Personal and organizational characteristics associated with evidence-based practice reported by Brazilian physical therapists providing service to people with stroke: a cross-sectional mail survey

Background and Purpose The purpose of this study was to identify practitioner barriers (education, attitudes and beliefs, interest and perceived role, and self-efficacy) and organizational barriers (perceived support and resources) to physical therapists’ implementation of evidence-based practice (EBP) for people with stroke. Subjects The participants were 270 physical therapists providing services to people with stroke in Ontario, Canada. Methods A cross-sectional mail survey was conducted. Results Only half of respondents had learned the foundations of EBP in their academic preparation or received training in searching or appraising research literature. Although 78% agreed that research findings are useful, 55% agreed that a divide exists between research and practice. Almost all respondents were interested in learning EBP skills; however, 50% indicated that physical therapists should not be responsible for conducting literature reviews. Average self-efficacy ratings were between 50% and 80% for searching and appraising the literature and below 50% for critically appraising psychometric properties and understanding statistical analyses. Despite Internet access at work for 80% of respondents, only 8% were given protected work time to search and appraise the literature. Discussion and Conclusion Lack of education, negative perceptions about research and physical therapists’ role in EBP, and low self-efficacy to perform EBP activities represent barriers to implementing EBP for people with stroke that can be addressed through continuing education. Organizational provision of access to Web-based resources is likely insufficient to enhance research use by clinicians.

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The Evidence-based Practice Beliefs and Knowledge of Physical Therapy Clinical Instructors

Internet Journal of Allied Health Sciences and Practice ◽

10.46743/1540-580x/2016.1546 ◽

2016 ◽

Author(s):

Debra Bierwas ◽

Joan Leafman ◽

Donald Shaw

Keyword(s):

Evidence Based Practice ◽

Physical Therapists ◽

Physical Therapist ◽

Evidence Based ◽

Clinical Instructors ◽

Cross Sectional ◽

Negative Beliefs ◽

Specialty Certification ◽

Respondent Characteristics ◽

Practice Knowledge

Introduction: For evidence-based practice to occur in patient management or clinical instruction, a knowledge of evidence-based practice principles is needed, including how to retrieve, appraise, and apply evidence. Attitudes and beliefs are also important, since for effective change in practice to occur it must be consistent with beliefs and needs. Purpose: The purpose of this study was to examine the evidence-based practice beliefs and knowledge of physical therapist clinical instructors and to determine whether differences in self-reported beliefs or knowledge existed based upon respondent characteristics of highest degree, age, association membership, and certification. Methods: For this cross-sectional descriptive study an electronic survey was used to collect data on respondent characteristics and evidence-based practice beliefs and knowledge. Results: Respondents were 376 physical therapists who were clinical instructors. A majority of respondents reported positive beliefs about evidence-based practice: welcome questions on practice (88.5 %, n = 333); fundamental to practice (89.7%, n = 337); practice changed because of evidence (81.1%, n = 305). From rating options of poor, fair, good, very good, and excellent, respondents most often selected good to describe knowledge level: formulate question 39.6% (n = 149); retrieve evidence 39.4% (n = 148); appraise evidence 44.1% (n = 166); and apply evidence 40.4% (n = 152). Nearly half of the respondents reported as either very good or excellent the ability to apply evidence (49.4%, n = 186). There were differences in evidence-based practice beliefs (degree H = 10.152, p = .038; membership z = 4.721, p = H = 27.712, p = z = 2.188, p = .03; certification z = 4.194, p = Conclusion: Respondents frequently reported positive beliefs about evidence-based practice and the possession of evidence-based practice knowledge. However, there were respondents who reported negative beliefs such as disagreeing that new evidence is important. There were wide variations in reported evidence-based practice knowledge. The largest percentage of respondents rated knowledge as good, the middle or ‘average’ rating on the five-point scale. There were differences in evidence-based practice beliefs and knowledge between groups for highest degree, association membership, and specialty certification.

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Icelandic Physical Therapists' Attitudes Toward Adoption of New Knowledge and Evidence-Based Practice: Cross-Sectional Web-Based Survey

Physical Therapy ◽

10.2522/ptj.20150428 ◽

2016 ◽

Vol 96 (11) ◽

pp. 1724-1733 ◽

Cited By ~ 9

Author(s):

Solveig A. Arnadottir ◽

Bjorg Gudjonsdottir

Keyword(s):

