30 มิ.ย. 2563

Thai Pharmaceutical and Health Science Journal

15

90-97

คณะเภสัชศาสตร์ มหาวิทยาลัยศรีนครินทรวิโรฒ

Abstract Objective: To examine factors predicting the implementation of evidence-based practices (EBPs) for postpartum hemorrhage (PPH) management among intrapartum nurses in community hospitals. Method: In this cross-sectional study, a multi-stage sampling technique was used to recruit a sample of 275 intrapartum nurses in community hospitals from March to June 2019. Data were collected using self-administered questionnaires. Descriptive statistics and multiple regression were carried out to analyze data. Results: Significant predictors were organizational climate for EBPs implementation, followed by years of experiences in delivery room, large community hospital, personal innovativeness, organizational support and perceived barriers (b = 0.261, 0.222, 0.206, 0.166, 0.138 and -0.128, respectively, P-value < 0.05 for all). Perceived characteristic of clinical practice guideline was not a significant predictor. These six factors altogether could explain 27.6% of the variance of implementation of EBP for management of PPH (R² = 0.276, P-value < 0.01). Conclusion: Factors predicting the implementation of EBPs for PPH management among intrapartum nurses in community hospitals were identified. The findings could be useful in developing nursing intervention to enhance EBPs implementation to achieve clinical outcomes of PPH prevention and management.

http://ejournals.swu.ac.th/index.php/pharm/article/view/12766