Development of nurses' evidence-based practice skills: contributions of clinical supervision

Keywords: Evidence-Based Practice; Professional Competence; Nursing, Supervisory.


Objective: to evaluate the impact of the implementation of the SafeCare Model on the evidence-based practice competencies of nurses. Methods: mixed method characterized by concomitant triangulation. Quantitative data were collected before and after the implementation of the Model, by means of the Clinical Effectiveness and Evidence-Based Practice Questionnaire, with descriptive statistical analysis. Evidence values were obtained using the Wilcoxon test. Thirteen nurses participated. Qualitative data were obtained from interviews with 11 nurses from a public hospital and analyzed using the Content Analysis technique. Results: there were no statistically significant differences with the implementation of the model. However, nurses identified increased competencies in evidence-based practice with the recognition of advantages in their professional development, organization, and patient care. Conclusion: the implementation of the model has been shown to have contributed to the development of competencies in evidence-based practice.


Melnyk BM, Gallagher-Ford L, Zellefrow C, Tucker S, Thomas B, Sinnott LT, et al. The first U.S. study on nurses’ evidence‐based practice competencies indicates major deficits that threaten healthcare quality, safety and patient outcomes. Worldviews Evid Based Nurs. 2018; 15(1):16-25. doi:

Gorsuch P, Gallagher-Ford L, Thomas B, Melnyk BM, Connor L. Impact of a formal educational skill-building program based on the ARCC model to enhance evidence-based practice competency in nurse teams. Worldviews Evid Based Nurs. 2020; 17(4):258-68. doi:

Püchel VAA, Lockwood C. Translating knowledge: Joanna Briggs Institute’s expertise [editorial]. Rev Esc Enferm USP. 2018; 52:e03344. doi:

Camargo FC, Iwamoto HH, Galvão CM, Pereira GA, Andrade RB, Masso GC. Competences and barriers for the evidence-based practice in nursing: an integrative review. Rev Bras Enferm. 2018; 71(4):2030-8. doi:

Saudners H, Vehviläinen-Julkunen K. Key consi- derations for selecting instruments when evaluating healthcare professionals’ evidence‐based practice competencies: a discussion paper. J Adv Nurs. 2018; 74(10):2301-11. doi:

Ordem dos Enfermeiros (PT). Regulamento da Competência Acrescida Diferenciada e Avançada em Supervisão Clínica. Regulamento nº 366/2018 [Internet]. 2018 [cited Mar 20, 2021]. Available from:

Esteves LSF, Cunha ICKO, Bohomol E, Santos MR. Clinical supervision and preceptorship/tutorship: contributions to the Supervised Curricular Internship in Nursing Education. Rev Bras Enferm. 2019; 72(6):1730-5. doi:

Cutcliffe JR, Sloaw G, Bashaw M. A systematic review of clinical supervision evaluation studies in nursing. Int J Ment Health Nurs. 2018; 27(5):1344-63. doi:

Polock A, Campbell P, Deery R, Fleming M, Rankin J, Sloan G, et al. A systematic review of evidence relating to clinical supervision for nurses, midwives and allied health professionals. J Adv Nurs. 2017; 73(8):1825-37. doi:

Carvalho ALRF. Clinical supervision in nursing – strategy for knowledge and quality of care [editorial]. Rev Rene. 2017; 18(3):291. doi:

Carvalho AL, Barroso C, Pereira M, Teixeira A, Pinho F, Osório M. Implementação de um Modelo de Supervisão Clínica em Enfermagem-Manual Prático Modelo Safecare. Porto: Uniarte gráfica, S. A; 2019.

Creswell JW, Plano Clark VL. Pesquisa de métodos mistos. Porto Alegre: Penso; 2013.

Pereira RP, Guerra AC, Cardoso MJ, Santos AT, Figueiredo MC, Carneiro AV. Validation of the Portuguese version of the evidence-based practice questionnaire. Rev Latino-Am Enfermagem. 2015; 23(2):345-51. doi:

Bardin, L. Análise de conteúdo. Lisboa: Edições 70; 2016.

World Health Organization. Facilitating evidence-based practice in nursing and midwifery in the WHO European Region [Internet]. 2017 [cited Mar 20, 2021]. Available from:

Melnyk BM, Gallagher-Ford L, Fineout-Overholt E. Implementing the Evidence-Based Practice (EBP) competencies in healthcare: a practical guide for improving quality, safety, and outcomes. Indianapolis: Sigma Theta Tau International; 2017.

Buus N, Lynch L, Gonge H. Developing and implementing ‘meta-supervision’ for mental health nursing staff supervisees: opportunities and challenges. Cogn Behav Ther. 2016; 9:E22. doi:

Yanni W, Alison B, Chunlan Z, Jiexia O, Yanfang W, Siqi W. Do educational interventions aimed at nurses to support the implementation of evidence-based practice improve patient outcomes? A systematic review. Nurs Educ Today. 2018; 70:109-14. doi:

Research Article