Evidence-based physiotherapy: A survey of knowledge, behaviour, attitudes and prerequisites

Nilsagård, Ylva; Lohse, Georg

doi:10.3109/14038196.2010.503812

Cited by 74 publications

(100 citation statements)

References 11 publications

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“…Results from other studies done on EBP show that physiotherapists generally have positive attitudes towards utilisation of EBP [7,[13][14][15]. This is in line with the findings of this survey which showed that nearly 64 % of respondents reported a positive attitude towards EBP.…”

Section: Attitudes Towards Ebpsupporting

confidence: 91%

“…Pursuing a higher degree and participation in research activities increases the likelihood of utilizing EBP by health professionals [13,14]. Our results indicated that there are currently few physiotherapists involved in research activities in Zimbabwe and very few had pursued a degree beyond the Bachelor's level.…”

Section: Research Findings Utilisationmentioning

confidence: 93%

“…Physiotherapists appear to rely more heavily on initial education and training when selecting treatment techniques or modalities instead of using scientific evidence to guide practice thus clinical decision making has been guided by personal experience and expert opinion [11]. Research conducted on the attitudes of physiotherapists towards EBP in some medium and high income countries showed that physiotherapists have a positive attitude when it comes to implementation of EBP [7,10,[12][13][14][15]. Factors reported to improve EBP implementation were possession of a postgraduate qualification, being recently graduated or involvement in on-going research [13,14].…”

Section: Introductionmentioning

confidence: 99%

“…Research conducted on the attitudes of physiotherapists towards EBP in some medium and high income countries showed that physiotherapists have a positive attitude when it comes to implementation of EBP [7,10,[12][13][14][15]. Factors reported to improve EBP implementation were possession of a postgraduate qualification, being recently graduated or involvement in on-going research [13,14].…”

Section: Introductionmentioning

confidence: 99%

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Utilisation of research evidence in clinical practice to improve health care delivery- practices, attitudes and challenges faced by physiotherapists in Zimbabwe: a descriptive cross sectional study

et al. 2016

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Background: Decision-making in health care delivery should be based on the best available current, valid and relevant evidence. Healthcare professionals should therefore be well versed with the skills required to make evidence based clinical decisions in patient care. The aims of this study were to investigate the attitudes of physiotherapists towards utilisation of evidence-based practice (EBP) during patient care, identify barriers to the use of EBP and strategies to improve utilisation of EBP. Method: A descriptive cross sectional study was conducted using a survey questionnaire. Fifty five questionnaires were administered to randomly selected physiotherapists, working in either private or public hospitals in Zimbabwe. The questionnaire collected information on demographics, utilisation of EBP, factors affecting use of EBP and recommendations. Results: The response rate was 91 % (n = 50). Majority of respondents (n = 30; 60.0 %) were female, mean age of respondents was 36.4 years (SD = 9.8) and median years of experience was 8.5 (IQR = 5-15). A positive attitude towards EBP was displayed by 18 of 31 respondents (58.1 %) from private hospitals and 14 of 19 respondents (73.4 %) from public hospitals. All participants indicated that the knowledge obtained through undergraduate training was their major source of evidence-based information whilst a combined 19 respondents (38.0 %) indicated reading of journals and carrying out research as their main source of evidence. Lack of time was indicated as the major factor influencing utilisation of EBP by respondents. Limited access to online information was reported by 15 of 19 respondents from public hospitals (78.9 %) to be a major factor affecting their EBP. Respondents recommended training for physiotherapists to improve their skills in critical evaluation of research as a way to promote EBP and highlighted the need for organisational support to facilitate access to online sources of EBP in the clinical environment. Conclusion: Physiotherapists in Zimbabwe seem to rely on knowledge obtained from undergraduate training to guide them in patient care with a few highlighting the importance of research activities to guide clinical practice and their involvement in them. There is need to for physiotherapists to make time to acquire information on evidence based treatment methods in order to improve the quality of clinical practice and ultimately the standard of health care delivery.

