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Effective strategies in promoting evidence-based maternity practice from theperspective of midwives in Iran: An opportunity for change
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| Author:
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FATEMEH JANANI, SHAHNAZ KOHAN*, FARIBA TALEGHANI, MASOUMEH GHAFARZADEH
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| Abstract:
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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.
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| Keyword:
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evidence-based maternity practice; strategy; qualitative study; Iran
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| EOI:
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http://eoi.citefactor.org/10.11209/ijpr.10.03
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| DOI:
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https://doi.org/10.31838/ijpr/2018.10.03.050
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| Download:
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