scholarly journals Evidence-based practice utilization and associated factors among nurses working in Amhara Region Referral Hospitals, Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0248834
Author(s):  
Zewdu Bishaw Aynalem ◽  
Kassahun Gebeyehu Yazew ◽  
Mignote Hailu Gebrie
Keyword(s):  
Work Experience ◽  
Associated Factors ◽  
Evidence Based Practice ◽  
Internet Access ◽  
Family Satisfaction ◽  
P Value ◽  
Evidence Based ◽  
Amhara Region ◽  
Multivariable Logistic Regression Model ◽  
Referral Hospitals

Background Applying evidence-based practice during care provision is essential because it improves the quality of care, reduces health care costs, and increases patient and family satisfaction. However, information on evidence-based nursing practice and associated factors were not well studied and documented in the study area. Hence, this study aimed to assess utilization and associated factors of evidence-based practice among nurses working in Amhara Region Referral Hospitals, Ethiopia. Methods An institution-based cross-sectional study was conducted from March 18 to April 16, 2019, in Amhara Region Referral Hospitals. A simple random sampling technique was used to select 684 respondents. Data were collected using a pretested and self-administered questionnaire. Data were entered into Epi Info version 7.1.2.0 and exported to SPSS version 22.0 for analysis. The bivariable analysis was used primarily and variables with p-value < 0.2 were further examined using a multivariable logistic regression model to control con-founders. Then, variables’ p-value < 0.05 with 95% CI was used to determine associated factors. Results From 684 proposed nurses, 671 of them completed the questionnaire giving 98.1% response rate. Of these, 55% (95% CI: 51.2, 58.9) of them had good evidence-based practice utilization. Variables including single (AOR = 1.662: 95% CI: 1.089–2.536), fewer work experience (AOR = 1.849: 95% CI: 1.049–3.257), good knowledge (AOR = 2.044: 95% CI: 1.406–2.972), effective communication skill (AOR = 2.537: 95% CI: 1.744–3.689), EBP training (AOR = 3.224 95% CI: 1.957–5.311), internet access (AOR = 1.655: 95% CI: 1.119–2.448) and evidence-based guideline availability (AOR = 1.827: 95% CI: 1.249–2.673) were found to be predictors of evidence-based practice utilization. Conclusions The study revealed that evidence-based practice utilization among nurses is low. Availing evidence-based guidelines in the work area, improving facilities’ internet access, and building nurses’ evidence-based practice competencies through either by giving separate training or incorporating as part of the curriculum would improve its utilization.

scholarly journals Nurses communication skill and associated factors in Amhara Region Referral Hospitals, Ethiopia, 2019

2020 ◽  
Author(s):  
Kassahun Gebeyehu Yazew ◽  
Mignot Hailu Gebrie ◽  
Zewdu Bishaw Aynalem
Keyword(s):  
Communication Skills ◽  
Associated Factors ◽  
Communication Skill ◽  
Effective Communication ◽  
Bivariate Analysis ◽  
P Value ◽  
Evidence Based ◽  
Amhara Region ◽  
Multivariable Logistic Regression Model ◽  
Referral Hospitals

Abstract Background: - Nurses are critical in the delivery of essential health services and are core in strengthening the health system. So, the aim of this article was to assess the prevalence of the communication skills of the nurses to patient and determinant factors in Amhara Region Referral Hospitals, Ethiopia, 2019 Methods: Institution based cross-sectional study was conducted from March 18 to April 16, 2019 in Amhara Region Referral Hospitals. A simple random sampling technique was used to select 684 respondents. Data was collected using pretested and self-administered questionnaire. Collected data was entered into Epi Info version 7.1.2.0 and exported to SPSS version 25.0 for analysis. Bivariate analysis was used primarily and variables with p-value ≤ 0.2 were further examined using multivariable logistic regression model to control con-founders. Then, variables having p-value less than 0.05 with 95% CI were used to determine associated factors. Results: - Out of 678 study participants, 403 (61.4%) of them had effective communication skills with 96.8 % of the response rate. Less than 5 years of working experience [AOR=2.77; 95% CI: (1.28, 5.99)], workload [AOR=1.52; 95% CI: (1.09, 2.12)], and poor evidence-based utilization [AOR=2.00; 95% CI: (1.40, 2.85)] were associated with the nurse’s effective communication skill to patients. Conclusions: More than half of the participants were had effective communication skills. Year of working experience, workload, and poor evidence-based utilization were the main contributing factors of the communication skills. Keywords: Communication skills, Nurses, Patients, Ethiopia

