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Midwives’ Attitude and Barriers of Evidence Based Practice in Maternity Care

OBJECTIVES: Midwives have a crucial role in providing optimal care for pregnant women. One of the most important policies for quality improvement in maternity care is implementation of evidence-based practice. However, the application of evidence-based practice within the maternity health care setti...

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Autores principales: Azmoude, Elham, Aradmehr, Maryam, Dehghani, Faezeh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Penerbit Universiti Sains Malaysia 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6422555/
https://www.ncbi.nlm.nih.gov/pubmed/30899193
http://dx.doi.org/10.21315/mjms2018.25.3.12
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author Azmoude, Elham
Aradmehr, Maryam
Dehghani, Faezeh
author_facet Azmoude, Elham
Aradmehr, Maryam
Dehghani, Faezeh
author_sort Azmoude, Elham
collection PubMed
description OBJECTIVES: Midwives have a crucial role in providing optimal care for pregnant women. One of the most important policies for quality improvement in maternity care is implementation of evidence-based practice. However, the application of evidence-based practice within the maternity health care setting faces many challenges. The purpose of this study was to describe Iranian midwives’ attitude and perceived barriers of evidence based practice in maternity care. METHODS: In this descriptive, cross-sectional study, a census sample of 76 midwives from two public hospitals and urban health centers in Torbat Heydariyeh, a city east of Iran were surveyed. Data collection tools were two reliable and valid questionnaires that measure midwives’ attitudes and barriers of implementation of evidence-based practice. Data were analysed using SPSS version 16. RESULTS: The mean age and years of experience were 29.30 ± 4.86 and 5.22 ± 4.21 years, respectively. The mean score of attitude was 40.85 ± 4.84 (range = 30–60). This study also found time constraints (2.70 ± 0.92), inadequate facilities (2.64 ± 0.72), non-compilation of literature in one place (2.59 ± 0.92), lack of cooperation of physicians (2.48 ± 1.06) and the feeling of inadequate authority (2.45 ± 0.88) as the top five barriers to implementing EBP. CONCLUSION: Survey participants demonstrated a positive attitude toward EBP. Organisational comprehensive strategies such as time efficiency, adequate material and human resources, familiarity with organisations such as the Cochrane Collaboration and managerial support for increasing professional legitimate authority are recommended to promote the use of Evidence-Based Practice in Iran.
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spelling pubmed-64225552019-03-21 Midwives’ Attitude and Barriers of Evidence Based Practice in Maternity Care Azmoude, Elham Aradmehr, Maryam Dehghani, Faezeh Malays J Med Sci Original Article OBJECTIVES: Midwives have a crucial role in providing optimal care for pregnant women. One of the most important policies for quality improvement in maternity care is implementation of evidence-based practice. However, the application of evidence-based practice within the maternity health care setting faces many challenges. The purpose of this study was to describe Iranian midwives’ attitude and perceived barriers of evidence based practice in maternity care. METHODS: In this descriptive, cross-sectional study, a census sample of 76 midwives from two public hospitals and urban health centers in Torbat Heydariyeh, a city east of Iran were surveyed. Data collection tools were two reliable and valid questionnaires that measure midwives’ attitudes and barriers of implementation of evidence-based practice. Data were analysed using SPSS version 16. RESULTS: The mean age and years of experience were 29.30 ± 4.86 and 5.22 ± 4.21 years, respectively. The mean score of attitude was 40.85 ± 4.84 (range = 30–60). This study also found time constraints (2.70 ± 0.92), inadequate facilities (2.64 ± 0.72), non-compilation of literature in one place (2.59 ± 0.92), lack of cooperation of physicians (2.48 ± 1.06) and the feeling of inadequate authority (2.45 ± 0.88) as the top five barriers to implementing EBP. CONCLUSION: Survey participants demonstrated a positive attitude toward EBP. Organisational comprehensive strategies such as time efficiency, adequate material and human resources, familiarity with organisations such as the Cochrane Collaboration and managerial support for increasing professional legitimate authority are recommended to promote the use of Evidence-Based Practice in Iran. Penerbit Universiti Sains Malaysia 2018-05 2017-11-20 /pmc/articles/PMC6422555/ /pubmed/30899193 http://dx.doi.org/10.21315/mjms2018.25.3.12 Text en © Penerbit Universiti Sains Malaysia, 2018 This work is licensed under the terms of the Creative Commons Attribution (CC BY) (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Original Article
Azmoude, Elham
Aradmehr, Maryam
Dehghani, Faezeh
Midwives’ Attitude and Barriers of Evidence Based Practice in Maternity Care
title Midwives’ Attitude and Barriers of Evidence Based Practice in Maternity Care
title_full Midwives’ Attitude and Barriers of Evidence Based Practice in Maternity Care
title_fullStr Midwives’ Attitude and Barriers of Evidence Based Practice in Maternity Care
title_full_unstemmed Midwives’ Attitude and Barriers of Evidence Based Practice in Maternity Care
title_short Midwives’ Attitude and Barriers of Evidence Based Practice in Maternity Care
title_sort midwives’ attitude and barriers of evidence based practice in maternity care
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6422555/
https://www.ncbi.nlm.nih.gov/pubmed/30899193
http://dx.doi.org/10.21315/mjms2018.25.3.12
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