Evidence-based practice and its associated factors among health professionals in Ethiopia: Systematic review and meta-analysis

Wubante, Sisay Maru; Tegegne, Masresha Derese

doi:10.1016/j.imu.2022.101012

Cited by 8 publications

(11 citation statements)

References 20 publications

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“…This could be attributed to the fact that the nurses in our study may not have had sufficient opportunities for training in EBP. Comprehensive training programs, workshops, or continuing education courses are essential for building the skills necessary for critically appraising and applying evidence to practice (Wubante & Tegegne, 2022). Another reason is that nurses often face time constraints in their demanding work schedules.…”

Section: Discussionmentioning

confidence: 99%

“…Similarly, a study in Nigeria found that only 68% of nurses exhibited low competency levels in EBP (Adejumo et al, 2021). However, a South African study reported that 55% of nurses demonstrated high competency in EBP, attributed to higher educational qualifications, previous EBP training, and supportive work environments (Wubante & Tegegne, 2022).…”

Section: Empirical Reviewmentioning

confidence: 99%

“…Currently, only 25% of clinical decisions are evidence-based with clinical delivery care having a high association with the use of traditions, routines, and customs or opinions rather than being research evidence-based (Gallagher-Ford et al, 2020;Melnyk et al, 2018;Saunders & Vehviläinen-Julkunen, 2017). A few studies in Africa have investigated EBP competency and associated factors (Adejumo et al, 2021;Atakro et al, 2020;Bam et al, 2020;Degu et al, 2022;Wubante & Tegegne, 2022). However, in Kenya, few studies have been done on EBP in general and to the best of our knowledge no study has assessed nurses' self-perceived…”

Section: Introductionmentioning

confidence: 99%

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Self-Perceived Evidence-Based Practice Competency and Associated Factors among Nurses at a County Referral Hospital in Kenya

Muthoni,

Mutai

2024

GJHS

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Purpose: Evidence-based practice (EBP) is a crucial approach in healthcare that combines research evidence, clinical expertise, and patient preferences to guide decision-making. There is often a gap between knowledge of and implementation of EBP dependent on the nurses’ ability to acquire and apply knowledge in managing patients and decision-making. This study aimed to assess the self-perceived EBP competency and identify associated factors among nurses at a County Referral Hospital in Kenya. Methodology: A descriptive cross-sectional approach was used. A total of 75 nurses were recruited through stratified sampling. Semi-structured questionnaire was used to collect data on individual factors while validated tools were used to collect data on institutional factors and EBP competency. Data was presented in frequency tables and inferential statistics such as chi-square used to show associations. P value < 0.05 was considered significant. Results: The study showed that 52% of nurses who participated in the study had a moderate level of self-perceived EBP competency and 32% showcased a high level of competency. There was a significant association between self-perceived EBP competency and education level (p=0.04), clinical experience (p<0.001), frequency of inter-professional collaboration (p=0.009), and availability of continuing professional development (p=0.003). This study showed that most nurses at the hospital had moderate levels of EBP competency. Self-perceived EBP is significantly associated with the level of education, clinical experience, inter-professional collaboration, and availability of continuing professional development. Unique Contribution to Theory, Practice and Policy: This study applied the diffusion theory guided by Rogers' five elements. Using this theory in relation to EBP shows that the theory can be used to break down and understand nursing practice principles and factors surrounding their adoption by practitioners. This in turn can inform the restructuring of health care practices, policies formulation and intervention to enhance practice for quality care and improved health outcomes. The findings of this study can inform policy and practice development to facilitate EBP, and education for staff to equip nurses with the knowledge and tools needed to deliver high-quality, safe, and effective patient-centered care.

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Section: Discussionmentioning

confidence: 99%

Section: Empirical Reviewmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Self-Perceived Evidence-Based Practice Competency and Associated Factors among Nurses at a County Referral Hospital in Kenya

Muthoni,

Mutai

2024

GJHS

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“…Evidence-based practice also equips medical professionals to enhance the standard of care by fusing the most recent research findings with innovative clinical problem-solving [ 6 ]. In addition to encouraging the development of theories and frameworks, it also establishes a national network of researchers to look into crucial advancements for all working healthcare professionals who support and employ the greatest information accessible when making clinical decisions [ 7 – 9 ].…”

Section: Introductionmentioning

confidence: 99%

Evidence‐Based Practice and Its Associated Factors among Health Professionals Working at Public Hospitals in Southwest Ethiopia