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Section: Attitudes Towards Ebpsupporting

confidence: 91%

Section: Research Findings Utilisationmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Utilisation of research evidence in clinical practice to improve health care delivery- practices, attitudes and challenges faced by physiotherapists in Zimbabwe: a descriptive cross sectional study

et al. 2016

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show abstract

“…• can improve the quality of patient care (Barnard and Wiles, 2001;Jette et al, 2003;Salbach et al, 2007;Akinbo et al, 2009;Nilsagård and Lohse, 2010;Heiwe et al, 2011) • is helpful for making decisions about patient care (Jette et al, 2003;Salbach et al, 2007;Akinbo et al, 2009;Heiwe et al, 2011) • can enhance the status of the physiotherapist profession (Barnard and Wiles, 2001;Hannes et al, 2009) • can facilitate an increased reimbursement rate if EBP is incorporated into their clinical practice (Jette et al, 2003;Akinbo et al, 2009;Heiwe et al, 2011) • can yield improved relationships with other health professions as well as better working conditions (Barnard and Wiles, 2001) In general, physiotherapists hold favourable attitudes towards EBP and believe it is important that practice is based on the most up-to-date evidence available (Barnard and Wiles, 2001;Kamwendo, 2002;Stevenson et al, 2004;Iles and Davidson, 2006;Grimmer-Somers et al, 2007;Caldwell et al, 2007;Nilsagård and Lohse, 2010;Heiwe et al, 2011). However, these attitudes do not seem to be fully "translated" into clinical practice, as many studies have shown that physiotherapists continue to make decisions based on knowledge obtained during their initial education and/or personal experience, rather than findings from research (Overmeer et al, 2004;Mikhail et al, 2005;Bridges et al, 2007;Heiwe et al, 2011;Filbay et al, 2012).…”

Section: Previous Research On Implementation Of Evidence-based Practimentioning

confidence: 99%

Evidence-Based Practice in Practice : Exploring Conditions for Using Research in Physiotherapy

Dannapfel¹

2015

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Barriers and facilitators of evidence‐based physiotherapy practice in Iran: A qualitative study

ShahAli,

Kajbafvala,

Fetanat

et al. 2023

Musculoskeletal Care

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BackgroundTo facilitate evidence‐based practice (EBP) in physiotherapy in Iran and guide future improvements, it is crucial to identify what barriers and facilitators exist in the current system from the physiotherapist's perspective. Therefore, the purpose of this study was to explore the barriers and facilitators of EBP in physiotherapy in Iran.MethodsThis qualitative study was conducted using a phenomenological approach from January to July 2023 in Iran. The sampling process started with a purposive approach, and then an attempt was made to identify and interview more potential samples with the snowball approach. Thematic analysis was used to analyse the collected qualitative data.Results44 individuals, including 37 physiotherapists and seven faculty members, participated in this study. Several barriers and facilitators to evidence‐based physiotherapy practice in Iran were found and then put into three themes: (1) individual factors, (2) practice environment factors, and (3) extra‐organisational factors. The most common barriers were time/workload pressures, financial incentives, lack of motivation, weakness in English, managers' pressures, inadequate awareness among patients, infrastructure limitations, poor economic situation, Internet restrictions, inappropriateness of the educational curriculum, difficult access to scientific research, and lack of insurance coverage for up‐to‐date therapies.ConclusionsAlthough most of the participants had a very positive view of physiotherapy based on scientific evidence, various obstacles have prevented this approach from being well implemented in Iran. Therefore, it is necessary to move towards minimising the existing barriers at the individual, practice environment, and extra‐organisational levels by adopting effective multilateral policies.

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Evidence-based physiotherapy: A survey of knowledge, behaviour, attitudes and prerequisites

Cited by 74 publications

References 11 publications

Utilisation of research evidence in clinical practice to improve health care delivery- practices, attitudes and challenges faced by physiotherapists in Zimbabwe: a descriptive cross sectional study

Utilisation of research evidence in clinical practice to improve health care delivery- practices, attitudes and challenges faced by physiotherapists in Zimbabwe: a descriptive cross sectional study

Evidence-Based Practice in Practice : Exploring Conditions for Using Research in Physiotherapy

Barriers and facilitators of evidence‐based physiotherapy practice in Iran: A qualitative study

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