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Aims and Objectives: This study aimed to translate the community nursing version of the Developing Evidence-Based Practice questionnaire, adapt the Spanish translation to the primary care context in Spain, and evaluate its reliability and validity., Background: Instruments available in Spanish to date are not designed to rigorously evaluate barriers and incentives associated with evidence-based practice implementation in community health nursing., Design: Classical Test Theory approach., Methods: The 49-item Developing Evidence-Based Practice questionnaire was translated, back-translated and pilot-tested. Two items were added to assess respondents' ability to read and understand the English language. During the first six months of 2010, 513 nurses from 255 primary health care centres in Catalunya (Spain) voluntarily participated in the study. Internal consistency and test-retest reliability were evaluated. Internal structure was analysed by principal component analysis. A randomized, controlled, parallel-design study was carried out to test scores' sensitivity to change with two groups, intervention and control. The intervention consisted of eight hours of in-person training, provided by experts in evidence-based practice., Results: Of 513 nurses, 445 (86·7%) nurses responded to all 51 items. Factor analysis showed six components that explained 51% of the total variance. Internal consistency and test-retest reliability were satisfactory (Cronbach α and intraclass correlation coefficients >0·70). A total of 93 nurses participated in the sensitivity-to-change tests (42 in the intervention group, 51 controls). After the training session, overall score and the 'skills for evidence-based practice' component score showed a medium (Cohen d = 0·69) and large effect (Cohen d = 0·86), respectively., Conclusions: The Developing Evidence-Based Practice questionnaire adapted to community health nursing in the primary care setting in Spain has satisfactory psychometric properties., Relevance to Clinical Practice: The Developing Evidence-Based Practice questionnaire is a useful tool for planning and evaluating the implementation of evidence-based practice in community health nursing., (© 2016 John Wiley & Sons Ltd.)

At the present time, the social-sanitary system in our country places great emphasis on the attention and care which the elderly who depend on aid receive. This reality, basically implies a type curative care which does not correspond to the principles of the reform philosophy in primary health care which claims that most developed functions and the focus of health center activities should be promoting better health and the prevention of diseases and their complications. On the other hand, once a patient has been placed on dependence care, little remains to be done to improve it. Therefore, it is logical to question if it would not be more beneficial to concentrate health care efforts and treatment to maintain and increase a patient's independence throughout his/her lifetime.

Dependency creates a social problem whose burden falls upon the affected family and which causes problems in the lives and health of caretakers. A solution to these problems depends on the policies enacted. Nurses should know these policies and their consequences and act accordingly. For nurses to do so, the author has carried out a qualitative documented research project which analyzes the main Spanish dependency policies including the Geriatrics Plan and the following laws: regarding situations requiring living together and mutual aid, conciliation of working and personal lives, family caretaking for elderly and dependent relatives. This project's results indicate the aid provided consists in monetary loans and social services. The coverage provided by these aid programs is minimal or scarce. These programs promote keeping patients in need of dependency care in their homes under the care of relatives. There is little aid directed at caretakers and frequently such aid implies high personal costs. Nurses can and should contribute to bring awareness of these situations, to alleviate them and to modify some of these problems.

Care for dependent persons falls, fundamentally, on their family members who usually perceive this situation as a problem due to its repercussions on the family group in general and on the health and quality of life for the informal caretaker in particular. The burden which an informal caretaker assumes depends on diverse variables among which the most important are considered to be social assistance and the forms of help which the caretaker has to rely on. At the same time, the resources and help available are determined by the vision which the formal system has for informal caretakers; therefore, it is important that nurses, as caretakers in the formal system, have a clear idea about the situations that are created and that nurses reflect on the alternatives which allow a dependent person to be cared for without forgetting the needs and rights of the caretakers.

In order to know the necessities and problems which informal caretakers have, and to identify the formal and informal help they receive, their own perception of themselves and what they would like to receive from the formal system, the authors carried out an observational, descriptive, transversal study using a semi/structured questionnaire in addition to a personal interview in the caretaker's home. This study occurred in the Primary Health Area Service Morera-Pomar and 32 caretakers were interviewed. As conclusions, the authors deduce that these caretakers have problems and necessities which call for assistance. They voice little criticism about the help they receive either from the formal or informal system. Overall, they value these positively, and what they hope for fall into what they already receive or what is presently offered.