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Cochrane, evidence-based medicine and associated factors: A cross-sectional study of the experiences and knowledge of Ethiopian specialists in training

Abstract:
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\u202fyears 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)\u202f=\u202f8.5, 95% Confidence interval (CI) 1.3–54.6, P\u202f=\u202f0.02], EBM (AOR\u202f=\u202f51.2, 95% CI 2.7–960.8, P\u202f=\u202f0.009), and being in third year training (AOR\u202f=\u202f28.4, 95% CI 1.9–427.2, P\u202f=\u202f0.02). The promotion of EBM in residency hospital (AOR\u202f=\u202f22.2, 95% CI 2.2–223.8, P\u202f=\u202f0.008) and being aware of Cochrane (AOR\u202f=\u202f4.8, 95% CI 1.1–21.7, P\u202f=\u202f0.04) were predictors of positive attitude. Familiarity with Cochrane Library was influenced by EBM knowledge (AOR\u202f=\u202f6.6, 95% CI 1.4–31.5, P\u202f=\u202f0.02) and perceived organization barrier to accessing the resource (AOR\u202f=\u202f3.2, 95% CI 1.03–10.1, P\u202f=\u202f0.04). 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.
Author Listing: Omar Abdulwadud;Aklilu Azazh;Amha Mekasha;Tigist Bacha Heye;Balkachew Nigatu;Finote Debebe;Haimanot Geremew Emiru
Volume: 9
Pages: 70 - 76
DOI: 10.1016/j.afjem.2019.01.005
Language: English
Journal: African Journal of Emergency Medicine

African Journal of Emergency Medicine

AFR J EMERG MED

影响因子:1.2
是否综述期刊:否
是否OA:是
是否预警:不在预警名单内
发行时间:-
ISSN:2211-419X
发刊频率:-
收录数据库:SCIE/Scopus收录/DOAJ开放期刊
出版国家/地区:NETHERLANDS
出版社:ELSEVIER

期刊介绍

年发文量 43
国人发稿量 -
国人发文占比 0%
自引率 8.3%
平均录取率 -
平均审稿周期 17 Weeks
版面费 US$1200
偏重研究方向 EMERGENCY MEDICINE-
期刊官网 http://www.journals.elsevier.com/african-journal-of-emergency-medicine/
投稿链接 -

质量指标占比

研究类文章占比 OA被引用占比 撤稿占比 出版后修正文章占比
95.35% 89.53% - -

相关指数

影响因子
影响因子
年发文量
自引率
Cite Score

预警情况

时间 预警情况
2025年03月发布的2025版 不在预警名单中
2024年02月发布的2024版 不在预警名单中
2023年01月发布的2023版 不在预警名单中
2021年12月发布的2021版 不在预警名单中
2020年12月发布的2020版 不在预警名单中

JCR分区 WOS分区等级:Q3区

版本 按学科 分区
WOS期刊SCI分区
(2021-2022年最新版)
EMERGENCY MEDICINE Q3

中科院分区

版本 大类学科 小类学科 Top期刊 综述期刊
医学
4区
EMERGENCY MEDICINE
急救医学
4区
2021年12月
基础版
医学
4区
EMERGENCY MEDICINE
急救医学
4区
2021年12月
升级版
医学
4区
EMERGENCY MEDICINE
急救医学
4区
2022年12月
最新升级版
医学
4区
EMERGENCY MEDICINE
急救医学
4区