Jurnal Internasional Afrika vol. 9 issue 2 2019
African Journal of Emergency Medicine
Cochrane, evidence-based medicine and associated factors: A cross-sectional study of the experiences and knowledge of Ethiopian specialists in training
Dublin Core
Title
Jurnal Internasional Afrika vol. 9 issue 2 2019
African Journal of Emergency Medicine
Cochrane, evidence-based medicine and associated factors: A cross-sectional study of the experiences and knowledge of Ethiopian specialists in training
African Journal of Emergency Medicine
Cochrane, evidence-based medicine and associated factors: A cross-sectional study of the experiences and knowledge of Ethiopian specialists in training
Subject
Cochrane
Evidence-based medicine
Resident doctors
Residency training program
Ethiopia
Evidence-based medicine
Resident doctors
Residency training program
Ethiopia
Description
Introduction: Evidence-based healthcare is a core competency for practicing healthcare practitioners and those in
speciality training. In sub-Saharan Africa, little is known about the teaching of evidence-based medicine (EBM)
in residency program. This survey evaluated the experiences and knowledge of Cochrane, EBM and associated
factors among Ethiopian specialists in training.
Methods: A convenient sample of trainee specialists completed a pretested self-administered survey. The majority
(93%) were ≤30 years old, males (63%) and 41% in paediatrics speciality. The associations of categorical
variables with EBM knowledge was assessed by Fisher’s exact or Chi-Square tests. Covariates contributing to
EBM knowledge were identified using multivariate logistic regression analysis.
Results: Eighty-three trainees participated in the survey (response rate 88.2%). About 75% have heard about
Cochrane but no one recognized Cochrane South Africa. Only 25% of the trainees knew the Cochrane Library but
none used it in clinical practice. Most (78%) have heard of EBM, 15% had attended EBM course, 96% wanted to
attend EBM course and 81% had positive attitudes to EBM. Trainees EBM knowledge was associated with
awareness of Cochrane [Adjusted odds ratio (AOR)=8.5, 95% Confidence interval (CI) 1.3–54.6, P=0.02],
EBM (AOR=51.2, 95% CI 2.7–960.8, P=0.009), and being in third year training (AOR=28.4, 95% CI
1.9–427.2, P=0.02). The promotion of EBM in residency hospital (AOR=22.2, 95% CI 2.2–223.8, P=0.008)
and being aware of Cochrane (AOR=4.8, 95% CI 1.1–21.7, P=0.04) were predictors of positive attitude.
Familiarity with Cochrane Library was influenced by EBM knowledge (AOR=6.6, 95% CI 1.4–31.5, P=0.02)
and perceived organization barrier to accessing the resource (AOR=3.2, 95% CI 1.03–10.1, P=0.04).
Conclusion: Ethiopian trainee specialists lacked formal EBM training, awareness and use of the Cochrane Library.
To improve the healthcare quality and patient outcomes, EBM education should be integrated into residency
curricula.
speciality training. In sub-Saharan Africa, little is known about the teaching of evidence-based medicine (EBM)
in residency program. This survey evaluated the experiences and knowledge of Cochrane, EBM and associated
factors among Ethiopian specialists in training.
Methods: A convenient sample of trainee specialists completed a pretested self-administered survey. The majority
(93%) were ≤30 years old, males (63%) and 41% in paediatrics speciality. The associations of categorical
variables with EBM knowledge was assessed by Fisher’s exact or Chi-Square tests. Covariates contributing to
EBM knowledge were identified using multivariate logistic regression analysis.
Results: Eighty-three trainees participated in the survey (response rate 88.2%). About 75% have heard about
Cochrane but no one recognized Cochrane South Africa. Only 25% of the trainees knew the Cochrane Library but
none used it in clinical practice. Most (78%) have heard of EBM, 15% had attended EBM course, 96% wanted to
attend EBM course and 81% had positive attitudes to EBM. Trainees EBM knowledge was associated with
awareness of Cochrane [Adjusted odds ratio (AOR)=8.5, 95% Confidence interval (CI) 1.3–54.6, P=0.02],
EBM (AOR=51.2, 95% CI 2.7–960.8, P=0.009), and being in third year training (AOR=28.4, 95% CI
1.9–427.2, P=0.02). The promotion of EBM in residency hospital (AOR=22.2, 95% CI 2.2–223.8, P=0.008)
and being aware of Cochrane (AOR=4.8, 95% CI 1.1–21.7, P=0.04) were predictors of positive attitude.
Familiarity with Cochrane Library was influenced by EBM knowledge (AOR=6.6, 95% CI 1.4–31.5, P=0.02)
and perceived organization barrier to accessing the resource (AOR=3.2, 95% CI 1.03–10.1, P=0.04).
Conclusion: Ethiopian trainee specialists lacked formal EBM training, awareness and use of the Cochrane Library.
To improve the healthcare quality and patient outcomes, EBM education should be integrated into residency
curricula.
Creator
Omar Abdulwadud, Aklilu Azazh, Amha Mekasha, Tigist Bacha Heye, Balkachew Nigatu, Finote Debebe, Haimanot Geremew Emiru
Source
www.elsevier.com/locate/afjem
Publisher
afem
Date
4 January 2019
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Citation
Omar Abdulwadud, Aklilu Azazh, Amha Mekasha, Tigist Bacha Heye, Balkachew Nigatu, Finote Debebe, Haimanot Geremew Emiru, “Jurnal Internasional Afrika vol. 9 issue 2 2019
African Journal of Emergency Medicine
Cochrane, evidence-based medicine and associated factors: A cross-sectional study of the experiences and knowledge of Ethiopian specialists in training,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/2383.
African Journal of Emergency Medicine
Cochrane, evidence-based medicine and associated factors: A cross-sectional study of the experiences and knowledge of Ethiopian specialists in training,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/2383.