Dismantling Some Barriers to Evidenced-based Rehabilitation with ‘Hands-on’ Clinical Research Secondments

Pomeroy, Valerie M.; Tallis, RC; Stitt, E. R.

doi:10.1016/s0031-9406(05)60038-7

Cited by 20 publications

(30 citation statements)

References 35 publications

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“…Standardization of these terms in the literature would make comparison among studies and measurement constructs more accessible. † (Pomeroy et al, 2003) † Upton, 1999;Upton & Upton, 2006) -Adapted from Upton & Lewis (1998) …”

Section: Focusmentioning

confidence: 99%

“…These include the competence-based AFT (McCluskey & Bishop, 2009;McCluskey & Lovarini, 2005) and the self-report measure by McCluskey and Lovarini for the measurement of both knowledge and skills, and the Upton and Lewis (1998) scale for the purpose of self-reported skill measurement. The remaining tools with the potential for measuring skills (Bennett et al, 2003;Pollock et al, 2000;Pomeroy et al, 2003;Salls et al, 2009) require further evidence of reliability and/or validity to improve their utility. Minor modifications to item terminology may also be required to adapt the reviewed tools for use with occupational therapists in different practice settings, countries, or cultures.…”

Section: Overall Utilitymentioning

confidence: 99%

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Measures of Knowledge and Skills for Evidence-Based Practice: A Systematic Review

Glegg¹,

Holsti²

2010

Can J Occup Ther

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Section: Focusmentioning

confidence: 99%

Section: Overall Utilitymentioning

confidence: 99%

Measures of Knowledge and Skills for Evidence-Based Practice: A Systematic Review

Glegg¹,

Holsti²

2010

Can J Occup Ther

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“…Even efficacious research regimens that work under ideal research conditions are not implemented because they fail to consider the relevant clinical issues in real practice. 39,40 Physiotherapy research may require pragmatic trials which measure effectiveness (the benefit the treatment produces in routine practice), as opposed to a strict comparison trial. In contrast to RCTs, the design of pragmatic trials reflects variations between patients that occur in real clinical practice and aims to inform choices between treatments.…”

Section: Why Is Ebp Important Now?mentioning

confidence: 99%

“…10,24,25,42 Many clinicians refer to the rising demand of today's healthcare environment and government pressure on service efficacy as factors that directly inhibit their opportunity to gather, read and implement relevant evidence into practice. 24,25,40 They may find it hard to decide what priority to give to EBP. Clinicians also face difficulties in making changes in practice due to organisation management and peer resistance.…”

Section: Challenge 2: Organisation Barriersmentioning

confidence: 99%

“…Clinicians also face difficulties in making changes in practice due to organisation management and peer resistance. 16,23,40 They may feel lack of power to change an established practice and also lack of support from management for changing culture, especially when EBP is not necessarily less expensive; and there may be other competing priorities involved. 14,16,25 What appears to be the most difficult is to apply critically appraised evidence into practice.…”

Section: Challenge 2: Organisation Barriersmentioning

confidence: 99%

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A critical evaluation of evidence-based practice of physiotherapy in musculoskeletal medicine

Chan¹,

Clough

2010

International Musculoskeletal Medicine

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Research and evidence-based practice (EBP) is vital to the development of musculoskeletal medicine. The purpose of this report is to evaluate EBP in physiotherapy and to identify barriers to its implementation that exist in musculoskeletal physiotherapy. These findings are likely to have meaning for the other disciplines working in musculoskeletal medicine. We have used a personal selection of 44 relevant papers to reach our assessment and conclusions.O Ob bj je ec ct ti iv ve e: : To evaluate evidence-based practice (EBP) in musculoskeletal physiotherapy and to identify barriers that exists to its implementation. M Ma at te er ri ia al ls s a an nd d M Me et th ho od ds s: : A personal selection of 44 relevant papers were used to undertake this assessment. R Re es su ul lt ts s: : The literature questions whether the sole driver for EBP must be randomised controlled trials, or whether anecdotal evidence or pragmatic trials should contribute. Barriers to the implementation of EBP have been identified including clinicians' appraisal skills and the necessary organisational changes required. C Co on nc cl lu us si io on ns s: : Despite EBP having a significant influence on health policy in the UK, practitioners face various challenges when introducing and sustaining appropriate changes to practice.

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Research delivery secondments: A scoping review

Hare,

Grieve,

Valentine

et al. 2024

Nursing Open

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AimTo explore and summarise published literature with regards to secondments to clinical research and to identify the gaps in research to inform further work.DesignSystematic scoping review.MethodA scoping review was undertaken in accordance with the Patterns, Advances, Gaps, Evidence and Research framework. Databases searched included CINAHL, PubMed, Medline and Embase. Inclusion/exclusion criteria were applied by two independent reviewers. Two reviewers independently retrieved full‐text studies for inclusion and applied the framework as a tool for synthesising Patterns, Advances, Gaps, Evidence and Research recommendations.ResultsSix papers and one abstract published between 2003 and 2018 were included. All secondees (n = 34) were released from NHS posts, with secondments (where specified) ranging in duration from 0.25 to 2 years and for 40%–100% of their working hours. All seven papers reported benefits for personal and professional development, predominantly in the form of personal reflections. Few described involvement with research delivery teams.ConclusionPublished initiatives vary in nature and lack standardised reporting and measurement of impact. Further research is required to identify benefits at a departmental or organisational level, the facilitators for setting up secondments and the application of knowledge gained from secondment opportunities.Implications for the ProfessionUndertaking a research secondment is reported to offer professional and personal benefit for clinical staff. Research secondments are one way in which a research culture can practically be embedded within clinical settings.ImpactThis scoping review identified a lack of published empirical research seeking to understand research secondments as a tool to enhance research and evidence engagement. Although there is a suggestion that secondments could positively impact staff retention, there is limited evidence about the benefit for the organisation or for patient care. These findings have implications for staff, managers and their organisations.Reporting MethodThe PRISMA‐ScR guidelines were used to guide reporting.No Patient or Public ContributionThis was not relevant to the research design.

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Dismantling Some Barriers to Evidenced-based Rehabilitation with ‘Hands-on’ Clinical Research Secondments

Cited by 20 publications

References 35 publications

Measures of Knowledge and Skills for Evidence-Based Practice: A Systematic Review

Measures of Knowledge and Skills for Evidence-Based Practice: A Systematic Review

A critical evaluation of evidence-based practice of physiotherapy in musculoskeletal medicine

Research delivery secondments: A scoping review

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