness, fidelity, feasibility, penetration, sustainability, and costs. Data collection methods included field observations, informal and focus group interviews, registrations, and audits of electronic patient records. Results: The strategy was adoptive, acceptable, appropriate, and feasible in targeting complex environmental and behavioural determinants (at the individual, team, and management level), enabling successful implementation of fundamental evidence-based nursing care. However, fidelity, feasibility, and sustainability were challenged by competing organisational demands and time constraints. Conclusions: The tailored, multifaceted strategy proved effective in addressing complex environmental and behavioural determinants across multiple levels, facilitating the implementation of fundamental evidence-based nursing care in a clinical practice. Further testing and larger-scale studies is needed to assess the strategy’s transferability and its impact on nursing-sensitive patient outcomes in different clinical settings. Full article
(This article belongs to the Special Issue 2nd Edition of Evidence-Based Practice and Personalized Care)
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22 pages, 866 KiB  
Article
Validation of ELPO-PT: A Risk Assessment Scale for Surgical Positioning Injuries in the Portuguese Context
by Andreia Salvini, Elsa Silva, Carmen Passos, Tânia Manuel, Camila Moraes, Clementina Sousa and Paulo Alves
Nurs. Rep. 2024, 14(4), 3242-3263; https://doi.org/10.3390/nursrep14040236 - 30 Oct 2024
Viewed by 1506
Abstract
Background/Objectives: Surgical procedures carry inherent risks, including injuries from surgical positioning, which impact patient safety and healthcare quality. An instrument to assess and prevent these injuries is essential. This study aimed to validate and culturally adapt the ELPO-PT for the Portuguese population to [...] Read more.
Background/Objectives: Surgical procedures carry inherent risks, including injuries from surgical positioning, which impact patient safety and healthcare quality. An instrument to assess and prevent these injuries is essential. This study aimed to validate and culturally adapt the ELPO-PT for the Portuguese population to ensure its applicability and effectiveness in assessing the risk of injury from surgical positioning. Methods: A validation study was conducted with 126 adult patients undergoing surgical procedures at a central hospital in northern Portugal. Statistical analyses, including the calculation of Cronbach’s alpha coefficient, assessed the internal reliability of the scale. Additionally, sensitivity and specificity analyses evaluated the ELPO-PT’s diagnostic accuracy in identifying patients at risk of developing positioning-related injuries. Results: The validation showed a Cronbach’s alpha coefficient of 0.782, indicating reasonable internal reliability. Sensitivity analysis revealed an 85% accuracy rate in identifying patients at risk of positioning injuries, while specificity analysis demonstrated a 90% accuracy rate for patients not at risk. Conclusions: The ELPO-PT is a valid and reliable instrument for aiding nurses in clinical decision-making, with significant sensitivity and specificity in identifying the risk of positioning-related injuries, including pressure ulcers, in adult patients during the intraoperative period. Its implementation is expected to be beneficial in healthcare settings, contributing to the prevention of complications associated with surgical positioning. Full article
(This article belongs to the Special Issue 2nd Edition of Evidence-Based Practice and Personalized Care)
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15 pages, 467 KiB  
Article
A Cross-Sectional Study of the Perception of Individualized Nursing Care Among Nurses in Acute Medical and Perioperative Settings
by Ana Ramos, Sara Pires, Eunice Sá, Idalina Gomes, Elisabete Alves, César Fonseca and Anabela Coelho
Nurs. Rep. 2024, 14(4), 3191-3205; https://doi.org/10.3390/nursrep14040232 - 25 Oct 2024
Cited by 1 | Viewed by 1712
Abstract
Background/Objectives: Individualized nursing care allows for systematic assessment and intervention; considers a patient’s preferences, values, and context; and contributes to a positive care trajectory. However, its operationalization has proven to be challenging. This research aimed to evaluate nurses’ perceptions of individualized care and [...] Read more.
Background/Objectives: Individualized nursing care allows for systematic assessment and intervention; considers a patient’s preferences, values, and context; and contributes to a positive care trajectory. However, its operationalization has proven to be challenging. This research aimed to evaluate nurses’ perceptions of individualized care and analyze their relationship with sociodemographic variables. Methods: A cross-sectional study was conducted on 122 eligible and registered nurses at a Hospital Center, in the Ophthalmology (operating room and inpatient ward) service, the Cardiology service, the Internal Medicine service, and the Medical Emergency Unit, for adults/older adults in Portugal. The nursing version of the Individualized Care Scale (ICS-Nurse) was used for the assessment, including three sub-dimensions: clinical situation, personal life situation, and decisional control over care-related decisions. Cronbach’s alpha and principal component analysis were used for the data analysis. The STROBE checklist was used to report this study. Results: No statistically significant differences were found based on the age, gender, level of education, or years of professional experience of the nurses within the sub-dimensions of individualization. The nurses overall had a good perception of the importance of individualized care (4.06 ± 0.46 ICS-A-NURSE) but faced difficulties in its implementation during the last shift they worked (3.97 ± 0.49 ICS-B-NURSE). Conclusions: The items considered to be of greatest importance were the response to the physical and emotional needs arising from illness and assistance in decision-making through educational instructions. Aspects related to the personal lives of patients, such as family inclusion in an individual’s care plan, everyday habits, and previous experiences of hospitalization, received the lowest scores. Recognizing priority areas for improvement in the individualization of nursing care can contribute to developing training programs and policies that promote a holistic approach. Future studies should consider patient outcomes related to their needs for individualization. Full article
(This article belongs to the Special Issue 2nd Edition of Evidence-Based Practice and Personalized Care)
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