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 Journal Club is a way forward to adopt Evidence Based Practice among dental House Officers

2021 ◽  
Vol 38 (1) ◽  
Author(s):  
Kiran Fatima Fatima Mehboob Ali BANA
Keyword(s):  
Critical Thinking ◽  
Knowledge Acquisition ◽  
Literature Search ◽  
Job Training ◽  
Evidence Based Practice ◽  
Journal Club ◽  
Relevant Literature ◽  
P Value ◽  
Evidence Based ◽  
Total N

Objectives: To identify the improvement in knowledge, presentation skills, critical skills and self-directed learning process during Journal Club platform amidst dental house officers of 2018, 2019 and 2020 after completing one year house job training at Bahria dental College Karachi. Methods: This cross-sectional study was conducted from Dec- 2018 till Dec-2020. The six items were asked about perception of change for evidence-based process of (knowledge, cognitive, affective and participant domains) after completion of house job training by each cohort. The responses were noted on three point likert scale as agree, neutral and disagree. Total 150 questionnaires were distributed in three cohorts. The SPSS version 23 was used. P-value <0.05 was considered as statistically significant. Results: Total n=145 house officers had completed the proforma with response rate of 96.65%. The mean age was 24.45 ± SD 0.63 among three groups. There were n=20(14%) males and n=125(86%) females. There was improvement found for knowledge acquisition about relevant literature search among all three groups. Regarding knowledge acquisition of bio-statistics; majority of subjects n=26 (52%) in 2020 group had reported no change and in 2019 cohort n=23(48%) were agreed. Majority n=21(44%) of house officers had reported no change when asked as JC helped in critical thinking in year 2019. Conclusion: Knowledge acquisition about relevant literature search, presentation and confidence skills were improved but no significant changes were found in knowledge of biostatistics and critical thinking skills. JC is a convincing platform to learn evidence-based process amid dental house officers. doi: https://doi.org/10.12669/pjms.38.1.4562 How to cite this:Bana KFMA. Journal Club is a way forward to adopt Evidence Based Practice among dental House Officers. Pak J Med Sci. 2022;38(1):---------. doi: https://doi.org/10.12669/pjms.38.1.4562 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Induced Second Trimester Abortion and Associated Factors in Amhara Region Referral Hospitals

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Amlaku Mulat ◽  
Hinsermu Bayu ◽  
Habtamu Mellie ◽  
Amare Alemu
Keyword(s):  
Associated Factors ◽  
First Trimester ◽  
Systematic Sampling ◽  
Bivariate Analysis ◽  
Second Trimester ◽  
Amhara Region ◽  
Trimester Abortion ◽  
Cross Sectional ◽  
Referral Hospitals ◽  
Second Trimester Abortion

Background. Although the vast majority of abortions are performed in the first trimester, still 10–15% of terminations of pregnancies have taken place in the second trimester period globally. As compared to first trimester, second trimester abortions are disproportionately contribute for maternal morbidity and mortality especially in low-resource countries where access to safe second trimester abortion is limited. The main aim of this study was to assess the prevalence and associated factors of induced second trimester abortion in Amhara region referral hospitals, northwest Ethiopia.Methods. Institution based cross-sectional study was conducted in Amhara region referral hospitals among 416 women who sought abortion services. Participants were selected using systematic sampling technique. Data were collected using pretested structured questionnaire through interviewing. After the data were entered and analyzed; variables which havePvalue < 0.2 in bivariate analysis, not colinear, were entered into multiple logistic regressions to see the net effect with 95% CI andPvalue < 0.05.Results. The prevalence of induced second trimester abortion was 19.2%. Being rural (AOR = 1.86 [95% CI = 1.11–3.14]), having irregular menstrual cycle (AOR = 1.76 [95% CI = 1.03–2.98]), not recognizing their pregnancy at early time (AOR = 2.05 [95% CI = 1.21–3.48]), and having logistics related problems (AOR = 2.37 [95% CI = 1.02–5.53]) were found to have statistically significant association with induced second trimester abortion.Conclusion. Induced second trimester abortion is high despite the availability of first trimester abortion services. Therefore, increase accessibility and availability of safe second trimester abortion services below referral level, counseling and logistical support are helpful to minimize late abortions.

scholarly journals Knowledge, Awareness and Associated factors of Telemedicine Services among Health Professionals Working at Amhara Region Referral hospitals, northwest Ethiopia, 2020.

