Strategies to Promote Evidence-Based Practice in Pediatric Physical Therapy: A Formative Evaluation Pilot Project

Schreiber, Joe; Stern, Perri; Marchetti, Gregory F.; Provident, Ingrid

doi:10.2522/ptj.20080260

Cited by 51 publications

(48 citation statements)

References 70 publications

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“…31,32 Despite some of these interventions showing promise with regard to shifting attitudes towards EBP, [25][26][27][28][29][30][31] not all have been effective in changing behavior related to EBP over time. 33,34 While the impact of the training program on EBP was not quantitatively assessed in this study, both clinicians and administrators observed substantial changes to participants' critical thinking and awareness of the interrelatedness of research and practice. Most striking was the number of participants who reported an increased commitment to practice improvement as well as shifts in clinical practice through revisions to practice guidelines and the development of patient and professional resources.…”

Section: Discussionmentioning

confidence: 88%

Promoting Evidence-Based Practice Through a Research Training Program for Point-of-Care Clinicians

2016

JONA: The Journal of Nursing Administration

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OBJECTIVES:The purpose of this study was to evaluate the effect of a research training program on clinicians' knowledge, attitudes, and practices related to research and evidence-based practice (EBP). BACKGROUND: EBP has been shown to improve patient care and outcomes. Innovative approaches are needed to overcome individual and organizational barriers to EBP. METHODS: Mixed-methods design was used to evaluate a research training intervention with point-of-care clinicians in a Canadian urban health organization. Participants completed the Knowledge, Attitudes, and Practice Survey over 3 timepoints. Focus groups and interviews were also conducted. RESULTS: Statistically significant improvement in research knowledge and ability was demonstrated. Participants and administrators identified benefits of the training program, including the impact on EBP. CONCLUSIONS: Providing research training opportunities to point-of-care clinicians is a promising strategy for healthcare organizations seeking to promote EBP, empower clinicians, and showcase excellence in clinical research.Research confirms that patient outcomes improve when nurses practice in an evidence-based manner. Described as ''a problem-solving approach to clinical care that incorporates the conscientious use of current best practice from well-designed studies, a clinician's expertise, and patient values and preferences,'' 1(p335) evidencebased practice (EBP) has been shown to increase patient safety, improve clinical outcomes, reduce healthcare costs, and decrease variation in patient outcomes. [1][2][3][4] The importance of EBP is substantiated; however, barriers to widespread use of current research evidence in nursing remain, including the fluency and knowledge level of clinical nurses.Nurses have identified individual and organizational barriers to research utilization. Individual barriers include lack of knowledge about the research process and how to critique research studies, lack of awareness of research, colleagues not supportive of practice change, and nurses feeling a lack of authority to change practice. [5][6][7][8] Organizational barriers identified include insufficient time to implement new ideas, lack of access to research, and lack of awareness of available educational tools related to research. [5][6][7][9][10][11] Research demonstrates that the most important factor related to nurses' EBP is support from their employing organizations to use and conduct research. 7,9 Other facilitators include the presence in the clinical 14

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Section: Discussionmentioning

confidence: 88%

Promoting Evidence-Based Practice Through a Research Training Program for Point-of-Care Clinicians

2016

JONA: The Journal of Nursing Administration

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“…1,[3][4][5][6]10,[12][13][14][15][16]20,21,23,[28][29][30][31][32] Our review did not identify any other papers addressing knowledge broker experiences in rehabilitation. Although several studies 3,13,20,24 have suggested that knowledge brokers could help to close the knowledge-practice gap in health care, the effectiveness of such initiatives requires additional study.…”

Section: Discussionmentioning

confidence: 88%

“…We identified search terms through an iterative process that began with reviewing seminal 24 and emerging literature on knowledge translation, knowledge sharing, and research adoption [26][27][28][29][30][31][32][33][34][35] to determine the potential diversity in the literature with respect to knowledge brokering terms and approaches. Our aim was to identify and use search terms that maintained a focus on the exchange and acquisition components of knowledge and learning that are common to all definitions of knowledge brokers (see Box 1), without narrowing the search so much that potentially relevant papers would be missed.…”

