Department of Midwifery, College of Health Sciences, Assosa University, Assosa, Ethiopia.
Department of Nursing, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia.
PLoS One. 2023 Jan 26;18(1):e0275506. doi: 10.1371/journal.pone.0275506. eCollection 2023.
Even though Evidence-Based Practice (EBP) is a key component of quality of Intrapartum care and links to improved health care outcomes, consistent application of EBP in patient care remains a challenge for health care providers. In the study area, there are no previous studies conducted on evidence-based Intrapartum care practice among obstetric care providers. Therefore, this study was aimed to assess the magnitude of evidence based intra-partum care practice and its associated factors among obstetric care providers working in hospitals of Wollega zones, Oromia Region, West Ethiopia, 2022.
An institution-based cross-sectional study using quantitative method was conducted from January to April/2022 in 11 hospitals of the four Wollega zones. All obstetric care providers (278) who were practicing intrapartum care in the selected hospitals were included. The data was collected using structured self-administered questionnaire and observational checklist. Data was entered via Epi-Data version 3.1 and analyzed by SPSS version 25 statistical software. To see the association between the independent variables and evidence based Intrapartum care practice, multivariable logistic regression analysis was done. The statistical significance of association was declared at p-value ≤ 0.05. Tables, figures and charts were also used in descriptive statistics.
The overall magnitude of evidence-based Intrapartum care practice was found to be 63.7% [95% CI (59.7, 67.7)]. There was a statistically significant association between evidence-based Intrapartum care practice and having good knowledge about Intrapartum care practice [AOR = 2.95; 95% CI (1.52,5.73)], positive attitude towards Intrapartum care practice [AOR = 3.13; 95% CI (1.59,6.16)], availability of updated Intrapartum care guideline [AOR = 2.88; 95% CI (1.46,5.70)], number of obstetric care providers per a shift (≥5 care providers) [AOR = 2.31; 95% CI (1.01,5.29)], number of deliveries within a day (<10 deliveries) [AOR = 4.61; 95% CI (2.28,9.31)], educational level (MSc and above) [AOR = 5.75; 95% CI (2.23,14.84)] at p-value ≤ 0.05.
Our study revealed that, magnitude of evidence-based Intrapartum care practice was found to be low according to the WHO recommendation. These findings indicate that additional attention and monitoring is required to implement current Intrapartum care practices with the WHO guidelines.
尽管循证实践（EBP）是围产期护理质量的关键组成部分，并且与改善医疗保健结果相关，但在患者护理中始终如一地应用 EBP 仍然是医疗保健提供者面临的挑战。在研究区域，以前没有针对产科护理提供者进行循证围产期护理实践的研究。因此，本研究旨在评估在沃尔加地区医院工作的产科护理提供者中基于证据的围产期护理实践的程度及其相关因素，这是在埃塞俄比亚西部奥罗米亚地区的 2022 年进行的。
这是一项于 2022 年 1 月至 4 月/在沃尔加地区的 11 家医院进行的基于机构的横断面研究，采用定量方法。所有在选定医院从事围产期护理的产科护理提供者（278 名）均包括在内。使用结构化的自我管理问卷和观察清单收集数据。数据通过 Epi-Data 版本 3.1 输入，并使用 SPSS 版本 25 统计软件进行分析。为了观察自变量与基于证据的围产期护理实践之间的关联，进行了多变量逻辑回归分析。关联的统计学显著性在 p 值≤0.05 时宣布。还使用表格、图形和图表进行描述性统计。
总体而言，基于证据的围产期护理实践的程度被发现为 63.7%[95%置信区间（59.7，67.7)]。基于证据的围产期护理实践与以下方面之间存在统计学显著关联：对围产期护理实践有良好的知识[优势比（AOR）=2.95；95%置信区间（1.52，5.73)]，对围产期护理实践的积极态度[AOR=3.13；95%置信区间（1.59，6.16)]，更新的围产期护理指南的可用性[AOR=2.88；95%置信区间（1.46，5.70)]，每班产科护理提供者人数（≥5 名护理提供者）[AOR=2.31；95%置信区间（1.01，5.29)]，每天分娩次数（<10 次分娩）[AOR=4.61；95%置信区间（2.28，9.31)]，教育水平（硕士及以上）[AOR=5.75；95%置信区间（2.23，14.84)]，p 值≤0.05。
我们的研究表明，根据世界卫生组织的建议，基于证据的围产期护理实践的程度被发现很低。这些发现表明，需要额外的关注和监测，以根据世界卫生组织的指南实施当前的围产期护理实践。
