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

Azmoude, Elham; Aradmehr, Maryam; Dehghani-Tafti, Faezeh

doi:10.21315/mjms2018.25.3.12

Cited by 15 publications

(32 citation statements)

References 35 publications

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“…A total of eight studies found that nurses' attitudes and experience as barriers to implementing EBP [10][11][12][13][14][15][16]19].…”

Section: Nurses Personal Attitude and Experiencementioning

confidence: 99%

“…Similarly, 59% of nurses showed resistance to change from traditional and ritualistic practices to EBP [16]. While in a quantitative cross-sectional study aimed to describe the attitude toward the application of EBP among midwives in maternity care, the results showed the highest mean scores (4.18 ± 0.53) it improves patient health care outcomes [19].…”

Section: Nurses Personal Attitude and Experiencementioning

confidence: 99%

“…Seven studies demonstrated that lack of resources within the healthcare organizations are barriers to implement the EBP [9,10,13,14,16,17,19] Midwives reported inadequate facilities as an organizational barrier for implementation of EBP with (mean = 2.64) [19]. As well as, a total of 75.3% of nurses in Nepalese reported that inadequate facilities for implementing research findings are an organizational barrier to research utilization [14].…”

Section: Limited Organization Resourcesmentioning

confidence: 99%

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Barriers of Implementing Evidence-Based Practice in Nursing Profession: A Literature Review

Alatawi¹,

Aljuhani²,

Alsufiany³

et al. 2020

AJNS

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Background: Evidence-based practice is important in improving the overall quality of patient care, enhance nursing practice and increase the confidence in decision-making. Evidence-based practice is a technique used in solving clinical issues regarding patient care by integrating well-designed evidence with patient preferences, patient assessments, and health professionals. This review aims to explore barriers that confront nursing in the implementation of evidence-based practice. Consequently, by determining some of the barriers to the implementation of EBP among nurses, health care systems can form solutions that allow the health centers to avoid such issues and execute the approach among health care providers. Methods: peer review was undertaken following a literature search in the databases involved CINAHL, MEDLINE and EBSCO Web of Science databases. Included studies were from October 2018 to December 2018, English language and peerreviewed studies that aimed to explore the organizational and individual barriers within the healthcare setting. The quality appraisal tool was used to appraise all the included studies. Results: A total of 12 studies were included. Six studies were quantitative, five studies were qualitative, and one study used mixed methods. Four organizational barriers to implementing Evidence-based practice among nurses were found by reviewing the literature which is ("lack of support and supervision", "lack of training" and "education", "limited resources" and "time restriction"). While, four main themes were considering as an individual barrier to implementing Evidence-based practice among nurses: ("lack of nurses' knowledge", "skills and awareness regarding use the Evidence-based practice", "lack of professional characteristic", "nurses' attitude and experience in using" and "language barrier in using or implementing Evidence-based practice"). Conclusions and implications for future practice: Nursing administrators and educators have the main role to facilitate evidence-based practice implementation among nurses, therefore; the findings of this review can help to overcome the identified barriers. Training and education are important to enhance the knowledge and skills of nurses to use evidence-based practice. Time management, providing the required resources and adequate supervision can facilitate the implementation of evidence-based practice which positively influences the quality of care. For further research, it is very fruitful to investigate the common barriers of EBP in one specific culture such as the middle eastern culture. Furthermore, future research may focus on barriers of implementing EBP related to the patients and their families.

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“…A total of eight studies found that nurses' attitudes and experience as barriers to implementing EBP [10][11][12][13][14][15][16]19].…”

Section: Nurses Personal Attitude and Experiencementioning

confidence: 99%

Section: Nurses Personal Attitude and Experiencementioning

confidence: 99%

Section: Limited Organization Resourcesmentioning

confidence: 99%

See 1 more Smart Citation

Barriers of Implementing Evidence-Based Practice in Nursing Profession: A Literature Review

Alatawi¹,

Aljuhani²,

Alsufiany³

et al. 2020

AJNS

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“… 21 Second, severe provider shortages in low-income countries means that providers often have very large patient loads and work under intense time pressures, which may pose a barrier to taking the time to explore and review evidence in the course of practice. 21 , 30 , 31 , 32 , 33 In addition, because health care providers often work in teams, lack of supportive leadership or a conducive workplace culture might pose a barrier to changing practice. 21 Finally, as in high-income settings, patients may demand services that conflict with current evidence and providers may also have negative attitudes toward EBP, seeing it as reducing their autonomy and limiting their clinical choices.…”

Section: Introductionmentioning

confidence: 99%

Evidence-Based Practice and Associated Factors Among Health Care Providers Working in Public Hospitals in Northwest Ethiopia During 2017

