Relevance and Barriers to Evidence-Based Practice in Zambian Defense Force Medical Services: A Qualitative Analysis of Roundtable Group Discussion by Military Health Personnel

doi:10.20431/2455-4324.0301001

Cited by 2 publications

(1 citation statement)

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“…In Africa, research is limited on military healthcare professionals' EBM knowledge and use of EBM resources to inform clinical practice. The qualitative study by Abdulwadud et al was the only one to assess and report the relevance and barriers to EBM in military medical personnel in the Defence Force 17 Medical Services (DFMS) in Zambia. The DFMS is a large military healthcare organization serving the Zambian Army, Zambia Air Force and the 22 Zambian National Service.…”

Section: Introductionmentioning

confidence: 99%

Distribution and characteristics of endometriotic lesions in south- western Nigeria: a single institutional experience

Abdulwadud

Nyareza

Mthoniswa

et al. 2019

mjz

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Objectives: Evidence-based medicine (EBM) is a core competency for all healthcare professions including military healthcare personnel. We surveyed military health personnel knowledge and experience with Cochrane, EBM and the Cochrane Library at Defence Force Medical Services in Zambia. Materials and Methods: During May 2013 and March 2014, we used a pretested self-administered survey to collect data from the study participants. Categorical associations was tested by Chi-squared or Fisher's exact test. The strength of association between categorical variables was expressed using odds ratio (OR) with 95% confidence interval (CI). Results: The overall participation rate was 92% (57/62). The sample consisted of doctors, nurses, clinical officers, medical licentiates and other professions. Nearly 44% worked in military clinics, 28% hospitals, 23% head office and 5% in training schools. Most (79%) of respondents have heard of EBM, but 84% had low knowledge and 88% lacked EBM training. Nearly 77% agreed that EBM was useful in clinical practice, 98% showed interest in EBM training and 46% declared workplace EBM promotion. Awareness about Cochrane was 53% and only two recognized Cochrane South Africa as their reference centre. Awareness and usage of the Cochrane Library was generally very poor and only one knew the database. Medical doctors were roughly five times more likely to cite organizational barriers to the Cochrane Library compared to nurses and clinical officers (Adjusted OR=5.19, 95% CI, 1.15–23.52, P=0.03). Conclusions: Military medical personnel encounter considerable barriers to adopt EBM in clinical practice. Addressing their multifaceted barriers would facilitate the delivery of evidence-based healthcare and improve patient outcomes.

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Section: Introductionmentioning

confidence: 99%

Distribution and characteristics of endometriotic lesions in south- western Nigeria: a single institutional experience

Abdulwadud

Nyareza

Mthoniswa

et al. 2019

mjz

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Knowledge, Attitude and Practice of Evidence-Based Nursing among Nurses in Children’s Ward at Tertiary Health Institutions in Anambra State, Nigeria

J.N.,

E.N.,

2024

African Journal of Health, Nursing and Midwifery

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Background: Evidence-based nursing care is the cornerstone of quality healthcare which integrates the best available research evidence with clinical expertise and patient values to guide nursing practice. Despite the importance of evidence-based nursing care, many nurses in children's wards lack the necessary knowledge and skills to implement this approach effectively. This has created a gap in practice of EBP in pediatric care which resulted in consequences, such as reduced patient outcomes, increased mortality rates, increased length of hospital stays, and requesting for discharge against medical advice due to longer hospital stay, among others.Aim: The study assessed the knowledge, attitude and practice of evidence-based nursing care and associated factors among nurses in children’s wards at tertiary health institutions in Anambra State. Materials and Methods: A descriptive cross-sectional survey design was adopted for the study. Population of the study was 127 and a total population survey was used. The instrument for data collection was a self-structured questionnaire, data obtained were analyzed using Microsoft Excel, descriptive statistics, inferential statistics for hypothesis testing and IBM statistical package for Social Sciences (SPSS) version 29. Results: The results indicated that the majority of the nurses 105 (82.7%) had a good knowledge of evidence–based practice, 68 (53.5%) of the nurses possessed a negative attitude towards evidence-based practice, and 89 (70.1%) of the nurses had a poor practice of evidence-based nursing. However, several factors, such as lack of time, lack of resources, lack of knowledge about EBP, lack of access to research literature/guidelines, organizational challenges, workload and staffing constraints, among others were associated with the practice of evidenced –based nursing. Conclusion: Majority had a good knowledge, their attitude was negative and several factors were associated with it leading to poor practice of evidence-based nursing. It is recommended that for continuous improvement of knowledge and attitude, educational training opportunities, access to reliable research databases and mentorship programs are needed.

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Relevance and Barriers to Evidence-Based Practice in Zambian Defense Force Medical Services: A Qualitative Analysis of Roundtable Group Discussion by Military Health Personnel

Abstract: Abstract:Background: Little is known about the barriers to evidence-based practice (EBP)

Cited by 2 publications

References 20 publications

Distribution and characteristics of endometriotic lesions in south- western Nigeria: a single institutional experience

Distribution and characteristics of endometriotic lesions in south- western Nigeria: a single institutional experience

Knowledge, Attitude and Practice of Evidence-Based Nursing among Nurses in Children’s Ward at Tertiary Health Institutions in Anambra State, Nigeria

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