Impact of a nationwide outreach program on the diffusion of evidence-based practice in Taiwan

Chiu, Ya Wen; Weng, Yi Ming; Lo, Heng Lien; Shih, Ya Hui; Hsu, Chih Cheng; Kuo, Ken N.

doi:10.1093/intqhc/mzq049

Cited by 23 publications

(30 citation statements)

References 25 publications

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“…30 To optimize the response rate we used a cluster sampling, which improves response rate, compared to random sampling. 31 Third, our sample size was small. Nevertheless, our study is the pioneer in evaluating the EBP profile of RTs.…”

Section: Discussionmentioning

confidence: 97%

Profile of Evidence-Based Practice Among Respiratory Therapists in Taiwan

et al. 2013

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BACKGROUND: Evidence-based practice (EBP) has been proposed as a core competence to improve healthcare quality. The profile of EBP among respiratory therapists (RTs) has not been explored. We investigated how RTs in Taiwan perceive the implementation of EBP. METHODS: We surveyed RTs in Taiwan's regional hospitals during a 4-month period in 2011. RESULTS: A majority of RTs were aware of EBP (88.0%). Although most RTs held a favorable impression of EBP, their knowledge of and skill in EBP implementation were deficient. Only half of the RTs had implemented EBP. Insufficient convenient kits (59.1%), deficient designated personnel (50.0%), and lack of time (45.5%) were major barriers to implementing EBP. RTs rated MEDLINE as the most commonly used evidence-based retrieval database, followed by UpToDate, IntroductionEvidence-based practice (EBP) means clinical practice that is consistent with the current best evidence. EBP integrates clinical epidemiology, biostatistics, research methods, and informatics into healthcare. 1,2 The process of EBP mainly involves 4 steps: framing a clear question based on a clinical problem; finding relevant evidence in the literature; critically appraising the validity of the research; and applying the findings to clinical decision-making. 3 Respiratory care is increasingly utilized, with the associated respiratory therapists (RTs) playing an important role in supporting related clinical services. [4][5][6][7] proposed as a useful means to improve healthcare outcomes for RTs. [8][9][10][11] Therefore it is essential to assess how RTs implement EBP in clinical decision-making. A number of studies have illustrated that, although a majority of medical, nursing, pharmacologic, and allied health professions hold positive attitudes toward EBP, their knowledge and skill pertaining to EBP implementation are relatively insufficient. 12-18 Whether or not RTs practice with evidence, and, if so, how, has been unclear. 19 RTs have to deal with a broad range of medical problems in clinical practice. 20 RTs play an important role in the prevention and management of respiratory diseases. 21 Timely acquired relevant information is important for their clinical practice. Access to evidence-based information can help facilitate effective management. Therefore, how to obtain current evidence-based knowledge is a critical skill. Nevertheless, only a few studies surveyed the behavior of RTs in searching for evidence-based information.We surveyed RTs in Taiwan regarding their awareness of EBP related to beliefs, attitudes, knowledge, skills, and implementation. MethodsThe ethical review board of the Taiwan National Health Research Institutes approved the study protocol. The survey was accompanied by an introductory letter stating the purpose of this study and promising confidentiality. Return of the completed questionnaire was considered consent for participation.

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Section: Discussionmentioning

confidence: 97%

Profile of Evidence-Based Practice Among Respiratory Therapists in Taiwan

et al. 2013

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“…In addition, gender was a factor related to dissemination. However, this factor is profession related21: male physicians are more common (92.3%) than male librarians (14.3%).…”

Section: Discussionmentioning

confidence: 99%

“…Third, mentoring relationships, such as support from early adopters and designated personnel, can enhance dissemination 12. Fourth, education and training can increase knowledge of and skill in how to access and further maximise levels of self-sufficiency in its efficient use 21. For example, academic detailing by early adopters has proven valuable for changing behaviour 22…”

Section: Introductionmentioning

confidence: 99%

“…Under a collaborative project since the beginning of 2007, the National Health Research Institutes (NHRI) has offered them free access to Cochrane reviews to promote the application of EBM. The NHRI has also hosted a number of educational training sessions and simulations to disseminate the Cochrane Library 21. Despite the NHRI's considerable continuing efforts to encourage the system's use, its spread into regional hospitals has not been very wide.…”

Section: Introductionmentioning

confidence: 99%

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Dissemination of systematic reviews in a hospital setting: a comparative survey for spreading use of the Cochrane Library

Weng

Hsu

Shih

et al. 2012

Postgraduate Medical Journal

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“…27,28 The study in Taiwan reported that an outreach program offering evidence-based practice (EBP) learning resulted in the increased knowledge, gained positive attitudes, and increased perceived skills in the application of EBP among nurses, whereas overall the program had a greater impact on physicians. 29 Under the banner of EBM, CPGs are characterized as objective, uniform, and efficient in healthcare; conversely, the use of CPGs may threaten the establishment of professional autonomy and the professional's role. 27,28 Safe handling guidelines for chemotherapy have been available for more than 3 decades.…”

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confidence: 99%