Cochrane, evidence-based medicine and associated factors: A cross-sectional study of the experiences and knowledge of Ethiopian specialists in training

Abdulwadud, Omar; Azazh, Aklilu; Mekasha, Amha; Bacha, Tigist; Nigatu, Balkachew; Debebe, Finote; Emiru, Haimanot Geremew

doi:10.1016/j.afjem.2019.01.005

Cited by 9 publications

(6 citation statements)

References 28 publications

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“…Several factors affected EBM knowledge: internet access, EBM training, PubMed awareness, and familiarity with sensitivity. This finding was consistent with previous studies in Ethiopia, which identified lack of training as the most significant factor associated with physicians’ and nurses’ knowledge of EBM [ 30 ]. A study conducted in Saudi Arabia also found a significant increase in knowledge between academic levels, seminar attendees, and nonattendees [ 31 ].…”

Section: Discussionsupporting

confidence: 92%

Knowledge and Attitude Toward Evidence-Based Medicine and Associated Factors Among Medical Interns in Amhara Regional State Teaching Hospitals, Northwest Ethiopia: Cross-sectional Study

Yehualashet¹,

Yilma²,

Jemere³

et al. 2021

JMIR Med Educ

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Background Evidence-based medicine (EBM) is widely accepted in medicine. It is necessary to improve the knowledge and attitudes of medical students in the use of evidence. In Ethiopia, little is known about medical students’ knowledge and attitudes toward EBM. Objective This study aimed to assess the knowledge and attitudes toward EBM and its associated factors among medical interns in teaching hospitals. Methods A cross-sectional survey was conducted using a random sample of medical interns in teaching hospitals in Ethiopia. Multivariable logistic regression analyses were used to identify the factors associated with the knowledge and attitudes toward EBM. Adjusted odds ratio (AOR) with 95% confidence interval and P≤.05 was used to quantify strength of association between variables. Results Out of a sample of 423 medical interns, 403 completed the questionnaire (95.3% response rate). Overall, 68.0% (274/403 of respondents had a favorable attitude toward EBM and 57.1% (230/403) had good knowledge of EBM. The majority (355/403, 88.1%) of participants had internet access. Only 19.6% (79/403) of respondents had received EBM-related training. Respondents’ knowledge of EBM was associated with previous EBM training (AOR 2.947, 95% CI 1.648-5.268, P<.001), understanding of sensitivity (AOR 2.836, 95% CI 1.824-4.408, P=.003), and internet access (AOR 2.914, 95% CI 1.494-5.685, P=.002). The use of an electronic database as a source of information (AOR 1.808, 95% CI 1.143-2.861, P=.01) and understanding of absolute risk reduction (AOR 2.750, 95% CI 1.105-6.841, P=.03) were predictors of positive attitudes. Conclusions This study demonstrates a lack of formal EBM training and awareness of basic concepts of EBM among medical interns. Medical intern attitudes toward EBM are relatively good. To enhance EBM knowledge and skills, formal teaching of EBM should be integrated into medical education.

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Section: Discussionsupporting

confidence: 92%

Knowledge and Attitude Toward Evidence-Based Medicine and Associated Factors Among Medical Interns in Amhara Regional State Teaching Hospitals, Northwest Ethiopia: Cross-sectional Study

Yehualashet¹,

Yilma²,

Jemere³

et al. 2021

JMIR Med Educ

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“…In a review of barriers to EBP in low- and middle-income countries specifically, only 1 sub-Saharan African country was included, and in our review of the literature we could only find 6 previous studies on this topic conducted in Ethiopia. 19 , 35 , 36 , 37 , 38 To address this gap in the literature, this study aimed to assess the level of EBP among health care providers in a region of Ethiopia and to determine the factors associated with their use of EBP. The hope is that the study will provide useful information for increasing EBP implementation in Ethiopia.…”

Section: Introductionmentioning

confidence: 99%

Evidence-Based Practice and Associated Factors Among Health Care Providers Working in Public Hospitals in Northwest Ethiopia During 2017

