Knowledge, Attitude and Barrier to Evidence-based Practice among Physiotherapists in Selected Districts of Nepal

Abstract

Background: Evidence-based practice is considered as one of the most accepted practice all over the world. Physiotherapists in Nepal have started evidence-based practice, but there has been no study regarding evidence-based practice in physiotherapy in Nepal.Methods: A cross-sectional study was carried out among 164 physiotherapists working in different clinics and physiotherapy centers of selected districts of Nepal. A self-reported questionnaire was distributed and collected later.Results: It was found that the physiotherapists had a positive attitude towards evidence-based practice with 95.2% agreeing or strongly agreeing that evidence-based practice is necessary forthe practice of physical therapy and an overall total mean score of 34.73(72.35%) out of 48 and an overall mean 2.8 out of 4. It was also found that physiotherapists had moderate knowledge towards evidence-based practice with an overall total mean score of 19.18(68.5%) out of 28 and an overall mean of 2.74 out of 4. It was found that those having a specialization degree had two times greater knowledge than without specialization. The major barriers to evidence-based practice were obtained insufficient time and traditional methods of treatment.Conclusions: Physical therapists of Nepal stated they had a positive attitude towards evidence-based practice with the majority of the physiotherapists interested in learning more about the topic. They believed that they needed to increase the use of evidence in practice. They thought major barrier as insufficient time hence continuous professional development training that incorporate evidence-based practice were of greater importance.Keywords: Attitude; barrier; evidence-based practice; knowledge.

Instruments for assessing healthcare professionals' knowledge and skills of evidence‐based practice: A scoping review

“…Validity was confirmed using content (Dao et al, 2018; Filippini et al, 2011; Fu et al, 2020; Majid et al, 2011) and construct validity (Fu et al, 2020). Validity was not tested in three studies (Bajracharya et al, 2019; Nickles et al, 2019; Yue et al, 2018) and in one study it had been confirmed by a previous study (Belowska et al, 2020).…”

“…The studies were conducted in 17 countries: 12 in the USA (Brown et al, 2009; Ginex et al, 2021; Jette et al, 2003; Koehn & Lehman, 2008; Maydick‐Youngberg et al, 2021; Melnyk et al, 2018, 2020; Nickles et al, 2019; Schuler et al, 2021; White‐Williams et al, 2013; Williamson et al, 2015; Wonder et al, 2017), four in Iran (Azmoude et al, 2017; Heydari et al, 2014; Seyyedrasooli et al, 2012; Shafiei et al, 2014), three in Brazil (Claudino et al, 2019; Schneider et al, 2020; Silva et al, 2015) and China (Fu et al, 2020; Yue et al, 2018; Zhou et al, 2016), two each in Oman (Al‐Busaidi et al, 2019; Ammouri et al, 2014), Saudi Arabia (Alqahtani et al, 2020; Alshehri et al, 2017), Finland (Koota et al, 2021; Lunden et al, 2021) and Spain (Pérez‐Campos et al, 2014; Ramos‐Morcillo et al, 2021), one each in Nepal (Bajracharya et al, 2019), Poland (Belowska et al, 2020), Vietnam (Dao et al, 2018), Italy (Filippini et al, 2011), Singapore (Majid et al, 2011), Greece (Patelarou et al, 2017), Colombia (Ramírez‐Vélez et al, 2015), Jordania (Salah & Abu‐Moghli, 2020) and Australia (McCluskey, 2003).…”

“…Healthcare professionals need to be aware of and be able to identify information types and sources (Al‐Busaidi et al, 2019; Ammouri et al, 2014; Azmoude et al, 2017; Belowska et al, 2020; Brown et al, 2009; Dao et al, 2018; Lunden et al, 2021; Maydick‐Youngberg et al, 2021; McCluskey, 2003; Salah & Abu‐Moghli, 2020; Schneider et al, 2020; Shafiei et al, 2014; Zhou et al, 2016), as well as have knowledge of how to obtain evidence (Al‐Busaidi et al, 2019; Ammouri et al, 2014; Azmoude et al, 2017; Bajracharya et al, 2019; Brown et al, 2009; Jette et al, 2003; Lunden et al, 2021; Maydick‐Youngberg et al, 2021; Salah & Abu‐Moghli, 2020; Schneider et al, 2020; Shafiei et al, 2014; Zhou et al, 2016). The requirement to conduct online searches using databases is highlighted in several instruments (Bajracharya et al, 2019; Belowska et al, 2020; Fu et al, 2020; Ginex et al, 2021; Jette et al, 2003; Majid et al, 2011; Melnyk et al, 2018, 2020; Nickles et al, 2019; Patelarou et al, 2017; Ramírez‐Vélez et al, 2015; Schuler et al, 2021; Silva et al, 2015; Yue et al, 2018), and the databases CINAHL, MEDLINE, PEDro, Pubmed and Google are mentioned. Also, knowledge about databases was investigated (Alshehri et al, 2017; Ginex et al, 2021; Jette et al, 2003; Melnyk et al, 2018, 2020; Ramírez‐Vélez et al, 2015; Yue et al, 2018).…”

“…Critical appraisal of the evidence related to different study designs is a mentioned knowledge and skill required from healthcare professionals (Al-Busaidi et al, 2019;Ammouri et al, 2014;Azmoude et al, 2017;Bajracharya et al, 2019;Brown et al, 2009;Dao et al, 2018;Ginex et al, 2021;Jette et al, 2003;Lunden et al, 2021;Maydick-Youngberg et al, 2021;McCluskey, 2003;Melnyk et al, 2018Melnyk et al, , 2020Patelarou et al, 2017;Ramírez-Vélez et al, 2015;Salah & Abu-Moghli, 2020;Schuler et al, 2021; Table 3).…”

Organophosphorus Poisoning: Acute Respiratory Distress Syndrome (ARDS) and Cardiac Failure as Cause of Death in Hospitalized Patients

“…Based on a prospective study by Grob and Harvey [ 50 , 51 ] of several reports by Japanese scientists who thoroughly studied the victims of the terroristic attacks in Matsumoto in 1994 [ 52 ] and in Tokyo in 1995 [ 53 , 54 , 55 , 56 , 57 ], and on numerous retrospective reports from around the world, a great deal of experience has been collected on anamnestic, clinical and laboratory investigations and on therapeutic procedures for dealing with acute and “chronic” [ 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 ] intentional, accidental or occupational exposure to organophosphorus insecticides or nerve agents.…”