(1371) EVIDENCE - BASED MEDICINE AND EVIDENCE - BASED MIDWIFERY PRACTICE - KNOWLEDGE AND ATTITUDES OF STUDENTS OF MIDWIFERY

摘要

The awareness of benefits resulting from the use of the latest research findings in the professionalpractice of midwives is a prerequisite to ensuring safe midwifery care satisfying the highest standards.Thus, it is important to encourage midwifery students to expand their knowledge and to improve theirresearch methodology and critical analysis of literature-related competence.AimThe aim of the study was to analyse the knowledge and attitudes of midwifery students with respect toEvidence-Based Medicine (EBM) and Evidence-Based Midwifery Practice (EBMP) in relation to theirundertaking of professional practice.Material and Methods116 students of the second-level midwifery at Medical University of Warsaw (1 male), 67 people donot work in the profession, 49 people have taken up work in midwifery. The mean age of thepopulation studied 26.37 years (min. 22, max. 50, SD = 6.53); 72% full-time students, 50% of the 1styear.38% obtained the Bachelor's degree in midwifery in 2012. Evidence-Based Practice Questionnaire ofUniversity of South Australia, quantitative analysis of research findings. Statistical analysis, nonparametricU Mann-Whitney tests and chi2: STATISTICA version 10.0.ResultsStudents of midwifery not working in the midwifery profession revealed higher awareness of theexistence, significance and development of EBMP (medians 15 vs. 16, U Mann-Whitney test,p = 0.049). They also had greater knowledge of relevant terminology: 21 people not working in theprofession declared understanding of the term systematic review and partial understanding of the termpublication bias (U Mann-Whitney test, p = 0.034 and p = 0.011, respectively). A markedly highernumber of people (n = 35) who have not taken up practising the midwifery profession declared havingformulated a correct clinical question concerning a patient, a problem, actions taken and their resultsat least once a month last year (U Mann-Whitney Test, p = 0.022).Conclusions1. In both compared groups the level of knowledge of Evidence-Based Practice is not sufficient andrequires urgent upgrading in terms of both knowledge and skills of students in this area.2. Students not working as midwives have greater EBP-related knowledge than the studied group ofstudents working in the profession.3. In order to improve the knowledge of midwives with respect to the use of EBP in everyday clinicalwork it is advisable to provide them with additional training and to expand their skills in the area ofmethodology of scientific research.4. There is a need for ongoing updating by midwives of their knowledge with respect to the use of thelatest scientific research findings in professional practice.