Midwifery Directorate, University of Gondar, Gondar, Ethiopia.
Department of Epidemiology and Biostatistics, University of Gondar, Gondar, Ethiopia.
PLoS One. 2022 Jun 3;17(6):e0268697. doi: 10.1371/journal.pone.0268697. eCollection 2022.
Health workers involvement in research had an impact on studies and whole system. They influence the clinical practice and help to implement evidences. Although International Confederation of Midwives (ICM) put research as one of the midwifery competencies and professional development activity, clinical midwives are poorly involved in research. Therefore, this study is aimed to assess clinical midwives engagement in research and bridge the gap through applicable strategies.
Institution-based cross-sectional study was conducted among clinical midwives working at public health facilities of Central and North Gondar Zone, Ethiopia from September to October, 2020 G.C. A structured and pre-tested self-administered questionnaire was used to collect data and entered into Epi-info version 7. Descriptive statistics was used to describe study population. Bi-variable and multi-variable logistic regression analysis was performed using STATA Version 14 and significance level declared at 95% confidence interval, p-value ≤ 0.05 and respective odds ratios.
Out of 335 clinical midwives, 314 were participated making the response rate 93.7%. Among the midwives, one hundred seventy two (54.8%) (95% CI: 49.08%, 60.37) have good skill on conducting a research. Clinical midwives with mothers with formal education [AOR: 1.90, 95% CI: (1.03, 3.51), currently work on referral hospitals [AOR: 2.33, 95% CI: (1.19, 4.53)] and having good level of knowledge on research [AOR: 2.19, 95% CI: (1.25, 3.82)] have significant association with having good research skill. Forty eight (15.2%) (95% CI: 11.5%, 19.7%) ever participated in research during their clinical practice. Clinical midwives who have good knowledge on research [AOR: 0.31, 95% CI: (0.14, 0.70)] are about 0.3 times less likely to participate on research than who have poor knowledge [AOR: 0.31, 95% CI: (0.14, 0.70)].
Although more than half have good research skill, only a small proportion of midwives were involved in research. Capacity building activities are crucial to strengthen midwives skill on research and ensure their involvement.
卫生工作者参与研究对研究和整个系统都产生了影响。他们影响临床实践并有助于实施证据。尽管国际助产士联盟（ICM）将研究作为助产士能力之一和专业发展活动，但临床助产士很少参与研究。因此，本研究旨在评估临床助产士参与研究的情况，并通过适用的策略来弥合差距。
这是一项在 2020 年 9 月至 10 月期间于埃塞俄比亚中北部贡德尔地区公共卫生机构工作的临床助产士中进行的机构间横断面研究。使用结构化和预测试的自我管理问卷收集数据，并输入 Epi-info 版本 7。使用描述性统计来描述研究人群。使用 STATA 版本 14 进行双变量和多变量逻辑回归分析，置信区间为 95%，p 值≤0.05，相应的优势比。
在 335 名临床助产士中，有 314 名参与了研究，应答率为 93.7%。在这些助产士中，有 172 名（54.8%）（95%CI：49.08%，60.37%）具备良好的研究能力。母亲受过正规教育的临床助产士（AOR：1.90，95%CI：（1.03，3.51））、目前在转诊医院工作的临床助产士（AOR：2.33，95%CI：（1.19，4.53））和具有良好研究知识水平的临床助产士（AOR：2.19，95%CI：（1.25，3.82））与具备良好研究技能有显著关联。在临床实践中，有 48 名（15.2%）（95%CI：11.5%，19.7%）助产士曾参与过研究。与知识水平较差的助产士相比（AOR：0.31，95%CI：（0.14，0.70）），知识水平较好的临床助产士（AOR：0.31，95%CI：（0.14，0.70））参与研究的可能性低 0.3 倍。
尽管超过一半的人具备良好的研究技能，但只有一小部分助产士参与了研究。能力建设活动对于增强助产士的研究技能并确保他们的参与至关重要。
