Evidence-based medicine among physicians working in selected public hospitals in eastern Ethiopia: a cross-sectional study.

Publisher: BioMed Central Country of Publication: England NLM ID: 101088682 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6947 (Electronic) Linking ISSN: 14726947 NLM ISO Abbreviation: BMC Med Inform Decis Mak Subsets: MEDLINE

Original Publication: London : BioMed Central, [2001-

Attitude of Health Personnel* ; Evidence-Based Medicine* ; Health Knowledge, Attitudes, Practice* ; Hospitals, Public* ; Medical Staff, Hospital*; Adult ; Cross-Sectional Studies ; Ethiopia ; Female ; Health Care Surveys ; Humans ; Male ; Middle Aged ; Young Adult

Background: Evidence-Based Medicine (EBM) is the process of systematically locating, searching, evaluating, and using contemporaneous research findings as the basis for clinical decision making. The systematic review showed that there is a considerable gap between what is known in the systematic research evidence and what happens in practice. Thus, the purpose of this study is to assess knowledge, attitude, practice and perceived barriers to EBM among physicians working in public hospitals in eastern Ethiopia.
Methods: An institutional-based cross-sectional survey was conducted from April 1-June 8, 2017. Simple random sampling with proportional allocation was used. A total of 137 physicians was included in the survey. The data were collected by interview. Data were coded and entered to EpiData 3.1 then exported to and analyzed by using IBM SPSS statistics 21.0.
Results: Physicians were aware of and used HINARI (22.6%), Cochrane (29.8%) and PubMed/Medline (37.9%) EBM electronic databases. The majority, (88.7%) physicians have a good attitude to EBM but only (32.3%) integrate it into clinical practice. Ability to retrieving evidence, evaluating the outcomes of the EBM practice implemented and difficulty in understanding research reports were significantly associated factors.
Conclusions: The attitude of the physicians towards EBM was virtuous, but knowledge of EBM and practice of integrating new evidence in healthcare service were really insufficient. Relatively, the EBM implementation is low when compared with many studies. To obviate this, the stakeholders need to have a strong commitment to design a strategy for promoting physicians in implementing EBM to their day to day clinical decision-making process.

J Adv Nurs. 2007 Feb;57(3):328-38. (PMID: 17233652)
East Mediterr Health J. 2019 Mar 19;25(2):82-89. (PMID: 30942471)
Educ Health (Abingdon). 2015 May-Aug;28(2):152-3. (PMID: 26609019)
BMC Res Notes. 2010 Nov 04;3:279. (PMID: 21050429)
J Nurs Adm. 2012 Sep;42(9):410-7. (PMID: 22922750)
PLoS One. 2017 Oct 3;12(10):e0184594. (PMID: 28972977)
Pak J Med Sci. 2016 Jan-Feb;32(1):49-54. (PMID: 27022344)
J Perinat Neonatal Nurs. 2010 Jan-Mar;24(1):61-71; quiz 72-3. (PMID: 20147832)
Eur J Radiol. 2013 May;82(5):894-7. (PMID: 23453704)
Int J Health Sci (Qassim). 2018 Mar-Apr;12(2):9-15. (PMID: 29599688)
CMAJ. 2000 Oct 3;163(7):837-41. (PMID: 11033714)
BMJ Open. 2018 Jul 12;8(7):e018933. (PMID: 30002004)
Appl Nurs Res. 1991 May;4(2):90-5. (PMID: 1741642)
PLoS One. 2009 Nov 13;4(11):e7828. (PMID: 19915708)
J Evid Based Med. 2018 Nov;11(4):246-251. (PMID: 30430759)
Health Aff (Millwood). 2005 Jan-Feb;24(1):18-28. (PMID: 15647212)
Oman Med J. 2014 May;29(3):178-84. (PMID: 24936266)
BMJ Open. 2019 Mar 30;9(3):e025224. (PMID: 30928940)
East Mediterr Health J. 2010 Nov;16(11):1189-97. (PMID: 21218744)

Keywords: Barriers; Eastern Ethiopia; Evidence-based medicine; Physicians; Public hospitals

Date Created: 20190605 Date Completed: 20200106 Latest Revision: 20200309

20240105

PMC6547595

10.1186/s12911-019-0826-8

31159784