Evidence Based Practice ◽

Physical Therapists ◽

Multivariable Analysis ◽

Dissemination And Implementation ◽

Evidence Based ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Web Based ◽

Positive Attitudes ◽

New Knowledge

Abstract Background A positive attitude toward evidence-based practice (EBP) has been identified as an important factor in the effectiveness of the dissemination and implementation of EBP in real-world settings. Objective The objectives of this study were: (1) to describe dimensions of Icelandic physical therapists' attitudes toward the adoption of new knowledge and EBP and (2) to explore the association between attitudes and selected personal and environmental factors. Design This study was a cross-sectional, Web-based survey of the total population of full members of the Icelandic Physiotherapy Association. Methods The Evidence-Based Practice Attitude Scale (EBPAS) was used to survey attitudes toward EBP; the total EBPAS and its 4 subscales (requirements, appeal, openness, and divergence) were included. Linear regression was used to explore the association between the EBPAS and selected background variables. Results The response rate was 39.5% (N=211). The total EBPAS and all of its subscales reflected physical therapists' positive attitudes toward the adoption of new knowledge and EBP. Multivariable analysis revealed that being a woman was associated with more positive attitudes, as measured by the total EBPAS and the requirements, openness, and divergence subscales. Physical therapists with postprofessional education were more positive, as measured by the EBPAS openness subscale, and those working with at least 10 other physical therapists demonstrated more positive attitudes on the total EBPAS and the openness subscale. Limitations Because this was a cross-sectional survey, no causal inferences can be made, and there may have been unmeasured confounding factors. Potential nonresponse bias limits generalizability. Conclusions The results expand understanding of the phenomenon of attitudes toward EBP. They reveal potentially modifiable dimensions of attitudes and the associated characteristics of physical therapists and their work environments. The findings encourage investigation of the effectiveness of strategies aimed at influencing various dimensions of attitudes toward EBP.

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

Journal of Nepal Health Research Council ◽

10.33314/jnhrc.v0i0.1711 ◽

2019 ◽

Vol 17 (2) ◽

pp. 215-221

Author(s):

Shristi Bajracharya ◽

Niraj Singh Tharu ◽

Doly Bokalial

Keyword(s):

Positive Attitude ◽

Evidence Based Practice ◽

Physical Therapists ◽

Cross Sectional Study ◽

Evidence Based ◽

Cross Sectional ◽

Major Barrier ◽

Insufficient Time ◽

Practice Knowledge ◽

Accepted Practice

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.

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Examining the Association between Evidence-Based Practice and Burnout among Spanish Physical Therapists: A Cross-Sectional Study

Journal of Personalized Medicine ◽

10.3390/jpm11080805 ◽

2021 ◽

Vol 11 (8) ◽

pp. 805

Author(s):

Óscar Rodríguez-Nogueira ◽

Raquel Leirós-Rodríguez ◽

Arrate Pinto-Carral ◽

Mª José Álvarez-Álvarez ◽

Jaume Morera-Balaguer ◽

...

Keyword(s):

Evidence Based Practice ◽

Physical Therapists ◽

Maslach Burnout Inventory ◽

Cross Sectional Study ◽

Personal Accomplishment ◽

Total Evidence ◽

Evidence Based ◽

Sectional Study ◽

Cross Sectional ◽

Electronic Survey

The aim of this study was to quantify the level of burnout and competence for evidence-based practice among Spanish physical therapists and to determine if there is a relationship between these and other socio-professional factors. A cross-sectional study with 472 Spanish Physiotherapists. An electronic survey was conducted that included the Maslach Burnout Inventory, Evidence-Based Practice Questionnaire and sociodemographic data. The three subscales of the Burnout correlated with attitude and total Evidence-Based Practice Questionnaire. Attitude and practice for evidence-based practice, educational level and experience were the variables that showed the greatest influence on burnout. Burnout and the degree of evidence-based practice were identified as being discretely related. Specifically, it seems that the evidence-based practice could improve the lack of personal accomplishment, meaning that through interventions perceived as more effective and advantageous, a sense of mastery and self-efficacy is experienced.

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Knowledge, Attitudes, Beliefs and Behaviors of Physiotherapists to Evidence-Based Practice: A Cross-Sectional Survey

International Journal of Healthcare Education & Medical Informatics ◽

10.24321/2455.9199.201802 ◽

2018 ◽

Vol 05 (01) ◽

pp. 6-11

Author(s):

Srishti Sharma ◽

Keyword(s):

Evidence Based Practice ◽

Evidence Based ◽

Cross Sectional Survey ◽

Cross Sectional ◽

And Behaviors

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Evidence-based Practice regarding knowledge, attitude and perceived barriers of Mangalore Physical Therapists: A Survey

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v11i4.3825 ◽

2020 ◽

Vol 11 (4) ◽

pp. 7056-7063

Author(s):

Vineel P ◽

Gopala Krishna Alaparthi ◽

Kalyana Chakravarthy Bairapareddy ◽

Sampath Kumar Amaravadi

Keyword(s):

