Knowledge, Practice and Self-Efficacy in Evidence-Based Practice among Midwives in East Iran

Abstract

Objectives:The successful implementation of evidence-based practice (EBP) can lead to appropriate and effective midwifery care during pregnancy, childbirth and in the postnatal period. However, levels of knowledge and confidence in one's ability to apply EBP are related to its effective implementation. This study aimed to investigate levels of knowledge, practice of and self-efficacy towards the use of EBP among midwives in East Iran. Methods: This cross-sectional study took place between January and February 2016 and involved 98 midwives employed at two hospitals and all four urban health care centres in Torbat-e Heydariyeh, Iran. Two subscales of the Evidence-Based Practice Questionnaire were used to assess participants' knowledge and practice of EBP, respectively, while a modified version of a previously described scale was used to determine self-efficacy. Results: A total of 76 midwives participated in the study (response rate: 77.6%). Mean knowledge, practice and self-efficacy scores were 4.48 ± 0.94, 3.53 ± 0.68 and 2.80 ± 0.81, respectively. Significant relationships were found between mean selfefficacy, practice and knowledge scores and proficiency in English language (P = 0.001 each) and statistical methods (P <0.050 each). Additionally, significant relationships were found between knowledge and practice of EBP and proficiency in the use of databases (P <0.050 each). Knowledge and self-efficacy scores were significantly correlated with practice (P = 0.001 each). Conclusion: These findings demonstrate a need for improvement in the self-efficacy, practice and knowledge of EBP among midwives in East Iran. Interventions that promote these factors may help increase the use of EBP in this population.

The relationship between undergraduate nursing students' satisfaction about clinical learning environment and their competency self-efficacy

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“…Thus the elevated level of satisfaction about clinical learning environment and high competency self-efficacy are harmonizing with nursing students' academic success. [36,45] The current research variables should be considered and encouraged among nursing students by appropriate educational planning for major clinical courses like Medical-Surgical Nursing. Clinical instructors ought to be aware by and investigate these variables and prepare clinical placement with innovative teaching approaches to increase its levels with undergraduates.…”

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“…Nevertheless, many healthcare professionals still decide that clinical intervention is based on traditional practices, assumptions, personal experiences and individual beliefs and skills (Azmoude, Farkhondeh, Ahour, & Kabirian, 2017). Therefore, the students of the Ners program should learn and practice the implementation of Evidencebased Practice (EBP) during their clinical practice.…”

The effect of practice toward do-not-resuscitate among Taiwanese nursing staff using path modeling

“…The self-e cacy of the nursing staff will directly affect the practice toward the signing of the DNR by the family members of the terminal patients. Many previous studies have demonstrated that self-e cacy was correlated with practice [32,33]. The main reason is that self-e cacy can improve nurses' professional practice behaviors and make them feel con dent to deliver the appropriate, timely and compassionate care [33,34].…”