Dessie

Jara

Alem

et al. 2020

Current Therapeutic Research

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Background: Despite the fact that evidence-based practice (EBP) is believed to be associated with improved health, safety, and cost outcomes, most medical practice in low- and middle-income countries such as Ethiopia is not evidence-based. Understanding the extent of and barriers to EBP in Ethiopia is important for learning how to best to improve quality of care. Few studies have assessed EBP in Ethiopia. Objective: This study aimed to assess reported level of EBP and associated factors among health care providers working in public hospitals in northwest Ethiopia. Methods: A cross-sectional study was conducted with 415 randomly selected nurses, midwives, and physicians using stratified sampling (97.6% response rate). Data were collected using a structured, self-administered questionnaire that was developed by reviewing the literature and adapting the Melnyk and Fineout-Overholt EBP Implementation Scale. After validating scales, bivariate and multivariate linear regression models were used to identify factors associated with EBP implementation. Results: The mean EBP implementation score was 10.3 points out of a possible 32 points and 60% of respondents scored below average. Most (60.2%) respondents reported poor confidence in their ability to judge the quality of research and half (50.1%) said that they were unable to find resources for implementing EBP. The most frequently mentioned barriers to EBP were lack of training (81.2%), poor health facility infrastructure (79.3%), and lack of formal EBP/patient education units in facilities (78.0%). The factors found to be significantly and independently associated with EBP implementation were years of work experience (β = –0.10; P < 0.05); having been trained as a bachelor's degree-level nurse (β = 3.45; P < 0.001) or a bachelor's degree-level midwife (β = 2.96; P < 0.001), a general practitioner (β = 7.86; P < 0.001), or a specialist physician (β = 15.04; P < 0.001) rather than a diploma-level nurse; working in a pediatrics ward (β = –1.74; P < 0.05); and reporting as barriers either a lack of clarity on the importance of EBP (β = –0.93; P < 0.05) or a lack of orientation sessions on new health priorities (β = –0.91; P < 0.05). Conclusions: Health professionals had low levels of EBP implementation and poor EBP skills. These problems were particularly acute for providers with lower levels of training. A large number of respondents reported structural and institutional barriers to EBP. These results suggest that clear leadership and ongoing, cross-disciplinary, skill-building approaches are needed to increase EBP implementation in Ethiopia. ( Curr Ther Res Clin Exp. 2020; 81:XXX–XXX)

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“…Although there is an established body of evidence on the barriers and facilitators of EBP in healthcare, there remains limited knowledge of the factors that help or hinder midwives' efforts to implement new evidence-based practices in clinical areas (Azmoude, Aradmehr, & Dehghani, 2018). Further, little is known about midwives' use of implementation tools to facilitate the process (Bayes, Fenwick, & Jennings, 2016).…”

Section: Introductionmentioning

confidence: 99%

Implementing Evidence Into Everyday Practice: Midwifery Leaders’ Views About What Helps and Hinders Clinical Innovation.

Leo

Bayes

Bloxome

et al. 2020

Preprint

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Abstract BackgroundDespite the ongoing production of new scientific evidence in the field of maternity care, midwives continue to face challenges when translating latest evidence into evidence-informed care, and report uncertainty in both knowledge and confidence to implement sustained evidence-based change in clinical areas. This study aimed toexplore midwifery leaders’ views on what factors help or hinder midwives’ efforts to implement evidence-based practices, and test the usability of the Capability, Opportunity, Motivation and Behaviour model and Transtheoretical Domains Framework to analyse the barriers and facilitators of evidence-based change.MethodsThis qualitative study formed part of a larger Participatory Action Research (PAR) project designed to improve the processes by which midwives implement evidence-based practice change in clinical areas. Data were obtained by a nominal group workshop and individual face-to-face interviews between July – September 2019. Thematic analysis was used to interpret the transcribed data, which were then coded and categorised into meaningful themes.ResultsOne overarching core finding emerged from four major categories to fulfil the aim of this study: Fear can stop change and midwives lack the confidence and time to implement new evidence-based practices, however having high level midwives in leadership roles is a huge advantage.ConclusionThis study confirms what is known about the hinderances and helpers of translating latest evidence into everyday practice, and provides valuable insight into the usability of behavioural theories and context assessment tools to both diagnose and develop intervention strategies applicable to midwives initiating evidence-based practice change in clinical areas.

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

Cited by 15 publications

References 35 publications

Barriers of Implementing Evidence-Based Practice in Nursing Profession: A Literature Review

Barriers of Implementing Evidence-Based Practice in Nursing Profession: A Literature Review

Evidence-Based Practice and Associated Factors Among Health Care Providers Working in Public Hospitals in Northwest Ethiopia During 2017

Implementing Evidence Into Everyday Practice: Midwifery Leaders’ Views About What Helps and Hinders Clinical Innovation.

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