Ladopoulou Angeliki, Charos Dimitrios, Maniatelli Elissavet, Plassara Irene, Giaxi Paraskevi, Vivilaki Victoria G
Department of Midwifery, University of West Attica, Athens, Greece.
Second Department of Obstetrics and Gynecology, Aretaieion Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Eur J Midwifery. 2020 Nov 20;4:43. doi: 10.18332/ejm/128270. eCollection 2020.
The holistic approach of healthcare practice in midwifery demands the use of evidence-based practice (EBP) in all aspects of clinical care. Applying EBP in every day healthcare practice by midwives offers various significant benefits. The aim of the present study was to investigate and assess the knowledge and awareness of midwives in Greece with regard to EBP.
Data collection took place from October 2012 to January 2013 among midwifery staff within two national 'urban' healthcare hospitals of Athens and the department of midwifery in the Athens Technological Institute. The sample consisted of 209 participants of which 109 were midwives and 100 student midwifes. Both were invited to complete a questionnaire specifically designed for the study.
Only 43.5% of midwives declared awareness of the term EBP, while 36.4% had to search for general evidence about twice a month in order to support their role. The first source of information to support clinical practice was found to be 'asking colleagues' (52.2%) followed by 'internet search in general' (48.8%), but not in the EBP databases. In addition, 61.2% of respondents stated that EBP would definitely contribute to the provision of better quality midwifery care.
For a successful implementation of EBP, it is required initially to train personnel to develop their abilities, to provide information on the way to use different data sources and encourage midwifery personnel to take initiatives and be part of the decision-making process.
助产护理实践中的整体护理方法要求在临床护理的各个方面都采用循证实践(EBP)。助产士在日常医疗保健实践中应用循证实践有诸多显著益处。本研究的目的是调查和评估希腊助产士对循证实践的知识和认识。
2012年10月至2013年1月期间,在雅典的两家国家级“城市”医疗医院的助产人员以及雅典技术学院的助产系收集数据。样本包括209名参与者,其中109名是助产士,100名是助产专业学生。邀请他们填写一份专门为该研究设计的问卷。
只有43.5%的助产士表示了解循证实践这一术语,而36.4%的助产士不得不每月大约两次查找一般证据以支持其工作。支持临床实践的首要信息来源是“询问同事”(52.2%),其次是“一般的网络搜索”(48.8%),但并非循证实践数据库。此外,61.2%的受访者表示循证实践肯定有助于提供更高质量的助产护理。
为成功实施循证实践,首先需要培训人员以提升其能力,提供关于如何使用不同数据源的信息,并鼓励助产人员积极主动并参与决策过程。