Application of Iowa Model Evidence-Based Practice on Maternity Nurses Regarding Postpartum Hemorrhage

Abstract

The Iowa Model of Evidence-Based Practice give usguide line for nursing decisions to manage day-today practical work which haveeffect on patient healthbased on-solving problems through scientific procedures and recognized for its applicability's and usingthrough multidisciplinary healthcare teams. Aim of study was to apply Iowa model Evidence-Based practice on maternity Nurses regarding Postpartum Hemorrhage. Quasi study used in Obstetric and Genecology Hospital at Ain Shams Hospital. Seventy nurses were work in labor and delivery units/Ain Shams Hospital. Throughout using2tools for data collection as 1-structured self-administered questionnaire: include two parts; A-Socio demographic characteristics of the study nurses B-:Assessment of nurses' knowledge regarding EBP &PPH. 2-Observational checklist for evaluating nursing management regarding PPH. 45.7% of nurses have poor knowledge before interventionmodel and 80.0% have good knowledge post intervention. 84.3% have unsatisfactory practices toward PPH management before intervention of the model. Meanwhile, after intervention 87.1% had satisfactory practices respectively. IOWA model EBP has appositive effect on nurse's knowledge and practices regarding PPH. Highly significantly difference before / after knowledge and practice regarding PPH (P ≤ 0.001). from our data we could concluded that, developing teaching programs and periodical training regarding IOWA Model evidence based practice.Specific procedure booklets should be available to standardize the nursing care provided in obstetrics department.

Effectiveness of implementing evidence-based guidelines on nurses' knowledge regarding caring of aborted women

“…This result comes in accordance with Baig et al [26], who studied Knowledge, Attitude, and Practices of Mid-Level Providers regarding Post Abortion Care in Sindh, Pakistan and reported that the studied nurses had limited knowledge regarding abortion and highlighted the need for providing comprehensive training and workshop to nurses regarding abortion. This result comes in line with El Sharkawy et al, [11] , who studied ''application of IOWA model evidence-based practice on maternity nurses regarding postpartum hemorrhage'' and reported that good knowledge regarding evidence-based practice was 4.3% preprogram compared by 81.4% post-program while regarding good postpartum knowledge equal 17.1% was increased to reach 71.4% post-program, and regarding total knowledge was 11.4% pre-program compared by 80.0% post-program and also showed highly statistically significant differences between nurses knowledge pre and post implementing evidence guidelines application. Regarding the relation between socio-demographic characteristics of the studied nurses and their total knowledge pre-evidence-based guideline application, the present study showed that there was a statistically significant relation between total knowledge levels of studied nurses' pre-evidence-based guideline application and their age and years of experience in which P-value ≤ 0.0009 & 0.0003 respectively.…”

“…This result agrees with Mahmoud [10] who studied knowledge of nurses about abortion in the women's hospital and obstetrics in the holy city of Karbala and General AL -Hindia Hospital and reported that nearly half of the age group to the study sample were within (20-24 year), three fourth of them have a nursing high school, the majority of them has (1-3) year of experience, and the major of the study sample wasn't share in training courses. This result is in the same line with El Sharkawy et al, [11]. who studied ''application of iowa model evidence-based practice on maternity nurses regarding postpartum hemorrhage'' and reported that most of the studied sample had no previous training courses.…”