Bridging Evidence and Practice in Women's Health: A Comprehensive Narrative Review
Keywords:
Clinical guidelines, Evidence-based practice, Implementation gap, Obstetrics and gynaecology, Women’s healthAbstract
Despite significant advancements in research and clinical guidelines within the realm of obstetrics and gynaecology, a substantial divide persists between empirical evidence and its practical application in clinical settings.
Objective: This narrative review endeavours to investigate the obstacles to the implementation of evidence-based practices in the domain of women's health and underscores effective strategies for ameliorating this divide.
Methods: An exhaustive literature search was performed utilizing databases such as PubMed, Scopus, Web of Science, and Google Scholar, focusing on articles published from 2010 to 2024. Thematic synthesis was employed to scrutinize studies that address both the barriers to implementation and potential solutions.
Results: Prominent challenges encompass inadequate health systems, insufficient training for healthcare practitioners, cultural and socioeconomic impediments, and suboptimal adherence to established guidelines. Nevertheless, successful frameworks exemplified by the WHO Safe Childbirth Checklist and ACOG care bundles illustrate that the integration of training, resources, and systemic support can enhance health outcomes.
Conclusion: Addressing the evidence-practice gap in women's health necessitates a multifaceted strategy that incorporates policy reform, educational initiatives for providers, and patient-centred approaches to guarantee equitable and effective healthcare delivery.