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Vera Pérez, José Antonio

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Vera Pérez, José Antonio
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Universidad de Murcia. Departamento de Enfermería
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    Assessing Evidence-Based Practice Competence in Nurse Leadership Roles in Spain
    (Wiley, 2026) Pedro Simón Cayuela-Fuentes; César Leál-Costa; Serafín Fernández-Salazar; José Antonio Vera-Pérez; Antonio Jesús Ramos-Morcillo; María Ruzafa-Martínez; Segura López, Gabriel; Cayuela Fuentes, Pedro Simón; Leal Costa, César; Vera Pérez, José Antonio; Ramos Morcillo, Antonio Jesús; Ruzafa Martínez, María; Enfermería; Facultades de la UMU
    ABSTRACT Objective: This study evaluated the competency of nursing leaders and managers in Spain regarding evidence-based practice (EBP) and identified factors that affect its implementation in clinical environments. Background: EBP is essential for enhancing healthcare quality; however, there are still gaps between theoretical knowledge and its practical application. Nursing leaders are crucial in promoting EBP, yet their competence levels and obstacles have not been thoroughly examined in Spain. Material and methods: A cross-sectional study surveyed 159 nurse managers across 16 autonomous communities in Spain, utilizing the validated EBP-COQ Prof tool. The questionnaire assessed four competency domains—attitude, knowledge, skills, and utilization—using a 1 to 5 Likert scale. Predictors of EBP competency, including training, mentorship, and organizational afiliation, were analyzed using multivariate linear regression. Results: Participants demonstrated a strong overall EBP competence, with an average total score of 143.77 out of 175. The highest scores were in the attitude domain (36.26/40) and knowledge (43.09/55), whereas utilization scores were relatively lower (37.57/ 50). This indicates that applying EBP in practice still lags behind positive attitudes and knowledge. Key factors predicting higher EBP competence included EBP training, consistent reading of scientific literature, mentoring nursing students, and working in a BPSO center. These results also imply that organizational constraints may continue to impede the integration of EBP competence into routine managerial practice. Conclusions: Spanish nurse managers possess strong EBP knowledge but continue to encounter difficulties in applying it clinically. The study highlights four adjustable factors of EBP competency that could guide focused interventions. Implications for Nursing Management: Healthcare institutions should implement (1) training programs for addressing knowledge-to-practice gaps, especially for nonspecialist managers; (2) mentorship systems pairing EBP-competent leaders with novices; (3) protected time for EBP activities; and (4) expanded BPSO accreditation to institutionalize evidence-based care. Future initiatives should include EBP metrics in performance evaluations, and research should explore factors such as leadership styles and the impact of resource allocation on patient outcomes through longitudinal designs.
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    Publication
    Open Access
    Evidence-based practice competence among nurses in acute and critical care settings: a national cross-sectional study in Spain – The #Evidencer Project
    (Elsevier, 0012-05-26) Segura López, Gabriel; Cayuela Fuentes, Pedro Simón; Leal Costa, César; Vera Pérez, José Antonio; Ruzafa Martínez, María; Ramos Morcillo, Antonio Jesús; Enfermería; Facultades de la UMU
    Objectives: This study assessed EBP competence among critical care nurses in Spain and identified significant factors affecting the integration of EBP into clinical practice. Methods: A multicenter cross-sectional study involved nurses in emergency departments, pre-hospital emergency services, and intensive care units throughout Spain. Competence was assessed through self-report using the validated EBP-COQ Prof© questionnaire, comprising 35 items divided into four dimensions: attitude, knowledge, skills, and utilization. Descriptive, bivariate, and multivariate regression analyses were conducted to identify the predictors of EBP competence. Results: The sample comprised 847 nurses (78.5% female; mean age 39.89 years, SD = 9.13). The average total EBP competence score was 130.6 (SD = 17.29). Scores across dimensions were highest for attitude (37.1/40) and knowledge (38.0/55), while skills (23.0/30) and utilization (32.6/50) were lower. Key predictors of higher competence included EBP training (p < 0.001), regular reading of scientific articles (p < 0.001), postgraduate education (p < 0.001), mentorship roles (p = 0.018), and employment at Best Practice Spotlight Organization® (BPSO) centers (p = 0.001). Competence declined slightly with increasing professional experience (p = 0.037). Conclusions: Spanish critical care nurses exhibit moderate to high competence in evidence-based practice (EBP), showcasing solid attitudes and knowledge but lacking practical application. Healthcare institutions should emphasize organized EBP training to close this gap, encourage research involvement, and cultivate supportive environments by implementing initiatives such as BPSO programs. Tackling these elements can bolster EBP implementation and enhance patient outcomes in critical care environments. Implications for clinical practice: These findings emphasize the need for strategies to improve evidence-based practice (EBP) in critical care. Healthcare organizations should focus on structured EBP education, regular access to scientific literature, and mentorship, including BPSO® programs. Enhancing EBP skills among experienced nurses can boost decision-making, patient safety, and care quality in high-acuity settings environments.