Response Rate ◽

Evidence Based Practice ◽

Physical Therapists ◽

Medical Profession ◽

Demographic Data ◽

Perceived Barriers ◽

Hard Copy ◽

Evidence Based ◽

Research Committee ◽

The Individual

Evidence-based Practice is defined as usage of current best evidence which is conscientious, explicit and judicious in deciding on the care of the individual. It is one of the vital decision-making processes in the medical profession. Though India is renowned as a center for medical education, there is scarcity regarding the literature on evidence-based practice. The survey aims to identify the prevalence of evidence-based practice among the physical therapists of Mangalore. The study protocol submitted to scientific research committee and Ethical institutional committee, K.M.C. Mangalore Manipal University. On approval, the questionnaire had been distributed among the physical therapists of Mangalore through mails and in the written form. The questionnaire consists of questions divided into eight sections: 1) consent form 2) current practice status; 3) demographic data; 4) behavior; 5) previous knowledge of E.B.P. resources; 6) skills and available resources; 7) Opinions regarding E.B.P.; 8)Perceived barriers regarding E.B.P. The emails were sent through Google forms to all the physical therapists, and hard copies were distributed among the selected physical therapists. The response rate for the emails was 13.1%. The response collected through hard copies was 178, whereas total hard copies distributed was 320, the participants rejected some due to lack of interest. In total, including emails and hard copy questionnaire 205 was the response rate in which all were practicing physical therapy as their primary profession. The findings of the study will pave the way to identify the status of evidence-based practice as well as help in designing promotional programmers for evidence-based practice.

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Older and Wiser? The Need to Reexamine the Impact of Health Professionals Age and Experience on Competency-Based Practices

SAGE Open Nursing ◽

10.1177/23779608211029067 ◽

2021 ◽

Vol 7 ◽

pp. 237796082110290

Author(s):

Jing Xu ◽

Kristen Hicks-Roof ◽

Chloe E. Bailey ◽

Hanadi Y. Hamadi

Keyword(s):

Health Professionals ◽

Online Survey ◽

Evidence Based Practice ◽

Core Competencies ◽

Healthcare Services ◽

Interdisciplinary Teams ◽

Evidence Based ◽

Health Providers ◽

Cross Sectional ◽

The Impact

Introduction Delivery of healthcare services makes up a complex system and it requires providers to be competent and to be able to integrate each of the institute of medicine’s (IOM) 5 core competencies into practice. However, healthcare providers are challenged with the task to be able to understand and apply the IOM core competencies into practice. Objective The purpose of the study was to examine the factors that influence health professional’s likelihood of accomplishing the IOM core competencies. Methods A cross-sectional study design was used to administer a validated online survey to health providers. This survey was distributed to physicians, nursing professionals, specialists, and allied healthcare professionals. The final sample included 3,940 participants who completed the survey. Results The study findings show that younger health professionals more consistently practice daily competencies than their older counterparts, especially in the use of evidence-based practice, informatics, and working in interdisciplinary teams. Less experienced health professionals more consistently applied quality improvement methods but less consistently used evidence-based practice compared to their more experienced counterparts. Conclusion There is a need to understand how health professionals’ age and experience impact their engagement with IOM’s core competencies. This study highlights the need for educational resources on the competencies to be tailored to health providers’ age and experience.

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A national cross-sectional survey of the attitudes, skills and use of evidence-based practice amongst Spanish osteopaths

BMC Health Services Research ◽

10.1186/s12913-021-06128-6 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Gerard Alvarez ◽

Cristian Justribo ◽

Tobias Sundberg ◽

Oliver P. Thomson ◽

Matthew J. Leach

Keyword(s):

Evidence Based Practice ◽

Evidence Based ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Professional Literature ◽

Media Campaigns ◽

Participant Engagement ◽

Online Databases ◽

Research Findings ◽

Healthcare Professions

Abstract Background Although evidence-based practice (EBP) is largely supported across healthcare professions, its implementation in manual therapy professions such as osteopathy remains limited and debated. There is currently little knowledge of how Spanish osteopaths relate to EBP. Objectives The main aim of this study was to investigate the attitudes, skills and use of EBP among Spanish osteopaths. A secondary aim was to identify barriers and facilitators for the adoption of EBP in the Spanish osteopathic context. Methods National cross-sectional survey of Spanish osteopaths registered and non-registered to an osteopathic association in Spain. Eligible participants were invited by a range of recruitment strategies including email and social media campaigns to complete the Spanish-translated Evidence-Based practice Attitude and utilization Survey (EBASE) anonymously online. Results A total of 567 osteopaths completed the survey which represents an approximate response rate of 9%. Participant’s attitudes toward EBP were largely positive. Most respondents agreed or strongly agreed that EBP was necessary in the practice of osteopathy (89.6%) and that professional literature and research findings were useful to their day-to-day practice (88.9%). Levels of perceived skill in EBP were reported as low to moderate with lowest levels for items related to ‘research conduct’. Except reading/reviewing professional literature and using online search engines to find practice-related literature, participant engagement in all other EBP-related activities was generally infrequent. The perceived proportion of clinical practice that was based on clinical research evidence was reported to be very small. Main barriers to EBP uptake included a lack of clinical evidence in osteopathy and insufficient skills for applying research findings. Main facilitators of EBP uptake included access to full-text articles, internet at the workplace and online databases. Conclusions Spanish osteopaths were largely supportive of evidence-based practice, had low to moderate skills in EBP and engaged in EBP activities infrequently. Formal regulation of the profession in Spain and the inclusion of osteopathic programs into the university sector would potentially improve EBP skills and use.

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