Ontology highlight
ABSTRACT:
Objective: This study aimed to assess reported level of EBP and associated factors among health care providers working in public hospitals in northwest Ethiopia.
Methods: A cross-sectional study was conducted with 415 randomly selected nurses, midwives, and physicians using stratified sampling (97.6% response rate). Data were collected using a structured, self-administered questionnaire that was developed by reviewing the literature and adapting the Melnyk and Fineout-Overholt EBP Implementation Scale. After validating scales, bivariate and multivariate linear regression models were used to identify factors associated with EBP implementation.
Results: The mean EBP implementation score was 10.3 points out of a possible 32 points and 60% of respondents scored below average. Most (60.2%) respondents reported poor confidence in their ability to judge the quality of research and half (50.1%) said that they were unable to find resources for implementing EBP. The most frequently mentioned barriers to EBP were lack of training (81.2%), poor health facility infrastructure (79.3%), and lack of formal EBP/patient education units in facilities (78.0%). The factors found to be significantly and independently associated with EBP implementation were years of work experience (??=?-0.10; P < 0.05); having been trained as a bachelor's degree-level nurse (??=?3.45; P < 0.001) or a bachelor's degree-level midwife (??=?2.96; P < 0.001), a general practitioner (??=?7.86; P < 0.001), or a specialist physician (??=?15.04; P < 0.001) rather than a diploma-level nurse; working in a pediatrics ward (??=?-1.74; P < 0.05); and reporting as barriers either a lack of clarity on the importance of EBP (??=?-0.93; P < 0.05) or a lack of orientation sessions on new health priorities (??=?-0.91; P < 0.05).
Conclusions: Health professionals had low levels of EBP implementation and poor EBP skills. These problems were particularly acute for providers with lower levels of training. A large number of respondents reported structural and institutional barriers to EBP. These results suggest that clear leadership and ongoing, cross-disciplinary, skill-building approaches are needed to increase EBP implementation in Ethiopia. (Curr Ther Res Clin Exp. 2020; 81:XXX-XXX).
SUBMITTER: Dessie G
PROVIDER: S-EPMC7708748 | biostudies-literature | 2020
REPOSITORIES: biostudies-literature
Current therapeutic research, clinical and experimental 20201107
<h4>Background</h4>Despite the fact that evidence-based practice (EBP) is believed to be associated with improved health, safety, and cost outcomes, most medical practice in low- and middle-income countries such as Ethiopia is not evidence-based. Understanding the extent of and barriers to EBP in Ethiopia is important for learning how to best to improve quality of care. Few studies have assessed EBP in Ethiopia.<h4>Objective</h4>This study aimed to assess reported level of EBP and associated fac ...[more]