[Care pathway for Covid-19 patients in a hospital in Luxembourg]. / Parcours de soins des patients atteints de la Covid-19 dans un centre hospitalier au Luxembourg.

The current care pathway for COVID-19 patients was set up at the Centre Hospitalier de Luxembourg following the experiences of the first wave. The role of the nurse in this pathway is fundamental: she coordinates care and the multidisciplinary team as well as the families, in addition to monitoring and treating the patients. Her tool is clinical reasoning, which is the guarantee of care adapted to the needs and expectations of the patients.

Perception of Belgian nurses about evidence-based clinical practice implementation: a focus group study.

BACKGROUND/OBJECTIVES: Despite recommendations to integrate evidence-based practice into nursing care, evidence-based nursing (EBN) implementation is generally lacking. Strategies for developing an EBN implementation plan require an evaluation of nurses' needs and expectations. The aim of this study was to evaluate how Belgian nurses perceive EBN. METHODS: Descriptive qualitative data were obtained via focus groups. Fifty-six nurses took part in the study and were assigned to one of seven focus groups based on their work setting and the local language. RESULTS: The main results revealed little familiarity with the EBN concept. There were a number of reported barriers to integrating EBN into practice: lack of time; lack of skills needed to find, process, and apply information; lack of support from management; and lack of recognition of the nursing profession. CONCLUSION: Participants identified four strategies for facilitating EBN development: specific staff dedicated to supporting EBN implementation; an interactive web-based platform to help nurses find, select, and interpret relevant scientific sources; an electronic tool to help nurses in clinical decision-making based on patients' clinical data; and a change in clinical culture to include EBN in decision-making processes.

[Basing clinical decisions on scientific evidence]. / Fonder ses décisions cliniques sur les preuves scientifiques.

The first three steps of the Evidence-Based Nursing approach are the formulation of the PICO question, ("patient", "intervention", "comparison" and "outcomes"), the search for guidelines and the critical reading of selected recommendations. These can be based on a clinical situation.