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  1. Elham Azmoude1,
  2. Fereshteh Farkhondeh2
  1. 1Msc in Midwifery, Lecture, Department of Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran
  2. 2BSc in Midwifery, Student Research Committee, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran


Background and aims: The use of EBP can provide appropriate and effective care in pregnancy, childbirth and postnatal period. Levels of knowledge and confidence in the ability likely related to implementation of evidence-based care. This study was carried out to investigate the level of midwifery knowledge, self-efficacy and practice toward evidence-based practice in the region east of Iran.

Methods: A cross-sectional study was conducted in all midwives of two hospitals and health care centers in Torbat Heydariyeh, Iran in 2016. Survey instruments included the Evidence-Based Practice Questionnaire and self-efficacy in Evidence-Based Practice scale. Descriptive statistics and Pearson and Spearman correlation coefficient were employed to analyze the data.

Results: The mean±SD scores of knowledge, self-efficacy and practice to implement EBP were 4.48±0.94, 3.53±0.68 and 2.80±0.81, respectively. A significant relationship were found between knowledge, self-efficacy and practice mean scores with proficiency in English language and statistical methods (p<0.05). Additionally, a highly significant relationship was found between knowledge and practice of midwives and proficiency in the use of databases (p<0.05). The midwives' mean scores in the two subscales of knowledge and self-efficacy was correlated with their scores practice toward EBP (P<0.05).

Conclusion: This survey has shown the need to improve knowledge, self-efficacy and practice to assist in employing evidence based practice. Interventions that consider the relevant factors have been identified in this study, may help to increase knowledge, self-efficacy and practice regarding EBP.

  • Evidence-Based Practice
  • Knowledge
  • Self-Efficacy
  • Pregnancy
  • Childbirth

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