Dessie

Jara

Alem

et al. 2020

Current Therapeutic Research

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Background: Despite the fact that evidence-based practice (EBP) is believed to be associated with improved health, safety, and cost outcomes, most medical practice in low- and middle-income countries such as Ethiopia is not evidence-based. Understanding the extent of and barriers to EBP in Ethiopia is important for learning how to best to improve quality of care. Few studies have assessed EBP in Ethiopia. Objective: This study aimed to assess reported level of EBP and associated factors among health care providers working in public hospitals in northwest Ethiopia. Methods: A cross-sectional study was conducted with 415 randomly selected nurses, midwives, and physicians using stratified sampling (97.6% response rate). Data were collected using a structured, self-administered questionnaire that was developed by reviewing the literature and adapting the Melnyk and Fineout-Overholt EBP Implementation Scale. After validating scales, bivariate and multivariate linear regression models were used to identify factors associated with EBP implementation. Results: The mean EBP implementation score was 10.3 points out of a possible 32 points and 60% of respondents scored below average. Most (60.2%) respondents reported poor confidence in their ability to judge the quality of research and half (50.1%) said that they were unable to find resources for implementing EBP. The most frequently mentioned barriers to EBP were lack of training (81.2%), poor health facility infrastructure (79.3%), and lack of formal EBP/patient education units in facilities (78.0%). The factors found to be significantly and independently associated with EBP implementation were years of work experience (β = –0.10; P < 0.05); having been trained as a bachelor's degree-level nurse (β = 3.45; P < 0.001) or a bachelor's degree-level midwife (β = 2.96; P < 0.001), a general practitioner (β = 7.86; P < 0.001), or a specialist physician (β = 15.04; P < 0.001) rather than a diploma-level nurse; working in a pediatrics ward (β = –1.74; P < 0.05); and reporting as barriers either a lack of clarity on the importance of EBP (β = –0.93; P < 0.05) or a lack of orientation sessions on new health priorities (β = –0.91; P < 0.05). Conclusions: Health professionals had low levels of EBP implementation and poor EBP skills. These problems were particularly acute for providers with lower levels of training. A large number of respondents reported structural and institutional barriers to EBP. These results suggest that clear leadership and ongoing, cross-disciplinary, skill-building approaches are needed to increase EBP implementation in Ethiopia. ( Curr Ther Res Clin Exp. 2020; 81:XXX–XXX)

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“…Though, Cochrane Library is the main source of systematic reviews and meta-analysis. However, it was least referred source of knowledge by this study participants 14 This study results propel the EBM movement towards; new more challenging terrain, whether residents will employ these new skills in taking care of patients. The major limitation in our study is the small sample size and the strength is use of a new questionnaire that has been previously formally validated, adopted from McColl.…”

Section: Resultsmentioning

confidence: 61%

Untitled

2023

IJPSR

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Background: Evidence based medicine (EBM) integrates the best available data from clinical research into clinical practice. Residents (PGs & CRRIs) are at the frontiers of healthcare who are still struggling to adapt the paradigm shift in the practice of medicine. This study aims to explore the knowledge and attitude of EBM among residents in a tertiary teaching hospital. Materials and Methods: After IEC approval, this cross-sectional questionnaire study was conducted among PGs and CRRIs in Melmaruvathur Adhiparasakthi institute of medical sciences & Research for 3 months. All the 81 CRRIs and 51 PGs were enrolled. Written informed consent was obtained. The pre-validated, 20 questionnaires, designed based on McColl questionnaire has been used to obtain information about the knowledge (10 questions) and attitude (10 questions) of EBM. SPSS 21.0 was used for data analysis Results: Out of 132 participants, 63.81% had formal EBM training while, 21.21 % had no previous exposure. Regarding the knowledge of some commonly used technical terms in EBM, 84.31% (43) of PGs and 11.11% ( 9) of CRRIs responded that they know and can explain the term "relative risk". The participants reported that, they could interpret and explain the terms, such as "Absolute risk" (37.87%), "odds ratio" (41.66%) and "Attributable risk" (35.6%). Majority (62.12%) of them were unfamiliar with Forest plot. The mean (± SD) attitude score of PGs 41. 90 ± 4.36 and CRRIs 40.11 ± 4.38 showed an overall favorable attitude towards EBM. Conclusion: Formal EBM training and integration of EBM in undergraduate programs considerably promotes EBM practice, enhancing the opportunity for ideal clinical decision-making.

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Cochrane, evidence-based medicine and associated factors: A cross-sectional study of the experiences and knowledge of Ethiopian specialists in training

Cited by 9 publications

References 28 publications

Knowledge and Attitude Toward Evidence-Based Medicine and Associated Factors Among Medical Interns in Amhara Regional State Teaching Hospitals, Northwest Ethiopia: Cross-sectional Study

Knowledge and Attitude Toward Evidence-Based Medicine and Associated Factors Among Medical Interns in Amhara Regional State Teaching Hospitals, Northwest Ethiopia: Cross-sectional Study

Evidence-Based Practice and Associated Factors Among Health Care Providers Working in Public Hospitals in Northwest Ethiopia During 2017

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