The implementation of evidence-baed practice (EBP) and information and communication technology (ICT)-based health care information in depok city: Stakeholders' perspectives

Background: The role of stakeholders in imperative to support the implementation of Evidence Based Practice (EBP) by doctors and nurses in health care facilities, based on Information and Communication Technology (ICT). EBP and ICT is crucial to ensure that doctors and nurses provide care based on current and appropriate evidence. Purpose: To understand the implementation of EBP and ICT-based health care information access by doctors and nurses from the stakeholders’ perpectives. Methods: Semi structured interviews were conducted with 11 participants consisting of management representatives from Depok public hospital (RSUD), private hospitals, private clinics, and Depok city health office between November and December 2017. Data were recorded, transcribed, and analyzed thematically. Findings: The availability and readiness of the ICT sources mostly sufficient; While the doctors and nurses are allowed to do research activities in the facility, none have conducted it; There are seminars and forums where doctors and nurses disseminate clinical cases in hospitals, however issues related to current EBP were hardly discussed; While the managements support doctors and nurses to implement EBP, there is no particular policy and funding allocated for research and training related to EBP; Public and private hospitals have clinical instructors, however their area of work are still mainly on assisting trainings and students practice. Conlusions and Recommendations: There is a scant of EBP implementation in health care facilities in Depok city. However, several potentials of EBP enhancement are identified in terms of ICT, scientific forum, and the willingness of the management to enhance EBP. Advocacy on policy and resource arrangement is urged so that health workers would enhance their practice based on current evidence.