Background 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. Method 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. Result 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. Conclusion 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.
Introduction: Promoting basic newborn care skills and practices is a cost-effective approach to improving newborn health outcomes. Therefore, this study aimed to assess the essence of the essential knowledge about newborn care, practices and related factors among nurse and midwives in western Ethiopia.Objective: This study intended to assess factors associated with Practice and knowledge of Essential newborn care among nurse and midwives working in Assosa Zone governmental health facility, western Ethiopia, 2021. Methods: Institutional based cross-sectional study design was conducted among nurses and Midwives those engaged in newborn care services in selected public health facilities in Assosa Zone western Ethiopia. A Convenient sampling technique was applied. Data was collected by interviewer administered structured questionnaires.Data processing and analysis: The collected data was entered into Epi data 3.1version and analyzed by using SPSS version 26. The strength of association between independent and dependent variables was measured by odd ratios with 95% CI at p-value of < 0.05. Result: 98% nurses and midwives w. Mean value of good knowledge and good practice of essential newborn care were 61.7% [95% CI (56.4, 69.8)] and 41.5% [95% CI (38.3, 48.5)] respectively. Being trained, educational qualification, availability of newborn care materials and work experience were significantly associated with knowledge practice of essential newborn care.Conclusion: This study identified that knowledge of essential newborn care was average among Nurse and Midwifes; however, the practice of essential newborn care was very low compared to other studies in Ethiopia. Therefore factors identified; in service training, improving educational qualification and increasing accessibility of new born care materials at all facility level are interventional areas to bring required knowledge and practice of Essential new born care.
Background: 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. Therefore, it is crucial to identify the gaps between evidence-based care and actual intrapartum practice in order to improve maternal and neonatal outcomes at birth. In the study area, there are no previous studies conducted on evidence-based intrapartum care practice among obstetric care providers. Hence, 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, Ethiopia, 2022. Method: An institution-based cross-sectional study design 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 paper-based 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. Adjusted odds ratios (OR) with their 95% Confidence interval were reported. The statistical significance of association was declared at p-value ≤ 0.05. Tables, figures and charts were also used in descriptive statistics. Result: 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. Conclusion: Our study revealed that magnitude of evidence-based intrapartum care practice was found to be low according to the WHO recommendation. We also identified non-recommended practices were frequently practiced and recommended practices were underperformed which is inconsistent with WHO recommendations. These findings indicate that additional attention and monitoring is required to implement current intrapartum care practices with the WHO guidelines.
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