Department of Health Informatics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Leibniz Institute for Prevention Research and Epidemiology-BIPS, Bremen, Germany.
Int J Evid Based Healthc. 2017 Dec;15(4):161-170. doi: 10.1097/XEB.0000000000000111.
Evidence-based practice (EBP) is a problem-solving approach to patient care based on the best available and valid evidence. It is accentuated to increase the quality of care and patient safety. EBP in clinical service is low in developing countries including Ethiopia. This study aimed at assessing EBP and associated factors among health professionals in North Gondar Administrative Zone hospitals, Northwest Ethiopia.
Institution-based cross-sectional study was carried out from March to May 2015 in three hospitals in North Gondar Zone. A stratified simple random sampling technique was used to select 438 respondents. Trained data collectors collected data using a pre-tested, structured and self-administered questionnaire. The questionnaire included sociodemographic characteristics, level of knowledge, attitude and organizational factors. Data were entered using Epi Info version 7.0 and analysed using SPSS version 20.0. Bivariate and multivariable logistic regression analyses were undertaken to identify the associated factors.
In total, 431 returned questionnaires were valid for the analysis making a response rate of 98.4%. Almost half, 53% (228) of study participants utilized EBP. EBP utilization was significantly associated with knowledge [adjusted odds ratio (AOR): 1.612, 95% confidence interval (CI) = (1.06-2.45)], Internet access [AOR: 1.831, 95% CI = (1.191-2.816)], training [AOR: 1.906, 95% CI (1.223-2.97)], and availability of enough time to apply EBP [AOR: 1.698, 95% CI = (1.122-2.57)].
This study depicts EBP utilization was insufficient. We observed that knowledge of EBP, training, Internet access and availability of time were significantly associated with utilizing EBP. Improving facilities Internet access, giving more time for EBP, and training health professionals about search strategies would improve EBP.
循证实践（EBP）是一种基于最佳现有和有效证据的解决患者护理问题的方法。它强调提高护理质量和患者安全。在包括埃塞俄比亚在内的发展中国家，临床服务中的 EBP 水平较低。本研究旨在评估埃塞俄比亚北部贡德尔行政区医院卫生专业人员的 EBP 及相关因素。
2015 年 3 月至 5 月，在该地区的 3 家医院进行了基于机构的横断面研究。采用分层简单随机抽样技术选择了 438 名受访者。经过培训的数据收集员使用预先测试的、结构化的和自我管理的问卷收集数据。问卷包括社会人口学特征、知识水平、态度和组织因素。使用 Epi Info 版本 7.0 录入数据，并使用 SPSS 版本 20.0 进行分析。进行了单变量和多变量逻辑回归分析以确定相关因素。
共有 431 份有效问卷进行了分析，应答率为 98.4%。近一半（228 人）的研究参与者使用了 EBP。EBP 的使用与知识显著相关（调整后的优势比（AOR）：1.612，95%置信区间（CI）为（1.06-2.45））、互联网接入（AOR：1.831，95%CI 为（1.191-2.816））、培训（AOR：1.906，95%CI 为（1.223-2.97））和有足够的时间应用 EBP（AOR：1.698，95%CI 为（1.122-2.57））。
本研究表明 EBP 的利用不足。我们发现，EBP 知识、培训、互联网接入和可利用时间与利用 EBP 显著相关。改善设施的互联网接入、为 EBP 提供更多时间以及培训卫生专业人员搜索策略将有助于提高 EBP。
