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Barriers to Implementing Evidence-Based Intrapartum Care: A Descriptive Exploratory Qualitative Study.
Mina Iravani1, Mohsen Janghorbani2, Ellahe Zarean3
1Department of Midwifery, Reproductive Health Promotion Research Center, Faculty of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran.
Identifying barriers to evidence-based intrapartum care is key to improving obstetric quality. This study explored challenges faced by healthcare providers in Iran, revealing issues related to patients, providers, and the health system.
Area of Science:
- Obstetrics and Gynecology
- Evidence-Based Medicine
- Healthcare Quality Improvement
Background:
- Evidence-based practice (EBP) is vital for enhancing obstetric care quality.
- Understanding barriers to EBP adoption in intrapartum care is crucial for improving maternal outcomes.
Purpose of the Study:
- To investigate barriers to implementing evidence-based intrapartum care.
- To explore these barriers from the perspective of healthcare professionals in Iran.
Main Methods:
- Descriptive exploratory qualitative research design.
- Conducted in 14 Iranian state medical training centers (2013-2014).
- Semi-structured interviews with midwives, specialists, and residents; conventional content analysis.
Main Results:
- Four main categories of barriers were identified.
- Barriers were associated with laboring women, care providers, organizational environment, and the health system.
- Twenty subcategories of barriers were detailed.
Conclusions:
- Adopting evidence-based intrapartum care is a multifaceted challenge.
- Identifying barriers is the foundational step for developing effective strategies.
- Addressing these barriers can enhance compliance and improve maternity care quality.
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