2021 ◽  
Author(s):  
Bayou Tilahun Assaye ◽  
Adamu Takele Jemere ◽  
Araya Mesfin Nigatu
Keyword(s):  
Information Sharing ◽  
Health Professionals ◽  
Associated Factors ◽  
Healthcare Services ◽  
Support Staff ◽  
Good Knowledge ◽  
Amhara Region ◽  
Referral Hospitals ◽  
It Support ◽  
Significant Factors

Abstract Background: -Telemedicine is the delivery of healthcare services at a distance. Despite it is an emerging and infancy technology in a developing country, utilizing the technology for delivering healthcare services is low in Ethiopia. To maximize and facilitate Telemedicine adoption it prominently requires information about the knowledge and awareness of telemedicine services among health professionals.Methods: - An institution-based cross-sectional study design was conducted among 423 health professionals working at Amhara Region Referral Hospitals from February 12-March 20/2020. The data were collected using a self-administered structured questionnaire. Desk review was done to assure the data quality and then data was entered into EPI INFO version 7 and exported into SPSS version 20 for statistical analysis. Descriptive statistics, bivariable and multivariable logistic regression analyses were done. The odds ratio with a 95% confidence interval (95% CI) was used to identify associated factors.Result: About 56% of health professionals had good knowledge and 57.4% had high awareness towards telemedicine services with a 411 (97.2%) response rate. Information sharing culture [AOR=3.01, 95% CI: 1.89, 4.80], having IT support staff [AOR=1.87, 95%CI: 1.06, 3.29], internet as information source [AOR=1.80, 95%CI:1.1, 2.94], awareness [AOR=1.35,95% CI: 1.03, 2.40], being male [AOR=1.73,95% CI:1.06, 2.81] were significantly associated with the knowledge of the respondents towards telemedicine services and telemedicine training [AOR= 2.33, 95% CI: 1.15, 4.72] and computer accessibility in their hospitals [AOR= 1.54, 95% CI: 1.01, 2.35] were significantly associated with the awareness of the respondents towards telemedicine services.Conclusion: More than half of the respondents had good knowledge and high awareness of telemedicine services. Information sources, having IT support staff, information sharing culture, gender and awareness were significant factors for the knowledge of telemedicine service, and telemedicine training and computer access were significant factors of awareness of health professionals towards telemedicine services. Therefore Appropriate and regular awareness creation training of telemedicine systems should be given to the health professional.

Evidence-Based Practice Awareness And Knowledge levels Among Health Care Practitioners in Saudi Tertiary Hospitals (Preprint)

2018 ◽  
Author(s):  
Deena Barakah
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Evidence Based Practice ◽  
Absolute Risk ◽  
P Value ◽  
Evidence Based ◽  
Care Providers ◽  
Medical City ◽  
Tertiary Hospitals ◽  
Knowledge Levels

UNSTRUCTURED Estimating the awareness levels of Evidence-Based Practice (EBP) among health care providers is currently active area of research. This study main objective is to evaluate the medical staff awareness about Evidence-Based Practice and its constitutes , tools and resources at Saudi General Tertiary Hospitals. The study was carried out at King Saud Medical City (KSMC) in Riyadh, Saudi Arabia. The research main data were collected predominantly using a cross-sectional survey questionnaire. The research results showed that showed that majority of participants have a good understanding of the term EBP (59.7%) ,while having a vague idea (34.7%) and with No idea are only (5.6%). Although of a high percentage of the participants realize the concept of EBP , levels of knowledge about various EBP tools vary considerably The less known EBP tools were for: Confidence interval (34.2%) , and P- value tool , Odd ratio ,and Heterogeneity (31.9) followed by Absolute Risk (29.8 %) and Sensitivity tool (27.7%). Among the most known EBP tools with “Good Understanding” level were for: Meta Analysis (27.7%) followed by Systematic review and Publication Bias both at 25.3%) level . The Chi-Square tests for the correlation of specialty rank and awareness of EBP indicates that there is no statistically significant association between Profession specialty rank or gender with EBP awareness or its tool knowledge levels . Main results from this research showed that Evidence-Based Practice awareness at King Saud medical city hospitals is at acceptable level. Furthermore, more intensive education and training and enhancement of EBP resources IT medical education resources are needed to increase its knowledge and understanding , and to support the diffusion of Evidence-Based Practice in daily practice.

Sign in / Sign up

Export Citation Format

Share Document