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

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.

scholarly journals Cross-Sectional Study to Examine Evidence-Based Practice Skills and Behaviors of Physical Therapy Graduates: Is There a Knowledge-to-Practice Gap?

2015 ◽  
Vol 95 (4) ◽  
pp. 568-578 ◽  
Author(s):  
Patricia J. Manns ◽  
Amy V. Norton ◽  
Johanna Darrah
Keyword(s):  
Decision Making ◽  
Clinical Experience ◽  
Evidence Based Practice ◽  
Cross Sectional Study ◽  
Evidence Based ◽  
Sectional Study ◽  
Cross Sectional ◽  
Academic Knowledge ◽  
Practice Gap ◽  
Practice Skills

Background Curricula changes in physical therapist education programs in Canada emphasize evidence-based practice skills, including literature retrieval and evaluation. Do graduates use these skills in practice? Objectives The aim of this study was to evaluate the use of research information in the clinical decision making of therapists with different years of experience and evidence-based practice preparation. Perceptions about evidence-based practice were explored qualitatively. Design A cross-sectional study with 4 graduating cohorts was conducted. Methods Eighty physical therapists representing 4 different graduating cohorts participated in interviews focused on 2 clinical scenarios. Participants had varying years of clinical experience (range=1–15 years) and academic knowledge of evidence-based practice skills. Therapists discussed the effectiveness of interventions related to the scenarios and identified the sources of information used to reach decisions. Participants also answered general questions related to evidence-based practice knowledge. Results Recent graduates demonstrated better knowledge of evidence-based practice skills compared with therapists with 6 to 15 years of clinical experience. However, all groups used clinical experience most frequently as their source of information for clinical decisions. Research evidence was infrequently included in decision making. Limitations This study used a convenience sample of therapists who agreed to volunteer for the study. Conclusions The results suggest a knowledge-to-practice gap; graduates are not using the new skills to inform their practice. Tailoring academic evidence-based activities more to the time constraints of clinical practice may help students to be more successful in applying evidence in practice. Academic programs need to do more to create and nurture environments in both academic and clinical settings to ensure students practice using evidence-based practice skills across settings.

scholarly journals Awareness and Perceptions Regarding Evidence Based Practice Among Nurses and Midwives in Two Ugandan National Referral Hospitals: A Cross-Sectional Study

2021 ◽  
Author(s):  
Francine Mwitende ◽  
Richard Muhindo
Keyword(s):  
Medical Education ◽  
Evidence Based Practice ◽  
Cross Sectional Study ◽  
Continuous Medical Education ◽  
Work Place ◽  
Evidence Based ◽  
Sectional Study ◽  
Cross Sectional ◽  
Referral Hospitals ◽  
Nurses And Midwives

Abstract Background: Integration of evidence-based practice (EBP) in nursing and midwifery increases patient satisfaction, patient safety and reduced length of hospital stay, which all contribute to better patient outcomes and improved quality of care. Little is known about awareness and perception regarding evidence-based practice among nurses and midwives in Uganda. Objective: This study sought to assess awareness and perceptions regarding evidence-based practice among nurses and midwives.Methods: A descriptive cross-sectional study using self-administered questionnaires was conducted among 384 nurses and midwives in Mulago and Kawempe National Referral Hospitals. The participants were recruited consecutively until when the desired sample size was obtained. Statistical Package for Social Sciences (SPSS) version 26 was used to analyze and summarize data using frequency and percentages. We performed Chi-square test to assess the factors association with awareness and perception. The independent variables with p-value <0.05 were significant. Results: Most of the participants were female (81.8%) and were practicing as nurses (76.2%). The results indicated that less than a half (46.2%, n=138) of participants were aware of EBP. Majority of the participants (96.3%- 97.7%) felt that EBP is highly important, necessary and an obligation in nursing and midwifery practice, although only 68.0% were routinely practicing it in their practice. Awareness was associated with level of education attained (p= 0.000), gender (0.001), going back to school after first qualification (p=0.000), access to learning resources at work place (p=0.000) and attendance of continuous medical education (p= 0.000), whereas, perception was associated with attendance of continuous medical education (0.017).Conclusion: Data show that nurses and midwives’ awareness regarding evidence-based practice was low in this study, however, they possessed positive perceptions regarding evidence-based practice. Moreover, only about two-thirds were practicing EBPs. Therefore, I recommend increased calls for interventions to sensitize nurses and midwives about EBP like continuous medical education (CME) and Continuous professional development (CPD) or refreshing training

Prevalence and factors associated to depression among Debrebirhan University students: a cross-sectional study

2021 ◽  
Author(s):  
(MD
Keyword(s):  
University Students ◽  
Associated Factors ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Considerable Proportion ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Prevalence Of Depression ◽  
Debre Birhan

Abstract Background: Undiagnosed depression among university students has an adverse effect on the wellbeing and academic performance of students. This study aimed to assess the prevalence of depression and associated factors among Debre Birhan university students. Methodology: Institutional based cross-sectional study design is conducted in Debre Birhan University from April to June 2013 E.C. Three hundred sixty nine students participated in this study which was selected by simple random sampling technique. Data were collected by using a self-administered PHQ-9 standard depression questionnaire. First the data was entered into in Epidata 3.1 and then was exported to SPSS version 20 for analysis. Associated factors were identified using binary logistic regression and variables with a p-value < 0.05 were declared as statistically significant factors with the outcome variables. Result: All of the study subjects were between ages 18 and 33 with a mean age of 22.65 9 ± 2.78. The overall prevalence of depression is 17.1%. Among this according to PHQ-9 scores cut scores, 161(43.6 %) scored as normal (0–4), 145(39.3%) scored as mild (5–9), 53(14.4%) scored as moderate (10–14), 4(1.1%) scored as moderately severe (15–19) and 6(1.6%) students scored as sever (> 20). In multivariate analysis being female AOR = 9.28[3.47–24.81], academic year AOR = 0.236[0.059–0.936], smoking 26.3[9.33–74.1] and alcohol use AOR of 2.62[0.95–7.21] are significantly associated with depression. Conclusion and recommendation: This study found a considerable proportion of undergraduate students with depression. Higher institutions need to pay special attention to students especially those who are female, junior students, smokers and alcohol users.

scholarly journals Nurses’ Knowledge, Attitudes, and Implementation of Evidence-based Practice in Oman: A Multi-institutional, Cross-sectional Study

2019 ◽  
Vol 34 (6) ◽  
pp. 521-527
Author(s):  
Ibrahim Saleh Al-Busaidi ◽  
Saud Zahran Al Suleimani ◽  
Jonas Usbal Dupo ◽  
Nasser Khalfan Al Sulaimi ◽  
Vijayalakshmi Gopalan Nair
Keyword(s):  
Evidence Based Practice ◽  
Cross Sectional Study ◽  
Evidence Based ◽  
Sectional Study ◽  
Cross Sectional ◽  
Nurses Knowledge
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