A systematic review on barriers, facilities, knowledge and attitude toward evidence-based medicine in Iran

Ghojazadeh, Morteza; Azami-Aghdash, Saber; Azar, Fatemeh Pournaghi; Fardid, Mozhgan; Mohseni, Mohammad; Tahamtani, Taraneh

doi:10.15171/jarcm.2015.001

Cited by 20 publications

(28 citation statements)

References 47 publications

(27 reference statements)

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“…Lack of material resources such as equipment, supplies and facilities were identified as significant barriers to optimal surgical care in India and Bangladesh (Grimes, Bowman, Dodgion, & Lavy, ) and in the implementation of maternal and perinatal health guidelines in Myanmar (Vogel et al., ). The need to improve the knowledge, skills and attitude of health practitioners was also consistently identified as an important determinant of evidence implementation, not only in the current study but widely in the low‐ and middle‐income EBP literature (Ghojazadeh et al., ; Kavle, LaCroix, Dau, & Engmann, ).…”

Section: Discussionmentioning

confidence: 54%

Barriers and Facilitators to Implementing Evidence in African Health Care: A Content Analysis With Implications for Action

Lizarondo

Lockwood

McArthur

2019

Worldviews Ev Based Nurs

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Background: Culture-and context-specific issues in African countries such as those related to language, resources, technology, infrastructure and access to available research may confound evidence implementation efforts. Understanding the factors that support or inhibit the implementation of strategies aimed at improving care and health outcomes specific to their context is important.Aims: The aim of this study was to determine barriers and facilitators to evidence implementation in African healthcare settings, based on implementation projects undertaken as part of the Joanna Briggs Institute (JBI) Clinical Fellowship program.Methods: Reports of implementation projects conducted in Africa were obtained from the JBI database and printed monographs associated with the fellowship program. A purpose-built data extraction form was used to collect data from individual reports. Data were analysed using content analysis.Results: Eleven published and nine unpublished implementation reports were reviewed. The most frequently reported barriers to evidence implementation operate at the health organization or health practitioner level. Health organization-level barriers relate to human resources, material resources and policy issues. Health practitioner-level barriers relate to practitioners' knowledge and skills around evidence-based practice, and attitudes to change. Barriers at the government and consumer levels were uncommon. Only a few facilitators were identified and were related to health practitioners' attitudes or support from the organization's management.Linking Evidence to Action: The study identified a core set of barriers and facilitators in African healthcare settings, which are common to other low-and middle-income countries. These can be used to develop a method by which implementation programs can systematically undertake barrier or facilitator analysis. Future research should aim to develop a process by which these barriers and facilitators can be prioritised so that a structured decision support procedure can be established.

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Section: Discussionmentioning

confidence: 54%

Barriers and Facilitators to Implementing Evidence in African Health Care: A Content Analysis With Implications for Action

Lizarondo

Lockwood

McArthur

2019

Worldviews Ev Based Nurs

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“…Prevention, early diagnosis and effective management of medical errors are recognized as the priority in health-care systems [ 23 ]. Majority of our participants reported no events during the last 12 months which is in contrast to the high frequency of medical errors in developing countries [ 24 ]. A possible explanation for underestimated report of medical error could be the punitive response to error in health-care organizations [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

Safety culture in the maternity unit of hospitals in Ilam province, Iran: a census survey using HSOPSC tool

Akbari¹,

Malek²,

Ebrahimi³

et al. 2017

Pan Afr Med J

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IntroductionImproving quality of maternal care as well as patients' safety are two important issues in health-care service. Therefore, this study aimed to assess the culture of patient safety at maternity units.MethodsThis cross-sectional study was conducted among staffs working at maternity units in seven hospitals of Ilam city, Iran. The staffs included in this study were gynecologists and midwifes working in different positions including matron, supervisors, head of departments and staffs. Data were collected using the Hospital Survey on Patient Safety Culture (HSOPSC).ResultsThis study indicated that 59.1% of participants reported fair level of overall perceptions of safety and 67.1% declared that no event was reported during the past 12 months. The most positively perceived dimension of safety culture was teamwork within departments in view of managers (79.41) and personnel (81.10). However, the least positively perceived dimensions of safety culture was staffing levels.ConclusionThe current study revealed areas of strength (teamwork within departments) and weakness (staffing, punitive responses to error) among managers and personnel. In addition, we found that staffs in Ilam's hospitals accept the patient safety culture in maternity units, but, still are far away from excellent culture of patient safety. Therefore, it is necessary to promote culture of patient's safety among professions working in the maternity units of Ilam's hospitals.

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“…Although numerous studies have emphasized the utilization of novel approaches in nursing students' education [10,11], Traditional methods such as lecturing are still the top priority of many faculty members in Iran [12]. Ghojazadeh, et al (2015) stated that novel teaching methods cannot be accurately and standardly executed in Iran unless they are accompanied with time, place, and personnel arrangements [13].…”

Section: Introductionmentioning

confidence: 99%

Barriers and challenges against the utilization of novel teaching methods for nursing students from the perspective of nursing instructors

Bijani

Moradi

Karimi

et al. 2020

Preprint

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Background: The first step in efficient application of novel teaching methods is identification of barriers and challenges in order to perform appropriate interventions. Various studies have emphasized the utilization of novel methods in instruction of nursing students. However, there are barriers and challenges against the use of these techniques. Therefore, the present study aimed to investigate the challenges and executive barriers against the utilization of novel approaches in instructing nursing students from the perspective of nursing instructors. Methods: In this descriptive-analytical study, 150 nursing instructors were selected through census from three nursing schools in Fars province, southwest of Iran in 2019. The study data were entered into the SPSS 22 software and were analyzed using statistical tests, frequency distribution, mean, standard deviation, t-test, and one-way ANOVA. Results: The effective challenges against the utilization of novel teaching methods were classified into three domains as follows: challenges related to students, challenges related to instructors, and structural-managerial challenges. Considering the challenges associated with students, the highest score was related to the students’ lack of familiarity with novel teaching methods. Regarding the challenges associated with instructors, the highest scores were related to the instructors’ unfamiliarity with novel teaching methods and lack of mastery and skills. Finally, the large number of students and lack of support and encouragement on the part of educational institutions obtained the highest scores in the field of structural-managerial challenges. The results of independent t-test revealed a significant relationship between gender and educational degree in all three domains (p<0.001). The results also showed a significant relationship between work experience and the scores of the three domains (p<0.001). Conclusion: Application of novel approaches in nursing education requires infrastructures as well as elimination of executive barriers. Instructors’ and students’ familiarity with novel techniques and their execution processes and educational institutions’ support could contribute to the effectiveness of these methods, as well.

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A systematic review on barriers, facilities, knowledge and attitude toward evidence-based medicine in Iran

Cited by 20 publications

References 47 publications

Barriers and Facilitators to Implementing Evidence in African Health Care: A Content Analysis With Implications for Action

Barriers and Facilitators to Implementing Evidence in African Health Care: A Content Analysis With Implications for Action

Safety culture in the maternity unit of hospitals in Ilam province, Iran: a census survey using HSOPSC tool

Barriers and challenges against the utilization of novel teaching methods for nursing students from the perspective of nursing instructors

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