Evidence-based practice in local public health service in Ghana

Owusu‐Addo, Ebenezer; Cross, Ruth; Sarfo‐Mensah, Paul

doi:10.1080/09581596.2016.1182621

Cited by 18 publications

(18 citation statements)

References 44 publications

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“…Commonly, participants use guidelines, hospital protocols and training manuals for clinical decision-making practice in our study conducted among nurses and midwives working in Amhara Region public hospitals. The studies conducted in Ghana and England were in line with this finding which indicated participants' understanding of IEBP [7,20]. However, our study findings showed that research was rarely used.…”

Section: Discussionsupporting

confidence: 86%

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Implementation of evidence-based practice: The experience of nurses and midwives

Dagne

Beshah

2021

PLoS ONE

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Background Implementation of evidence-based practice in clinical practice is crucial. Nurses and midwives play a vital role in using updated evidence. However, limited support and barriers to implementing evidence-based practice hamper the use of up-to-date evidence in clinical decision-making practice. Therefore, this study aimed to explore the implementation of evidence-based practice of nurses and midwives working in public hospitals. Methods A qualitative descriptive study was conducted to explore the experience of implementing evidence-based practice among nurses and midwives working in public hospitals. A total of 86 participants, of which, 25 in-depth interviews, 5 FGDs having 47 participants and 14 participants were involved during observations, were considered in Amhara Region public hospitals from November 17, 2019 to April 25, 2020. The observational data, interview and FGD transcripts were imported into NVivo 12 plus to manage and analyze the data using the Computer-Assisted Data Analysis Software Program (CAQDAS). The data were analyzed through thematic content analysis. Results Nurses and midwives perceived that implementation of evidence-based practice is the use of research findings, guidelines, hospital protocols, books, and expert experience in clinical decision-making practice. However, there was limited support for the implementation of evidence-based practice by nurses and midwives. The lack of knowledge and skill to use evidence like research findings, time mismanagement, the lack of motivation, the lack of resources and training were the perceived barriers to the implementation of evidence-based practice. Stick to the traditional practice due to lack of incentive and unclear job description between diploma and BSc nurses and midwives were the perceived causes of the lack of motivation. Conclusions The experience of evidence-based practice of nurses and midwives indicated that there was limited support for the implementation of evidence-based practice. However, research findings were rarely used in clinical decision-making practice The Knowledge, attitude towards implementing evidence-based practice, lack of resources and training, time mismanagement and lack of motivation were the barriers to the implementation of evidence-based practice. Therefore, the promotion of adopting the implementation of evidence-based practice and training on the identified barriers are mandatory.

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Section: Discussionsupporting

confidence: 86%

“…The participants had an understanding of how to implement EBP. The supporting of nurses and midwives to implement EBP indicates quality healthcare and working for safe patient care [2,20]. Barriers to IEBP of nurses and midwives were the primary concern in the experience of IEBP [21,22].…”

Section: Discussionmentioning

confidence: 99%

Implementation of evidence-based practice: The experience of nurses and midwives

Dagne

Beshah

2021

PLoS ONE

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“…There was participants’ fear to use research where there was the perception of a lack of supportive organization. Similar to this study finding, other studies found that organizational support to get advanced training, resources, and mentors were vital to utilise research in clinical decision-making [ 30 – 33 ]. This could be due to the decreasing of barriers of research utilisation through the supportive organization to alleviate the tension of nurses and midwives during their health care practice.…”

Section: Discussionsupporting

confidence: 86%

“…These barriers could be categorized under individual and institution level barriers. Studies conducted in Canada, Ghana, Germany, Iran, China, and Jordan presented these barriers of research utilisation [ 19 , 30 , 34 – 37 ]. However, the perceived causes of these barriers to utilise research vary in these studies.…”

Section: Discussionmentioning

confidence: 99%

Research utilisation in clinical practice: the experience of nurses and midwives working in public hospitals

