scholarly journals Enhancing evidence-based practice in population health: staff views, barriers and strategies for change

2005 ◽  
Vol 29 (4) ◽  
pp. 469 ◽  
Author(s):  
Armita Adily ◽  
Jeanette E Ward

Study objective: To determine barriers and enablers for evidence-based practice (EBP) in population health and potential strategies for change. Design: Self-administered survey of 104 professional staff (response rate, 73%) in the Division of Population Health, South Western Sydney Area Health Service in NSW serving a disadvantaged urban population. Main results: Most respondents (80%) ?strongly agreed? or ?agreed? that EBP would improve the effectiveness of their efforts in a disadvantaged region. However, more than half of respondents (56%) ?strongly agreed? or ?agreed? that there is lack of evidence for interventions in population health. Eighty two per cent of respondents ?strongly agreed? or ?agreed? that training in EBP is important for all population health workers. Those who used evidence also needed a greater capacity to discriminate ?good? from ?bad? research (85% in agreement). Contradictory policy was cited by one third of respondents as acting against EBP.

2020 ◽  
Vol 11 (4) ◽  
pp. 7056-7063
Author(s):  
Vineel P ◽  
Gopala Krishna Alaparthi ◽  
Kalyana Chakravarthy Bairapareddy ◽  
Sampath Kumar Amaravadi

  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.


2017 ◽  
Vol 13 (4) ◽  
pp. 308-315 ◽  
Author(s):  
S. Karki ◽  
R. Acharya ◽  
H. Budhwani ◽  
P. Shrestha ◽  
P. Chalise ◽  
...  

Background As the evidence based practice (EBP) movement expands, there is a need for health leaders and educators in each country to assess the extent to which health professional students and practitioners are prepared to locate, evaluate, and apply evidence to guide their practice.Objective The study objective was to explore nurses’ and nursing students’ perceptions and attitudes towards EBP.Method This was a descriptive cross-sectional survey administered to all 273 nurses and nursing students from Nepal who attended an EBP conference. The survey instrument that was used by Majid in Singapore was adapted for use in this study with permission from the author.Result In total, 121 nurses participated in the study. The majority (93%) of respondents reported that they had no previous training in EBP. The respondents’ perceptions of their EBP knowledge and skills were variable, but most of them demonstrated positive attitudes toward EBP. Respondents identified a number of barriers that limit the implementation of EBP in Nepal. The greatest barriers were lack of time and resources, difficulty understanding research articles and translating the findings to practice, and limited autonomy to change practice based on evidence.Conclusion Although respondents had positive attitudes towards EBP, their knowledge and skills were limited and barriers to implementation existed. Nursing faculty can use the findings to guide implementation of EBP into curricula, and nursing administrators and clinicians can use the findings to guide practice to promote EBP.


2015 ◽  
Vol 11 (2) ◽  
pp. 163
Author(s):  
Bente Bjørsland ◽  
Reidun Hov

Health services are constantly met by greater demands on offering the best treatment and care based on quality and research. For that reason health workers and teachers in health care institutions and universities are working evidence-based. Hedmark University College and Hamar municipality have collaborated in two projects. The aim of this article is to illuminate the students’ learning outcomes in palliative care after participated in two evidence-based projects. Different written guides for conversations with patients, next of kin and staff, a log-book and an evaluation form were developed. Results show that the students learned about the significance of continuity in patients’ pain relief, spiritual and existential needs, and about palliative care in the municipality. The students concluded that they in some areas experienced greater learning outcomes from working with evidence-based practice than in their ordinary practice in the municipality.


