{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T07:44:25Z","timestamp":1794037465564,"version":"4.8.0"},"reference-count":32,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,2,12]],"date-time":"2021-02-12T00:00:00Z","timestamp":1613088000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,2,12]],"date-time":"2021-02-12T00:00:00Z","timestamp":1613088000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Reprod Health"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Implementation of evidence-based practice is crucial to enhance quality health care, professional development, and cost-effective health service. However, many factors influence the implementation of evidence-based practice. Therefore, this study aimed to assess the implementation of evidence-based practice and associated factors among nurses and midwives.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Institutional-based cross-sectional study design was conducted to assess the implementation of evidence-based practice and associated factors from February 15 to March 15, 2019, among 790 nurses and midwives. Data were entered into EpiData version 3.1 then exported to SPSS version 20 for statistical analysis. Categorical variables were presented as frequency tables. Continuous variables were presented as descriptive measures, expressed as mean and standard deviation. Cronbach\u2019s alpha was used to measure reliability, mean, standard deviation, and inter-items correlation of the factors. Independent variables with a probability value (P-value) of less than 0.2 in the Chi-square analysis were entered in the multivariable logistic regression model. Statistically significant associated factors were identified at probability value (P-value) less than 0.05 and adjusted odds ratio with a 95% confidence interval.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The mean age of participants was 28.35 (SD\u2009\u00b1\u20094.5) years. This study revealed that 34.7% (95% CI 31.5\u201338%) of participants implemented evidence-based practice moderately or desirably. Age of participants (AOR\u2009=\u20095.98, CI\u20091.34\u201326.7), barriers of implementation of evidence-based practice (AOR\u2009=\u20094.8, CI\u20092.2\u201310.6), the attitude of participants (AOR\u2009=\u20095.02, CI\u20091.2\u201321.5), nursing\/midwifery work index (AOR\u2009=\u20093.9, CI\u20091.4\u201310.87), self-efficacy of implementation of evidence-based practice skills (AOR\u2009=\u200912.5, CI\u20095.7\u201327.5) and knowledge of participants (AOR\u2009=\u20093.06, CI\u20091.6\u20135.77) were statistically significant associated factors of implementation of evidence-based practice<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Concussion<\/jats:title>\n                <jats:p>Implementation of evidence-based practice of nurses and midwives was poor. Age of participants, barriers of implementation of evidence-based practice, the attitude of participants, self-efficacy of implementation of evidence-based practice skills, nursing\/midwifery work index, and knowledge of participants were found to be predictors of implementation of evidence-based practice. Insufficient time and difficulty in judging the quality of research papers and reports were the most common barriers to the implementation of evidence-based practice.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12978-021-01096-w","type":"journal-article","created":{"date-parts":[[2021,2,12]],"date-time":"2021-02-12T20:30:21Z","timestamp":1613161821000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":34,"title":["Implementation of evidence-based practice and associated factors among nurses and midwives working in Amhara Region government hospitals: a cross-sectional study"],"prefix":"10.1186","volume":"18","author":[{"given":"Asrat Hailu","family":"Dagne","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mekonnen Haile","family":"Beshah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bekalu Getnet","family":"Kassa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eyaya Habtie","family":"Dagnaw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,2,12]]},"reference":[{"issue":"1","key":"1096_CR1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/1472-6920-5-1","volume":"5","author":"M Dawes","year":"2005","unstructured":"Dawes M, Summerskill W, Glasziou P, Cartabellotta A, Martin J, Hopayian K, Porzsolt F, Burls A, Osborne J. 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We communicated it to the Amhara Region Ethical committee. A formal letter of co-operation was written for selected public hospitals of Amhara Region. Permission to conduct the study was obtained from the hospital and the unit managers. The right of participant\u2019s unwillingness was explained. The right to quit participation at any stage without restriction was also explained for respondents. Moreover, we informed the purpose, procedures, advantages, and disadvantages of the study to the participants. Finally, informed written consent was obtained from each study participant.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"36"}}