| Abstract: | Evidence-based practice (EBP) is defined as “the conscientious, explicit,
and judicious use of current best evidence for decision making”. But, studies
proved that medical practice is still not based on the best available evidence
due to different challenging factors. Therefore, this study was aimed to
assess the level of EBV and identifying associated factors among health care
providers working in public hospitals. Methodologically, we conducted a
cross sectional study of 415 randomly sampled health care providers using
stratified sampling technique. Data were collected using structured selfadministered
questionnaire which was developed by reviewing literatures
and by adapting a standardized Melnyk and Fineout-Overholt EBV scale.
The collected data were analyzed using SPSS version 23. We used bivariate
and multivariate logistic regression models to identify associated factors for
evidence based practice. The study revealed that 45% of health professionals
were found to have low level of evidence based practice. The factors found to
be significantly associated with low level of EBV include the health care
provider‟s marital status (Adjusted Odds Ratio) (AOR 2.25, 95%
(Confidence Interval) CI: 1.16, 4.36), longer health care providers work
experience (AOR 2.72, 95%CI: 1.31, 5.67), and poor health care providers‟
skill (AOR 2.91, 95% CI: 1.70-3.00. We found that significant proportion of
health professionals have low evidence based practice. The longer the work
experiences with increasing age, the poor health professional skill were the
major contributing factors for low EBV. Therefore, multi- sectorial
approaches are needed to increase the level of EBV implementation and
address the major contributing factors. |
