Azmoude Elham, Farkhondeh Fereshteh, Ahour Maryam, Kabirian Maryam
Department of Nursing & Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat-e Heydariyeh, Iran.
Student Research Committee, Torbat Heydariyeh University of Medical Sciences, Torbat-e Heydariyeh, Iran.
Sultan Qaboos Univ Med J. 2017 Feb;17(1):e66-e73. doi: 10.18295/squmj.2016.17.01.012. Epub 2017 Mar 30.
The successful implementation of evidence-based practice (EBP) can lead to appropriate and effective midwifery care during pregnancy, childbirth and in the postnatal period. However, levels of knowledge and confidence in one's ability to apply EBP are related to its effective implementation. This study aimed to investigate levels of knowledge, practice of and self-efficacy towards the use of EBP among midwives in East Iran.
This cross-sectional study took place between January and February 2016 and involved 98 midwives employed at two hospitals and all four urban health care centres in Torbat-e Heydariyeh, Iran. Two subscales of the Evidence-Based Practice Questionnaire were used to assess participants' knowledge and practice of EBP, respectively, while a modified version of a previously described scale was used to determine self-efficacy.
A total of 76 midwives participated in the study (response rate: 77.6%). Mean knowledge, practice and self-efficacy scores were 4.48 ± 0.94, 3.53 ± 0.68 and 2.80 ± 0.81, respectively. Significant relationships were found between mean self-efficacy, practice and knowledge scores and proficiency in English language ( = 0.001 each) and statistical methods ( <0.050 each). Additionally, significant relationships were found between knowledge and practice of EBP and proficiency in the use of databases ( <0.050 each). Knowledge and self-efficacy scores were significantly correlated with practice ( = 0.001 each).
These findings demonstrate a need for improvement in the self-efficacy, practice and knowledge of EBP among midwives in East Iran. Interventions that promote these factors may help increase the use of EBP in this population.
循证实践（EBP）的成功实施能够在孕期、分娩期及产后提供恰当且有效的助产护理。然而，对应用循证实践能力的知识水平和信心程度与其有效实施相关。本研究旨在调查伊朗东部助产士对循证实践的知识水平、实践情况及自我效能感。
这项横断面研究于2016年1月至2月进行，涉及伊朗托尔巴特 - 海达里耶的两家医院及所有四个城市医疗中心的98名助产士。循证实践问卷的两个子量表分别用于评估参与者对循证实践的知识和实践情况，同时使用先前描述量表的修改版来确定自我效能感。
共有76名助产士参与了研究（应答率：77.6%）。知识、实践和自我效能感的平均得分分别为4.48±0.94、3.53±0.68和2.80±0.81。发现自我效能感、实践和知识的平均得分与英语水平（均为P = 0.001）和统计方法（均为P<0.050）之间存在显著关系。此外，循证实践的知识和实践与数据库使用熟练度之间也存在显著关系（均为P<0.050）。知识和自我效能感得分与实践显著相关（均为P = 0.001）。
这些结果表明伊朗东部助产士在循证实践的自我效能感、实践和知识方面需要改进。促进这些因素的干预措施可能有助于增加该人群对循证实践的应用。
