Figa Zerihun, Zemeskel Addisu Getinet, Alemu Asrat, Abebe Mesfin
Department of Midwifery, Dilla University College of Health and Medical Science, Dilla, Ethiopia.
SAGE Open Med. 2024 Jul 29;12:20503121241261210. doi: 10.1177/20503121241261210. eCollection 2024.
Evidence-based practice is defined as using the best available research and clinical evidence by incorporating patients' values and preferences for their health needs. The use of evidence-based intrapartum care practices is an essential tool to improve the quality of obstetrics care.
The primary objective of this study was to determine the prevalence of evidence-based intrapartum care and associated factors among obstetrics care providers in Ethiopia.
Important articles were retrieved from universally accepted and used databases, including Cochran, PubMed, HINARI, Google Scholar, Web of Science, African OnLine, and repositories of Ethiopian Universities. We extracted articles by using a standard JOANNA Briggs Institute data extraction sheet. To determine the existence of heterogeneity in studies, statistics and Cochran tests were used. The publication bias of the included studies was checked using Egger's test and a Funnel plot.
A total of 2035 obstetrics care providers were involved in this systematic review and meta-analysis. The estimated overall rate of evidence-based intrapartum care practice in Ethiopia was 54.45% (95% CI: 43.06, 65.83); = 96.6%, < 0.001). The studies with a sample size greater than 300 count for 47.25% (95% CI: 36.14, 65.83). Whereas obstetrics care providers have a decent knowledge of intrapartum care evidence 3.31 times, a positive attitude toward evidence 3.34 times, training 2.21 times, and work experience ⩾5 years 3.31 times associated with the practice of evidence-based intrapartum care.
The overall practice of evidence-based intrapartum care among obstetrics workers in Ethiopia is estimated to be low. Therefore, there should be a focused effort on training and disseminating protocols and guidelines to enhance knowledge and foster a positive attitude among obstetrics care providers. Additionally, the Ethiopian government should prioritize the implementation of the 2021 to 2025 National Health Equity Strategic Plan to achieve its objective of improving the quality of health services.
循证实践被定义为通过纳入患者对自身健康需求的价值观和偏好来使用可得的最佳研究和临床证据。采用循证的产时护理实践是提高产科护理质量的重要工具。
本研究的主要目的是确定埃塞俄比亚产科护理提供者中循证产时护理的普及率及相关因素。
从包括Cochran、PubMed、HINARI、谷歌学术、科学网、非洲在线以及埃塞俄比亚大学知识库等普遍接受和使用的数据库中检索重要文章。我们使用标准的乔安娜·布里格斯研究所数据提取表提取文章。为确定研究中的异质性，使用了统计学方法和Cochran检验。使用Egger检验和漏斗图检查纳入研究的发表偏倚。
共有2035名产科护理提供者参与了本系统评价和荟萃分析。埃塞俄比亚循证产时护理实践的总体估计率为54.45%（95%可信区间：43.06，65.83）；I² = 96.6%，P < 0.001）。样本量大于300的研究占47.25%（95%可信区间：36.14，65.83）。而产科护理提供者具备产时护理证据的良好知识与循证产时护理实践的关联度为3.31倍，对证据的积极态度为3.34倍，培训为2.21倍，工作经验≥5年为3.31倍。
据估计，埃塞俄比亚产科工作者中循证产时护理的总体实践水平较低。因此，应集中精力培训并传播方案和指南，以增强知识并在产科护理提供者中培养积极态度。此外，埃塞俄比亚政府应优先实施2021至2025年国家卫生公平战略计划，以实现其改善卫生服务质量的目标。