Section: Search Strategymentioning

confidence: 99%

What Do We Know about Knowledge Brokers in Paediatric Rehabilitation? A Systematic Search and Narrative Summary

Taylor¹,

Verrier

Landry

2014

Physiotherapy Canada

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Purpose: To conduct a systematic review of the literature related to the use of knowledge brokers within paediatric rehabilitation, and specifically to determine (1) how knowledge brokers are defined and used in paediatric rehabilitation and (2) whether knowledge brokers in paediatric rehabilitation have demonstrably improved the performance of health care providers or organizations. Methods: The MEDLINE, CINAHL, EMBASE, and AMED databases were systematically searched to identify studies relating to knowledge brokers or knowledge brokering within paediatric rehabilitation, with no restriction on the study design or primary aim. Following review of titles and abstracts, those studies identified as potentially relevant were assessed based on the inclusion criteria that they: (1) examined some aspect of knowledge brokers/brokering in paediatric rehabilitation; (2) included sufficient descriptive detail on how knowledge brokers/brokering were used; and(3) were peer-reviewed and published in English. Results: Of 1513 articles retrieved, 4 met the inclusion criteria, 3 of which referenced the same knowledge broker initiative. Two papers used mixed methods, one qualitative methodology, and one case presentation. Because of the different methods used in the included studies, the findings are presented in a narrative summary. Conclusions: This study provides an overview of the limited understanding of knowledge brokers within paediatric rehabilitation. Knowledge broker initiatives introduced within paediatric rehabilitation have been anchored in different theoretical frameworks, and no conclusions can be drawn as to the optimum combination of knowledge brokering activities and methods, nor about optimal duration, for sustained results.Key Words: evidence-based practice; knowledge translation; pediatrics. RÉ SUMÉObjectif : Procé der à une critique systé matique des publications portant sur l'utilisation des courtiers en connaissances dans le domaine de la ré adaptation pé diatrique et dé terminer plus pré cisé ment (1) comment les courtiers du savoir sont dé finis et utilisé s en ré adaptation pé diatrique et (2) s'ils ont amé lioré de fac¸on dé montrable le rendement de fournisseurs ou d'organisations de soins de santé . Mé thodes : On a effectué une recherche systé matique dans les bases de donné es MEDLINE, CINAHL, EMBASE et AMED pour y trouver des é tudes portant sur les courtiers ou le courtage en connaissances en ré adaptation pé diatrique, sans restriction quant à la conception ou à l'objectif principal de l'é tude. Aprè s une revue des titres et des ré sumé s, les é tudes jugé es é ventuellement pertinentes ont é té é valué es en fonction des critè res d'inclusion suivants: (1) elles portaient sur certains aspects des courtiers ou du courtage en connaissances dans le domaine de la ré adaptation pé diatrique; (2) elles incluaient des dé tails suffisamment descriptifs de la fac¸on d'utiliser les courtiers ou le courtage en connaissances; (3) elles ont é té critiqué es par des pairs et publié es en anglais. R...

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“…The recommendations made by respondents in our survey were similar to what was reported in the literature. Support in the form of provision of access to journals [12,26], journal availability in physiotherapy departments [33], providing continuing education courses [30], allowing more time for reading and discussing research reports [9,34] and provision of incentives Schreiber et al [35] were some of the strategies that were identified as facilitators to the use of EBP by others.…”

Section: Barriers To the Use Of Ebpmentioning

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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Strategies to Promote Evidence-Based Practice in Pediatric Physical Therapy: A Formative Evaluation Pilot Project

Cited by 51 publications

References 70 publications

Promoting Evidence-Based Practice Through a Research Training Program for Point-of-Care Clinicians

Promoting Evidence-Based Practice Through a Research Training Program for Point-of-Care Clinicians

What Do We Know about Knowledge Brokers in Paediatric Rehabilitation? A Systematic Search and Narrative Summary

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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