埃塞俄比亚产科工作者的循证产前护理实践及相关因素,系统回顾与荟萃分析。

IF 2.3 Q2 MEDICINE, GENERAL & INTERNAL
SAGE Open Medicine Pub Date : 2024-07-29 eCollection Date: 2024-01-01 DOI:10.1177/20503121241261210
Zerihun Figa, Addisu Getinet Zemeskel, Asrat Alemu, Mesfin Abebe
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引用次数: 0

摘要

背景:循证实践的定义是通过结合患者对其健康需求的价值观和偏好,利用现有的最佳研究和临床证据。使用循证产前护理实践是提高产科护理质量的重要工具:本研究的主要目的是确定埃塞俄比亚产科护理人员中循证产前护理的普及率及相关因素:从普遍接受和使用的数据库(包括 Cochran、PubMed、HINARI、Google Scholar、Web of Science、African OnLine 和埃塞俄比亚大学资料库)中检索重要文章。我们使用标准的 JOANNA Briggs 研究所数据提取表提取文章。为确定研究是否存在异质性,我们使用了 I 2 统计学和 Cochran Q 检验。使用 Egger 检验和漏斗图检查了纳入研究的发表偏倚:结果:共有 2035 名产科护理人员参与了此次系统回顾和荟萃分析。埃塞俄比亚循证产前护理的总体实践率估计为 54.45% (95% CI: 43.06, 65.83);I 2 = 96.6%,P 结论:据估计,埃塞俄比亚产科工作者在产前循证护理方面的总体实践水平较低。因此,应集中精力培训和传播规程和指南,以增强产科护理人员的知识并培养他们的积极态度。此外,埃塞俄比亚政府应优先实施《2021-2025 年国家卫生公平战略计划》,以实现其提高医疗服务质量的目标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evidence-based intrapartum care practice and associated factors among obstetrics workers in Ethiopia, systematic review and meta-analysis.

Background: Evidence-based practice is defined as using the best available research and clinical evidence by incorporating patients' values and preferences for their health needs. The use of evidence-based intrapartum care practices is an essential tool to improve the quality of obstetrics care.

Objective: The primary objective of this study was to determine the prevalence of evidence-based intrapartum care and associated factors among obstetrics care providers in Ethiopia.

Method: Important articles were retrieved from universally accepted and used databases, including Cochran, PubMed, HINARI, Google Scholar, Web of Science, African OnLine, and repositories of Ethiopian Universities. We extracted articles by using a standard JOANNA Briggs Institute data extraction sheet. To determine the existence of heterogeneity in studies, I 2 statistics and Cochran Q tests were used. The publication bias of the included studies was checked using Egger's test and a Funnel plot.

Result: A total of 2035 obstetrics care providers were involved in this systematic review and meta-analysis. The estimated overall rate of evidence-based intrapartum care practice in Ethiopia was 54.45% (95% CI: 43.06, 65.83); I 2 = 96.6%, p < 0.001). The studies with a sample size greater than 300 count for 47.25% (95% CI: 36.14, 65.83). Whereas obstetrics care providers have a decent knowledge of intrapartum care evidence 3.31 times, a positive attitude toward evidence 3.34 times, training 2.21 times, and work experience ⩾5 years 3.31 times associated with the practice of evidence-based intrapartum care.

Conclusion: The overall practice of evidence-based intrapartum care among obstetrics workers in Ethiopia is estimated to be low. Therefore, there should be a focused effort on training and disseminating protocols and guidelines to enhance knowledge and foster a positive attitude among obstetrics care providers. Additionally, the Ethiopian government should prioritize the implementation of the 2021 to 2025 National Health Equity Strategic Plan to achieve its objective of improving the quality of health services.

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来源期刊
SAGE Open Medicine
SAGE Open Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
3.50
自引率
4.30%
发文量
289
审稿时长
12 weeks
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