Knowledge and Practice of Midwives in Golestan Province, North of Iran: An Evidence-based Practice

Farideh Kouchak, Maryam Eri, Mansoor Khojamli, Marzieh Gorzin, Samieh Ghana



Introduction: Given the role of evidence-based practice (EBP) in the improvement of patient care including midwifery care, the current study aimed at investigating knowledge and practice of midwives worked in health centers in terms of EBP in Golestan Province, North of Iran. Methods: The current cross sectional study was conducted in Golestan Province, North of Iran in 2014. Of 389 midwives worked in family health centers of Golestan Province, 262 subjects were selected using census sampling method. Data collection tool was a self-report questionnaire consisted of three parts: 1) Demographic characteristics; 2) Participants's knowledge about EBP; 3) Participant's practice of EBP. Data were finally analyzed with SPSS version 16. P-value < 0.05 was considered as the level of significance. Results: The mean score of the study subjects in knowledge and use of EBP were 13.2 ± 6.3 and 2.1 ± 1.2, respectively. In other words, 90% of midwives got the score < 22. Significant relationships were found between knowledge and participants’ age (P = 0.001), marital status (P = 0.008), and level of education (P = 0.039). Also, there was a significant relationship between use of EBP and type of recruitment (P = 0.014), workplace (urban or rural) (P ≥ 0.05), and age (P < 0.05). According to Spearman test, there was a remarkable, linear relationship between knowledge and use of EBP (r = 0.437). Conclusions: Knowledge and use of EBP in daily practice among midwives was poor. Given the role of EBP in the improvement of patient care, it is necessary to improve the level of knowledge and utilize EBP efficiently and effectively among healthcare workers using appropriate plans designed by health policymakers.


Evidence based practice; Knowledge; Midwifery; Iran

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Organization WH. WHO nursing and midwifery progress report 2008-2012. 2013.

Organization WH. The world health report 2008: primary health care now more than ever. 2008. Geneva, WHO. 2015.

Bayes S, Fenwick J, Jennings D. Readiness for practice change: Evaluation of a tool for the Australian midwifery context. Women and Birth. 2015.

Sackett DL, Rosenberg WM, Gray JM, Haynes RB, Richardson WS. Evidence based medicine: what it is and what it isn't. Bmj. 1996;312(7023):71-2.

Ubbink DT, Guyatt GH, Vermeulen H. Framework of policy recommendations for implementation of evidence-based practice: a systematic scoping review. BMJ open. 2013;3(1):e001881.

Kajermo KN, Boström A-M, Thompson DS, Hutchinson AM, Estabrooks CA, Wallin L. The BARRIERS scale--the barriers to research utilization scale: A systematic review. Implementation Science. 2010;5(1):1.

Mehrdad N, Joolaee S, Joulaee A, Bahrani N. Nursing faculties’ knowledge and attitude on evidence-based practice. Iranian journal of nursing and midwifery research. 2012;17(7):506.

Najafi K, Bayat ZS, Oghli SH, Safari M, PourGholami F. The Effect of Training the Implementation of Evidence-Based Nursing Practices on the Attitude of Nurses in Tehran, Iran.

Farokhzadian J, Khajouei R, Ahmadian L. Information seeking and retrieval skills of nurses: Nurses readiness for evidence based practice in hospitals of a medical university in Iran. International journal of medical informatics. 2015;84(8):570-7.

Khammarnia M, Haj Mohammadi M, Amani Z, Rezaeian S, Setoodehzadeh F. Barriers to implementation of evidence based practice in Zahedan teaching hospitals, Iran, 2014. Nursing research and practice. 2015;2015.

Safari Y. Clarifying Evidence-Based Medicine in Educational and Therapeutic Experiences of Clinical Faculty Members: A Qualitative Study in Iran. Global journal of health science. 2015;7(7):62.

Taheri H, Mirmohamadsadeghi M, Adibi I, Ashorion V, Sadeghizade A, Adibi P. Evidence-based medicine (EBM) for undergraduate medical students. Annals of the Academy of Medicine, Singapore. 2008;37(9):764-8.

Ahmadi‐Abhari S, Soltani A, Hosseinpanah F. Knowledge and attitudes of trainee physicians regarding evidence‐based medicine: a questionnaire survey in Tehran, Iran. Journal of evaluation in clinical practice. 2008;14(5):775-9.

Mozafarpour S, Sadeghizadeh A, Kabiri P, Taheri H, Attaei M, Khalighinezhad N. Evidence‐based medical practice in developing countries: the case study of Iran. Journal of evaluation in clinical practice. 2011;17(4):651-6.

Valizadeh R, Rashidbeygi M, Shirbeigi E, Sayehmiri K. Attitudes of Physicians Towards Barriers to Evidence-Based Medicine in Ilam, Iran. Thrita. 2015;4(1).

Rashidbeygi M, Sayehmiri K. Knowledge and attitudes of physicians towards evidence based medicine in ilam, iran. Iranian Red Crescent Medical Journal. 2013;15(9):798.

Kouser S, Younis S, Saeed S, Tabassum Z. Attitude of Obstetricians towards Evidence-based Practice. Journal of SAFOG with DVD. 2010;2(3):203-6.

Azmoude E, Farkhondeh F, Ahour M, Kabirian M. Knowledge, Practice and Self-Efficacy in Evidence-Based Practice among Midwives in East Iran. Sultan Qaboos University medical journal. 2017;17(1):e66-e73.

Farokhzadian J, Khajouei R, Ahmadian L. Evaluating factors associated with implementing evidence‐based practice in nursing. Journal of evaluation in clinical practice. 2015;21(6):1107-13.

Mokhtar IA, Majid, S., Foo, S., et al. Evidence-based practice and related information literacy skills of nurses in Singapore: an exploratory case study. Health Informatics Journal. 2012;18(1):12-25.

Pravikoff DS, Tanner, A. B. & Pierce, S. T. . Readiness of US nurses for evidence-based practice: many don’t understand or value research and have had little or no training to help them find evidence on which to base their practice. . AJN The American Journal of Nursing. 2005;105(9):40-51.

Heydari A, Mazlom SR, Ranjbar H, Scurlock-Evans L. A study of Iranian nurses' and midwives' knowledge, attitudes, and implementation of evidence-based practice: the time for change has arrived. Worldviews on evidence-based nursing. 2014;11(5):325-31.

Adib‐Hajbaghery M. Factors facilitating and inhibiting evidence‐based nursing in Iran. Journal of advanced nursing. 2007;58(6):566-75.

Lankarani KB, Alavian SM, Peymani P. Health in the Islamic Republic of Iran, challenges and progresses. Medical journal of the Islamic Republic of Iran. 2013;27(1):42.

Weng Y-H, Kuo KN, Yang C-Y, Lo H-L, Chen C, Chiu Y-W. Implementation of evidence-based practice across medical, nursing, pharmacological and allied healthcare professionals: a questionnaire survey in nationwide hospital settings. Implementation Science. 2013;8(1):112.


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