Original scientific paper
https://doi.org/10.3325/cmj.2024.65. 3
Evaluation of evidencebased medicine adoption among Nigerian surgeons: competence, knowledge, attitudes, practices, and barriers
Kehinde Oluwadiya
; Department of Surgery, Ekiti State University, Ado-Ekiti, Ekiti State, Nigeria
Anthony Olasinde
; Department of Surgery, Kampala International University, IshakaBushenyi, Uganda
*
Ibironke Oluwadiya
; Department of Demography and Social Statistics, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria
Johnson Ogunlusi
; Department of Surgery, Ekiti State College of Medicine, Ado-Ekiti, Ekiti State, Nigeria
Eyitayo Alabi
; Department of Surgery, College of Medicine, University of Lagos, Lagos, Nigeria
* Corresponding author.
Abstract
Aim To determine the competence, knowledge, attitude,
and barriers to evidence-based medicine (EBM) among
surgeons in southwest Nigeria.
Methods Between April 1 and June 30, 2019, a composite
questionnaire consisting of the McAllister knowledge and
attitude questionnaire, the Zwolsman barrier question
-
naire, and 5 questions from the Berlin Questionnaire (BQ)
on competence in EBM was administered to 185 surgeons
and trainees in five hospitals in southwest Nigeria.
Results The study involved 169 respondents (57 surgeons
and 112 trainees). A total of 122 (72.1%) participants report
-
ed to always/often use EBM in their practice and 47 (27.9%)
to rarely/never use EBM. The majority of both groups still
relied on traditional sources of information in their clini
-
cal practice. Even though self-identified EBM-users (28%
points) scored significantly higher on the BQ than nonusers (23.8% points), there was no difference in their performance on the McAllister and Zwolsman questionnaires.
Paradoxically, those with prior training in EBM were not
more likely to use EBM than those without training, and
there were no significant differences in their BQ scores.
Conclusions Surgeons in Nigeria have a high level of
awareness and use of EBM, as indicated by the 72% aware
-
ness rate found in our study, but their knowledge and con
-
fidence in its application are low. Our findings indicate that
the quality of EBM training in the region needs to be re
-
evaluated.
Keywords
Hrčak ID:
331893
URI
Publication date:
22.2.2024.
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