Dagne

Tebeje

2021

Reprod Health

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Background Nurses and midwives play a vital role to utilise research in clinical decision-making practice. However, limited support for research utilisation and barriers of research utilisation hamper to utilise up-to-date research findings in clinical practice. Therefore, this study aimed to explore nurses’ and midwives’ experience of research utilisation in public hospitals. Methods A qualitative descriptive approach was conducted to explore nurses’ and midwives’ experience of research utilisation in clinical practice within South Gondar Zone public hospitals from January 3 to June 28, 2020. A total of 20 interviewees, 40 participants of FGDs, and 8 observations were considered in the study. Data from the interview, FGD, and observation were imported into NVivo 12 plus to manage and analyze the data using the Computer-Assisted Data Analysis Software Program (CAQDAS). The data were analyzed through thematic content analysis. Results Nurses’ and midwives’ experience of using research findings in clinical decision-making emerged as “the non-intentional research utilisation” the main theme. Data analysis produced as “the belief towards research utilisation”, “the limited support for nurses and midwives”, and, “the perceived barriers of research utilisation” as the three themes. Participants believed that the non-use of the primary research was recommended due to fear of accountability for client harm. The limited support for nurses’ and midwives’ experience of research utilisation decrease nurses’ and midwives’ confidence to utilise research in clinical practice. Knowledge, attitude, time mismanagement, and the lack of motivation were perceived barriers to research utilisation. The lack of training and access to systematic review and meta-analysis research findings limited the research utilisation in clinical practice. Conclusions The experience of research utilisation indicated that there was limited support for nurses and midwives to utilise research. Nurses and midwives did not utilise research in their clinical practice intentionally. This study identified that knowledge, negative attitude towards research utilisation, lack of training; time mismanagement, and lack of motivation were the perceived barriers to research utilisation. Therefore, the promotion of adopting the research utilisation and training on the identified barriers are mandatory. Plain English summary Nurses and midwives play a vital role to utilise research in clinical decision-making practice. However, the limited support for research utilisation and barriers of research utilisation hamper the utilisation of up-to-date research in clinical practice. Therefore, this study aimed to explore nurses’ and midwives’ experience of using the knowledge obtained from research findings in clinical and healthcare decision-making practice within public hospitals. The experience of research utilisation among nurses and midwives working in public hospitals was studied. There was limited support for nurses’ and midwives’ experience of research utilisation. Nurses and midwives did not utilise research in their clinical practice intentionally. The knowledge, negative attitude towards research utilisation, lack of training, time mismanagement, and lack of motivation were the perceived barriers to research utilisation. Therefore, the promotion of adopting the research utilisation and training on the identified barriers are mandatory.

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“…Recognizing the importance of EBP in a singular domestic context is one thing, but in cross-cultural situations is quite another. This methodology of applying evidence to practice is gaining ground among management in European countries, 34 public health services in Ghana, 35 and intensive care nursing in Jordan. 36 Establishing a new methodology can be a struggle domestically and internationally for reasons we will introduce below.…”

Section: Adopting and Maintaining Contextually Relevant Ministriesmentioning

confidence: 99%

Evidence-Based Practice in Mission: A Method for Establishing Best Practices and Achieving Desired Goals

Morgan¹

2020

International Bulletin of Mission Research

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Decision making and strategy in missions can be elusive tasks. The presence of experts and careful planning may not assure the establishment of best practices. The purpose of this article is to introduce evidence-based practice (EBP) as a proven method for establishing best practices in the mission enterprise. I will provide (1) a definition of EBP, (2) the process for establishing an EBP, (3) the value of EBP and its contribution to the mission enterprise and the fulfillment of mission goals, and (4) the problem of bias and barriers, which challenges the implementation of EBP.

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Evidence-based practice in local public health service in Ghana

Cited by 18 publications

References 44 publications

Implementation of evidence-based practice: The experience of nurses and midwives

Implementation of evidence-based practice: The experience of nurses and midwives

Research utilisation in clinical practice: the experience of nurses and midwives working in public hospitals

Evidence-Based Practice in Mission: A Method for Establishing Best Practices and Achieving Desired Goals

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