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

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.

Evidence-based practice knowledge and implementations among nurses at Ho Chi Minh Oncological hospital in 2022

“…However, this result was lower than that of Cable's study (42 ± 12 years) [16]. In contrast, the results of this study were higher than those of Asrat (28.35 ± 4.5 years old) [12]. Globally, the nursing workforce is relatively young, but there are regional disparities, with the age structure being essentially older than in the Americas and Europe regions [17].…”

“…The implementation of EBP is critical to improving the quality of healthcare, professional development, and costeffective health services [12]. In addition, EBP is one of the key elements of nursing professional accountability.…”

Factors related to the knowledge and skills of evidence‐based practice among nurses worldwide: A scoping review

“…Evidence‐based practice implementation by nurses, the largest constituency of healthcare professionals, has become essential (World Health Organization/Europe, 2017). Numerous studies have shown that personal factors, like attitudes toward EBP, the knowledge and skills of EBP, educational level, participation in EBP education, and qualifications of advanced practice nurses, as well as work‐environment factors, like resources, organizational support for EBP, and time, are associated with nurses' EBP implementation (Dagne et al, 2021; Farokhzadian et al, 2015; Ominyi & Agom, 2020; Skela‐Savič et al, 2016; Tomotaki et al, 2020). Therefore, promoting EBP among nurses by focusing on the factors important to nurses' EBP implementation will be a crucial challenge over the coming decade.…”

Nurse Practitioners’ Perception on Research Utilization and Possible Barriers; A Saudi Arabian Experiential Perspective during Covid-19 Pandemic

“…The study found no association between research utilization and nurses' demographic factors. Conflicting results were found in some studies during the same Covid-19 Pandemic period iterating statistical association of research utilization to age, attitude to EBP and knowledge (pertaining to educational preparation) according to Dagne et al [18] study. Other factors or variables were identified as well as associated like civil status, and work experience (e.g., referring to number of years in the practice) afforded by the study done by Aynalem et al [20].…”

“…Attitude-wise, nurse practitioners that participated had that highest belief research is "stimulating, and interesting, and that it helped them professionally" to quote that very words used in the data gathering tool. It surely was a positive appreciation and research utilization attitude by the respondents as can be observed even during the very upsurge of Covid-19 Pandemic where there was as well an upsurge of publication and research studies [18]. It was even emphasized that research utilization during the pandemic period was significantly influenced by the nurses' competency and beliefs or as positive attitude [19].…”