Adherence to evidence-based guidelines for indwelling urinary catheter management: A cross-sectional study

Objective: This study aimed to investigate the factors affecting the sale of non-prescribed antibiotics in Jakarta, Indonesia.Methods: A cross-sectional, observational study was conducted across 190 randomly selected pharmacies in five administrative districts of Jakarta,Indonesia. Data regarding pharmacies were obtained from the Facility of Pharmaceutical Services Ministry of Health Data, in 2014, which includes allpharmacies in Jakarta. Further data were obtained using structured questionnaires.Results: Among the 190 respondents, 15 pharmacies (9.7%) never provided antibiotics without prescription, whereas 44 (23.6%), 60 (31.6%), and71 pharmacies (36.3%) provided antibiotic services without prescription rarely, sometimes, and always, respectively. Factors considerably associatedwith the increased sale of antibiotics without a prescription included the attitude and age of pharmacists, the type of pharmacy (independent or chainstore), and the presence of pharmacist assistants. Attitude was the most common variable related to providing antibiotics without a prescription.Conclusion: Antibiotics are frequently dispensed by community pharmacies in Jakarta without an appropriate prescription. These findings supportthe need for strict enforcement of pharmacy laws through improved inspections, and they highlight the need for evidence-based guidelines andeducational interventions to improve practices regarding antibiotic provision.

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Do Evidence-Based Guidelines Have an Impact in Primary Care? A Cross-Sectional Study of Swedish Physicians and Physiotherapists

Spine ◽

10.1097/00007632-200501010-00024 ◽

2005 ◽

Vol 30 (1) ◽

pp. 146-151 ◽

Cited By ~ 45

Author(s):

Thomas Overmeer ◽

Steven J. Linton ◽

Lennart Holmquist ◽

Martin Eriksson ◽

Peter Engfeldt

Keyword(s):

Primary Care ◽

Cross Sectional Study ◽

Evidence Based ◽

Sectional Study ◽

Cross Sectional ◽

Evidence Based Guidelines

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Knowledge, attitude and practice of evidence-based medicine among primary care practitioners in Malaysia: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2020-044372 ◽

2021 ◽

Vol 11 (6) ◽

pp. e044372

Author(s):

Mat Nawi Zanaridah ◽

Mohd Noor Norhayati ◽

Zakaria Rosnani

Keyword(s):

Primary Care ◽

Evidence Based Medicine ◽

Primary Care Physicians ◽

Cross Sectional Study ◽

Evidence Based ◽

Sectional Study ◽

Primary Care Practitioner ◽

Cross Sectional ◽

Primary Care Practitioners ◽

Based Medicine

ObjectivesTo determine the level of knowledge and practice of evidence-based medicine (EBM) and the attitudes towards it and to identify the factors associated with its practice among primary care practitioners in Selangor, Malaysia.SettingThis cross-sectional study was conducted in randomly selected health clinics in Selangor. Data were collected from primary care physicians using self-administered questionnaires on knowledge, practice and attitudes regarding EBM.ParticipantsThe study included 225 respondents working in either government or private clinics. It excluded house officers and those working in public and private universities or who were retired from practice.ResultsA total of 32.9% had a high level of EBM knowledge, 12% had a positive attitude towards EBM and 0.4% had a good level of its practice. The factors significantly associated with EBM practice were ethnicity, attitude, length of work experience as a primary care practitioner and quick access to online reference applications on mobile phones.ConclusionsAlthough many physicians have suboptimal knowledge of EBM and low levels of practising it, majority of them have a neutral attitude towards EBM practice. Extensive experience as a primary care practitioner, quick access to online references on a mobile phone and good attitude towards EBM were associated with its practice.

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Implementation of evidence-based practice and associated factors among nurses and midwives working in Amhara Region government hospitals: a cross-sectional study

Reproductive Health ◽

10.1186/s12978-021-01096-w ◽

2021 ◽

Vol 18 (1) ◽

Author(s):

Asrat Hailu Dagne ◽

Mekonnen Haile Beshah ◽

Bekalu Getnet Kassa ◽

Eyaya Habtie Dagnaw

Keyword(s):

Associated Factors ◽

Evidence Based Practice ◽

Cross Sectional Study ◽

P Value ◽

Evidence Based ◽

Sectional Study ◽

Cross Sectional ◽

Work Index ◽

Nurses And Midwives ◽

Practice Skills

Abstract Background Implementation of evidence-based practice is crucial to enhance quality health care, professional development, and cost-effective health service. However, many factors influence the implementation of evidence-based practice. Therefore, this study aimed to assess the implementation of evidence-based practice and associated factors among nurses and midwives. Methods Institutional-based cross-sectional study design was conducted to assess the implementation of evidence-based practice and associated factors from February 15 to March 15, 2019, among 790 nurses and midwives. Data were entered into EpiData version 3.1 then exported to SPSS version 20 for statistical analysis. Categorical variables were presented as frequency tables. Continuous variables were presented as descriptive measures, expressed as mean and standard deviation. Cronbach’s alpha was used to measure reliability, mean, standard deviation, and inter-items correlation of the factors. Independent variables with a probability value (P-value) of less than 0.2 in the Chi-square analysis were entered in the multivariable logistic regression model. Statistically significant associated factors were identified at probability value (P-value) less than 0.05 and adjusted odds ratio with a 95% confidence interval. Results The mean age of participants was 28.35 (SD ± 4.5) years. This study revealed that 34.7% (95% CI 31.5–38%) of participants implemented evidence-based practice moderately or desirably. Age of participants (AOR = 5.98, CI 1.34–26.7), barriers of implementation of evidence-based practice (AOR = 4.8, CI 2.2–10.6), the attitude of participants (AOR = 5.02, CI 1.2–21.5), nursing/midwifery work index (AOR = 3.9, CI 1.4–10.87), self-efficacy of implementation of evidence-based practice skills (AOR = 12.5, CI 5.7–27.5) and knowledge of participants (AOR = 3.06, CI 1.6–5.77) were statistically significant associated factors of implementation of evidence-based practice Concussion Implementation of evidence-based practice of nurses and midwives was poor. Age of participants, barriers of implementation of evidence-based practice, the attitude of participants, self-efficacy of implementation of evidence-based practice skills, nursing/midwifery work index, and knowledge of participants were found to be predictors of implementation of evidence-based practice. Insufficient time and difficulty in judging the quality of research papers and reports were the most common barriers to the implementation of evidence-based practice.

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