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Midwives' Perceptions of Barriers to Implementing Evidence-Based Practice in Northern Jordan
Reem Hatamleh1, Nemeh Al-Akour1, Rasha Smadi1
1Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan.
SAGE Open Nursing
|January 22, 2026
Summary
Midwives face significant barriers to evidence-based practice (EBP) implementation, primarily organizational issues. Addressing these requires enhanced managerial support and strategic interventions to improve maternal care.
Area of Science:
- Maternal Healthcare
- Nursing Research
- Evidence-Based Practice
Background:
- Midwives play a crucial role in maternal care through evidence-based practice (EBP) implementation.
- Unrecognized barriers hinder EBP adoption by midwives, including insufficient managerial support, excessive workloads, and limited resources in Jordan.
Purpose of the Study:
- To explore midwives' perspectives on barriers to EBP implementation in northern Jordan.
- To identify factors influencing the successful integration of EBP in maternity care.
Main Methods:
- A cross-sectional, descriptive study utilizing the BARRIERS scale.
- 191 midwives from seven government and university hospitals in northern Jordan participated.
- Data analysis included descriptive statistics, ANOVA, and linear regression.
Main Results:
- Midwives identified innovation, organization, and communication as the primary barriers to EBP implementation.
- A negative correlation was found between perceived barriers and education level (p < 0.001).
- No significant correlation was observed between age or work experience and perceived barriers.
Conclusions:
- Organizational factors represent the most significant obstacles to EBP utilization among midwives.
- Strong managerial support is identified as a key facilitator for EBP implementation.
- Recommendations include developing strategies to reduce organizational barriers, enhance training, and improve managerial and policy support.
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