Shibabaw,

Chereka,

Walle

et al. 2023

BioMed Research International

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Introduction. “Evidence-based practice” (EBP) is the process of incorporating clinical expertise and taking patient values and preferences into consideration when making clinical decisions. It is used to describe the provision of high-quality patient care. Objective. This study is aimed at assessing evidence-based practice and associated factors among health professionals working at public hospitals in Illu Aba Bora and Buno Bedele Zones, Oromia Region, Southwest Ethiopia, in 2022. Methods. An institution-based cross-sectional study design was conducted from May 8 to June 20 at public hospitals in Illu Aba Bora and Buno Bedele Zones, Oromia Region, Southwest Ethiopia. A total of 423 health professionals were included, using proportional allocation and simple random sampling. The data were collected using a self-administered questionnaire. Data was entered using EpiData version 4.6, and the collected data was cleared, arranged, coded, and then analyzed using Statistical Package for the Social Sciences version 26. Descriptive statistics and bivariable and multivariable analyses of logistic regression with AOR (95% CI) were performed at p < 0.05 . Result. The study revealed that 36.2% of health professionals had good evidence-based practice. The factors found to be significantly associated with good EBP include having training in EBP ( AOR = 5.43 ; 95% CI: 4.323, 9.532), good knowledge ( AOR = 1.91 ; 95% CI: 1.065, 3.541), a favorable attitude ( AOR = 1.91 ; 95% CI: 1.884, 2.342), and work experience greater than 5 years ( AOR = 1.58 ; 95% CI: 1.482, 2.437). Conclusion. The evidence-based practice of health professionals was poor. Evidence-based practice should included in the curriculum, and also planned trainings need to be delivered to all health professionals, inorder to enhancing their knowledge as well as their attitudes by motivating them to increase evidence-based practice.

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“…So far, in Ethiopia, different studies have been done on health professionals' EBP utilization and found a highly variable level of utilization across the regions of the country. Although there was one systematic review and meta-analysis on EBP utilization of Ethiopian health professionals [14] it was not inclusive or is shallow and does not show any sort of subgroup analysis since it includes only eight articles despite there being more than twenty primary studies on the topic. Thus the previous review lacks representativeness despite the need to summarize the issue as a nation and is expected to provide inclusive, representative, and latest evidence for decision-making.…”

Section: Introductionmentioning

confidence: 99%

Determinants of evidence-based practice among health care professionals in Ethiopia: A systematic review and meta-analysis

Zewdie,

Ayele,

Melis

et al. 2023

PLoS ONE

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Introduction Evidence-based practice (EBP) is the art of using up-to-date information for clinical decision-making. Healthcare professionals at all levels are expected to use the latest research evidence for quality care. In Ethiopia inclusive and nationally representative summarized evidence regarding the level of EBP among health professionals is scarce. Therefore, this systematic review and meta-analysis aimed to assess the pooled prevalence of EBP utilization and its determinants among Ethiopian health professionals. Method A systematic review and meta-analysis were conducted using PRISMA guidelines. Comprehensive literature was searched in PubMed, Google Scholar, and African Online Journal databases. A weighted inverse variance random effect model was used to estimate pooled prevalence. Cochrane Q-test and I2 statistics were computed to assess heterogeneity among studies. Funnel plot and Eggers test were done to assess publication bias. Factors associated with EBP were identified using STATA v. 14. Result Overall, 846 articles were retrieved and finally 23 articles were included in this review. The pooled prevalence of good EBP among health professionals was 52.60% (95%CI; 48.15%-57.05%). Knowledge about EBP (AOR = 2.38, 95% CI: (2.08–2.72)), attitude (AOR = 2.09, 95% CI: (1.67–2.60)), educational status (AOR = 3.12, 95% CI: (2.18–4.47)), work experience (AOR = 2.59, 95% CI: (1.48–4.22)), EBP training (AOR = 2.26, 95% CI: (1.87–2.74)), presence of standard guideline (AOR = 1.94, 95% CI: (1.51–2.50)), internet access (AOR = 1.80, 95% CI: (1.47–2.20)), presence of enough time (AOR = 2.01, 95% CI: (1.56–2.60)) and marital status (AOR = 1.73, 95% CI: (1.32–2.28)) were determinants of EBP. Conclusion Around half of health professionals in Ethiopia have good EBP utilization which was low. Knowledge, attitude, educational status, work experience, EBP training, presence of standard guidelines, internet access, presence of enough time, and single marital status were positively associated with EBP. Therefore future interventions should focus on increasing their knowledge and changing their attitude through providing training and addressing organizational barriers like availing standard guidelines, accessing the internet, and minimizing professionals’ workload that enables them to critically appraise and integrate the latest evidence for clinical decision-making to improve the quality of care.

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Evidence-based practice and its associated factors among health professionals in Ethiopia: Systematic review and meta-analysis

Cited by 8 publications

References 20 publications

Self-Perceived Evidence-Based Practice Competency and Associated Factors among Nurses at a County Referral Hospital in Kenya

Self-Perceived Evidence-Based Practice Competency and Associated Factors among Nurses at a County Referral Hospital in Kenya

Evidence‐Based Practice and Its Associated Factors among Health Professionals Working at Public Hospitals in Southwest Ethiopia

Determinants of evidence-based practice among health care professionals in Ethiopia: A systematic review and meta-analysis

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