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Effective Strategies in Promoting Evidence-Based Maternity Practice From Theperspective of Midwives in Iran: An Opportunity for Change Publisher



Janani F1 ; Kohan S2 ; Taleghani F3 ; Ghafarzadeh M4
Authors
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Authors Affiliations
  1. 1. Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Department of Midwifery and Reproductive Health, Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  4. 4. Department of Obstetrics and Gynecology, Faculty of Medicine, Lorestan University of Medical Sciences, Lorestan, Iran

Source: International Journal of Pharmaceutical Research Published:2018


Abstract

The use of evidence-based practice in maternity care is one of the basic strategies recommended by the World Health Organization (WHO) in order to achieve the health of the mother and the infant. Investigations have indicated that birth services are based on the guidelines of the WHO in a few birth centers while in many countries midwifery services are still provided as interventional care and inappropriate ineffective performances. Therefore, it is necessary to apply effective strategies in order to change the method of healthcare and the administration of appropriate evidence-based maternity care.The present qualitative study was conducted in order to determine effective strategies in enhancing evidence-based maternity practice from the perspective of the midwives in Iran.The present study is a qualitative-descriptive investigation conducted in 2013. The statistical population included the midwives and gynecologists working in one of the specialized hospitals that provide third level services in Iran. Objective-based sampling was carried out till data saturation was reached. Data collection was carried out during 5 focuse group and 10 deep semi-structured interviews with 38 healthcare providers. The collected data were analyzed using qualitative content analysis. After data analysis, 6 subcategories and 2 main categories were identified. The main categories included organizational and social strategies.The results of this demographic study can be utilized by the policymakers and the authorities of health system that are responsible for supervision and evaluation of the performance of evidence-base midwifery programs in labor centers. The authorities and planners of health system can utilize the results of the present study and the experiences of the participants and employ the suggested strategies in order to enhance the evidence-based midwifery care programs. Employing the strategies at organizational level along with social strategies establishes the grounds for the health of mothers and infants. © 2018, Advanced Scientific Research. All rights reserved.
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