1. AMNEH KHALIL AL-HAJJAJ - BSc, HDip Midwifery, MSc Clinical Nursing, Princess Muna College of Nursing, Royal Medical Services,
Amman, Jordan.
Purpose: Midwives are crucial in the provision of proper and quality maternity care. The application of evidence-based practice (EBP) can be viewed as one of the foundations of enhancing the outcomes of maternal health. Nevertheless, implementation of EBP in midwifery care is usually hampered especially in state hospitals. The purpose of the study was to determine the obstacles to the EBP implementation in midwifery care in governmental hospitals in Jordan. Techniques: A cross-sectional study (descriptive) was carried out on midwives employed in governmental hospitals in Jordan. The structured and validated questionnaire was used to gather data regarding the barriers to the implementation of EBP on an organizational, professional, or individual level. The SPSS software was used in the application of descriptive and inferential statistics. Findings: Lack of time caused by work overload, the absence of training opportunities, non-access to recent research materials, the lack of institutional support, and the lack of autonomy in clinical decision-making were identified as the major barriers. All these obstacles were detrimental in the proper incorporation of EBP into midwifery care. Conclusion: Midwives in government hospitals in Jordan have different obstacles that restrict the use of EBP. Such difficulties demand the help of the organizational strategies such as constant professional development, improved access to resources, positive leadership, and increased clinical authority of midwives. By eliminating these obstacles, it can be possible to encourage the uptake of EBP and eventually enhance the quality of maternity care in Jordan.
Evidence-Based Practice (EBP); Barriers; Midwifery Care; Governmental Hospitals; Jordan.