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    Publication
    Open Access
    Learners’ perspectives on interprofessional simulation and co-debriefng: an exploratory mixed-methods study
    (Wiley, 2026-02-26) Díaz Agea, José Luis; Ros-Romero, Álvaro; Leal Costa, César; Vera Pérez, José Antonio; Cánovas-Pallarés, Juan Manuel; Piñero Zapata, Manuel; Cinesi-Gómez, César; Adánez Martínez, María de Gracia; Pujalte-Jesús, María José; Cayuela Fuentes, Pedro Simón; Segura López, Gabriel; José Luis Díaz-Agea; Enfermería
    Introduction: Interprofessional simulation enhances both technical and nontechnical skills among healthcare professionals, improving their clinical practice. Co-debriefng, where two facilitators lead debriefng sessions, is a common approach in these trainings. This study aims to assess educational aspects of interprofessional simulation and co-debriefng in postgraduate medical and emergency nursing students. Methods: A descriptive cross-sectional study with a mixed-methods approach was conducted among postgraduate students (n = 46). A mixed-methods design was used, combining quantitative questionnaire data with qualitative content analysis of openended responses, allowing integration of numerical trends with in-depth learner perspectives. A valid and reliable ad hoc questionnaire was designed, and qualitative content analysis was used to examine participants’ free-text responses. Results: Students’ perceptions were evaluated across six dimensions: applicability, satisfaction, motivation, safe environment, organization, and co-debriefng. Signifcant diferences were found between medical and nursing students in all dimensions except applicability and organization. Overall, students rated interdisciplinary sessions and co-debriefng positively, though nurses highlighted areas for improvement, such as icebreaker activities, more dynamic simulations, and equal representation of both professions. Conclusions: While interprofessional simulation and co-debriefng were well received, participants—especially nurses—identifed areas for enhancement to ensure a more balanced and engaging learning experience. By integrating quantitative outcomes with qualitative insights, the study highlights when co-debriefng adds value in interprofessional simulation and when singlefacilitator approaches may be sufcient.
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    Construction and validation of the “labour ward job satisfaction scale for midwives (LWJSS-M)” in Spain
    (BioMed Central, 2025-10-14) Pérez Castejón, Marta; Martínez Alarcón, Laura; Leal Costa, César; Suárez Cortés, María; Vera Pérez, José Antonio; Jiménez Ruiz, Ismael; Enfermería
    Background Midwives’ job satisfaction is essential to ensuring high quality obstetric care and promoting the well-being of both women and healthcare professionals. However, the medicalised model of childbirth and role conflicts within multidisciplinary teams reduce job satisfaction and increase burnout, leading to high rates of staff turnover. There is therefore a need to develop a comprehensive tool to assess the job satisfaction of midwives working in birthing rooms. Thus, the aim of this study is to develop and validate the following scale: Satisfacción Laboral en Paritorio para Matronas (SLP-M) [Job Satisfaction of Midwives in the Birthing Room]. Methods A two-phase instrumental study was conducted. Firstly, to develop the new instrument a systematic review with meta-analysis and a phenomenological qualitative study were carried out. An expert content validation and the content validity index were conducted. For the validation, psychometric properties of the scale were analysed: item performance, reliability, evidence of validity and its internal structure. Non-probabilistic sampling was used with a minimum of 10 participants per item. They were midwives involved in childbirth areas and were recruited via online. Results A total of 476 complete responses were recorded, with the scale achieving an overall McDonald’s omega of 0,937. Following confirmatory factor analysis, two items with factor loadings below 0.30 were eliminated and the five-dimension model was selected as a good fit, among which are: professional skills in supporting the childbirth process; functional multidisciplinary team; intraprofessional relationships and cooperation; satisfaction with antenatal education and working conditions/determinants of job satisfaction. Conclusion The SLP-M consists of 37 items with good internal consistency, grouped into five dimensions. This approach is designed to ensure the continued viability of the midwifery profession and the quality of care provided.
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