<scp>N</scp>ew <scp>Z</scp>ealand occupational therapists' views on evidence‐based practice: A replicated survey of attitudes, confidence and behaviours

Graham, Fiona; Robertson, Linda; Anderson, Jane

doi:10.1111/1440-1630.12000

Cited by 41 publications

(59 citation statements)

References 36 publications

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“…Although guidelines provide specific recommendations for rehabilitation, therapists often perceive barriers to the implementation of guidelines and evidence based practice [2,3]. Issues such as therapy selection and prioritisation, provider safety, equipment and space availability and inadequate staffing are some examples of barriers that have been previously identified by rehabilitation therapists [2,3].…”

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confidence: 99%

What influences the implementation of the New Zealand stroke guidelines for physiotherapists and occupational therapists?

Mudge

Hart

Murugan

et al. 2016

Disability and Rehabilitation

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1 AbstractPurpose: To explore perceived barriers and facilitators to the use of the NZ Stroke Guidelines by occupational therapists and physiotherapists.Method: A qualitative descriptive methodology was used. Eligible physiotherapists and occupational therapists (NZ registered, working in one of two hospitals, treating at least 10 patients with stroke in the previous year) were invited to participate in semi-structured interviews to elicit their perceptions of the utility and feasibility of the NZ stroke guidelines and identify barriers and facilitators to their implementation. All interviews were audio-recorded and transcribed. Conventional content analysis with constant comparative methods was used for coding and analysis. Results:The main themes influencing guideline implementation were resources and characteristics of the guidelines, the organisation, the patient and family and the therapist. Insufficient resources were a major barrier that crossed many of the themes. Participants suggested a range of strategies relating to the organisation to improve therapists' alignment to the guidelines. Conclusion:Alignment to the guidelines in New Zealand is influenced both positively and negatively by a range of interacting factors, consistent with other studies. Alignment might be improved by the introduction of some relatively simple strategies, such as ring-fencing time for access to resources

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confidence: 99%

What influences the implementation of the New Zealand stroke guidelines for physiotherapists and occupational therapists?

Mudge

Hart

Murugan

et al. 2016

Disability and Rehabilitation

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“…Of the 368 participants (n = 368), a large majority agreed or strongly agreed that supervising a student increased their own knowledge (80%), helped them to be more evidence-based (71%), and was an important part of clinical practice (89%) (Thomas & Law, 2014). Graham, Robertson, and Anderson (2013), who surveyed 1,587 New Zealand OT practitioners, also reported these positive attitudes. Greater than 80% of respondents felt that EBP was useful in everyday practice and overall OT practice, as well as improved client-centered care.…”

Section: Literature Reviewmentioning

confidence: 99%

“…Reported common barriers to implementing EBP by these occupational therapists mirrored findings in other allied health professions. Barriers were focused on the process of finding appropriate evidence and implementing it, including difficulty defining a clinical question; limited searching and appraisal skills; lack of confidence, training, and familiarity with search strategies; difficulties in using databases, difficulty understanding research terminology, statistics, and critical appraisal skills; a perceived lack of evidence to support the use of specific interventions; and uncertainty if the evidence was applicable to clients and practice (Copley & Allen, 2009;Crabtree et al, 2012;Fruth et al, 2010;Graham et al, 2013;Hankemeier & Van Lunen, 2011;Stronge & Cahill, 2012). In addition, there are environmental barriers, such as lack of time or money to pursue EBP, large caseloads, poor organizational support, limited access to published information, and poor patient compliance (Crabtree et al, 2012;Fruth et al, 2010;Stronge & Cahill, 2012).…”

Section: Literature Reviewmentioning

confidence: 99%

Changes in Knowledge, Skills, and Confidence in Fieldwork Educators After an Evidence-Based Practice Short Course

Nichols¹

2017

The Open Journal of Occupational Therapy

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“…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%

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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New Zealand occupational therapists' views on evidence‐based practice: A replicated survey of attitudes, confidence and behaviours

Cited by 41 publications

References 36 publications

What influences the implementation of the New Zealand stroke guidelines for physiotherapists and occupational therapists?

What influences the implementation of the New Zealand stroke guidelines for physiotherapists and occupational therapists?

Changes in Knowledge, Skills, and Confidence in Fieldwork Educators After an Evidence-Based Practice Short Course

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

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