Abstract
Problem
The evidence-to-practice gap continues to persist in healthcare and midwives report
limited knowledge and use of effective intervention strategies to support the implementation
of new evidence-based practices in clinical settings.
Background
Despite ongoing development and dissemination of high quality research findings, the
translation of latest research evidence by midwives into new evidence-based practices
remains sub-optimal. This inefficiency places consumers at risk of obsolete or potentially
dangerous healthcare interventions.
Aim
To explore midwifery leaders’ views on what information and support midwives require
to lead practice change initiatives in clinical areas.
Methods
The study formed part of a broader Participatory Action Research (PAR) project designed
to improve the processes by which midwives implement evidence-based practice change
in clinical settings. The study employed a qualitative design and was guided by the
methodological underpinnings of Action Research (AR).
Findings
One core finding emerged to fulfil the aim and objectives of the study. To lead implementation
of evidence-based practices, midwives need practical solutions and a map of the process,
packaged into a centralised web-based resource.
Discussion
The findings reported in this study provide valuable insight into the specific needs
of midwives wanting to improve the uptake and longevity of new evidence based practices
in clinical areas. This includes information specific to evidence implementation,
support networks and knowledge of Implementation Science.
Conclusion
To lead practice change initiatives, midwives require a web-based resource that standardises
the process of evidence implementation, while providing midwives with clear direction
and the support needed to confidently champion for evidence base change in clinical
areas.
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Article info
Publication history
Published online: October 28, 2020
Accepted:
August 31,
2020
Received in revised form:
August 31,
2020
Received:
December 14,
2019
Identification
Copyright
© 2020 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.
