This study was conducted based on the 2017 revised（third edition） JOHNS HOPKINS model of evidence-based nursing practice. An evidence-based nursing team was first formed to retrieve

evaluate and summarize the best evidence

identify review indicators and review methods

and subsequently conduct a baseline review. Barriers and facilitators to evidence-based practice were analyzed based on the results of the baseline review

and evidence-based practice strategies were developed. A total of 11 best evidence items were included in this study

and 16 review indicators were developed based on the best evidence. In addition

the barrier factors identified in this study were nurses’ lack of knowledge related to evidence-based postpartum care for older multiparas

lack of awareness of optimal postpartum care management for older multiparas

and nurses with higher seniority who were accustomed to traditional care practices and lacked knowledge of evidence-based practice and adherence to clinical change. Therefore

the clinical practice of optimal care for advanced maternal age needs to be addressed by objectively and adequately considering the barriers to implementation

developing strategies correspondingly

and then carrying out evidence-based practice in the clinic to improve the process of postpartum care for older multiparas

and continuously applying and improving it in the clinic.