2020 ◽  
Vol 10 (8) ◽  
pp. 19
Author(s):  
Connie Berthelsen

Objective: To describe and compare the development of Master of Science in Nursing graduates’ research utilization and improvement of knowledge, one to three years after graduation, and to describe their beliefs, abilities and implementation regarding evidence-based practice in the workplace.Methods: Sixty-five Master of Science in Nursing (MSN) graduates, associated with an academic cohort, were invited to participate in a three-year retrospective follow-up study. Forty-five MSN graduates replied, providing a response rate of 69.23%. A questionnaire of four areas, consisting of the customary cohort questionnaire combined with the EBP Belief scale and the EBP Implementation scale, was sent to the participants using SurveyMonkey®.Results: An overall increased development in MSN graduates’ research utilization and knowledge improvement in all parameters was found from one to three years after graduation, along with greater knowledge of, and a stronger belief in the value of, evidence-based practice. However, a strong decrease in allocated time for research was found, leading to a very limited implementation of evidence-based practice by the MSN graduates.Conclusions: The study ends with a question about whether time is still an issue – even for academic nurses, who are educated and employed to implement evidence-based practice. If the barriers to nursing research are not taken seriously by nursing management then the extent of implementation of evidence-based practice and the improvement of quality in patient care and trajectories will continue to be very limited.


2021 ◽  
Author(s):  
◽  
Rachel Margaret Esson

<p>Introduction: Medical libraries very often base the decisions they make about library services on information gathered from user surveys. Is the quality of information obtained in this way sufficient to enable evidence-based practice? Aim: To determine what aspects of user survey design and presentation obtain the best response rates and therefore high external validity. Also to provide guidance for medical librarians who may wish to carry out user surveys. Methods: Library and information studies databases and Medline were searched to identify studies that reported the results of library user surveys that measured user perceptions of an existing library service or potential service. Studies that evaluated information skills training or clinical librarianship interventions were excluded as they have been looked in separate systematic reviews. Also studies that reported the results of LibQUAL or SERVQUAL were excluded. Results: 54 studies were included. The quality of the majority of the surveys was not clear as the reporting of the methodology of the user surveys was poor. However, it was determined that, as demonstrated in previous research, paper format surveys reported higher response rates than online-only surveys. It was not possible to extract any relevant data from the identified studies to draw any conclusions relating to presentation of the survey instrument. Conclusions: Unless survey methodology is reported in detail it is not possible to judge the quality of the evidence surveys contain. Good survey design is key to obtaining a good response rate and a good response rate means the results can be used for evidence-based practice. A Reporting Survey results Guideline (Resurge) is recommended to help improve the reporting quality of medical library survey research.</p>


2008 ◽  
Vol 19 (8) ◽  
pp. 117
Author(s):  
Jeannine L. M. Liddle ◽  
Thérèse C. Jones ◽  
Margaret S. Lesjak ◽  
Andrew J. Milat ◽  
David M. Lyle ◽  
...  

2018 ◽  
Author(s):  
Melati Fajarini ◽  
Sri Rahayu ◽  
Agus Setiawan

Background: Evidence-based practice (EBP) increases quality of care. However, its practice in Indonesia is still uncovered. A measure on EBP is then needed to acquire the EBP profile in Indonesia. The Upton and Upton’s EBPQ is utilized to measure the perception of health workers on their EBP’s knowledge, attitude and practice. This questionnaire is widely known; however, the Indonesian version is yet available. Therefore, a reliable Indonesian version of EBPQ is imperative. Objectives: This study aimed to translate EBPQ into Indonesian language, adapt, and evaluate its reliability. Methods: The WHO’s framework on translation and adoption process of instrument was assigned in this study. 24 items in 3 subscales of EBPQ was translated forward, discussed with experts then translated backward, pretested and finalized. The reliability test was conducted towards a total of 20 doctors and nurses at three hospitals in West Java, Indonesia and were calculated using the SPSS software. Results: 12 changes of words and the psychometric scale were applied in the Indonesian version of EBPQ. The 4 pairs of questions in the attitude subscale were separated into 8 independent questions, although only 4 of them reliable. The Cronbach’s of total items valued 0.92 with 0.81, 0.74 and 0.94 for practice, attitude, and knowledge, respectively. Thus, a total of 24 reliable questions were finalized in this version. Conclusions: The Indonesian version of EBPQ is reliable. Further study on the attitude subscale and psychometric scale are necessary.


BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e031809 ◽  
Author(s):  
Bosun Hong ◽  
Eoin Daniel O'Sullivan ◽  
Christin Henein ◽  
Christopher Mark Jones

ObjectivesTo explore the extent to which doctors and dentists in training within the UK and Republic of Ireland (RoI) engage in and with evidence-based practice (EBP), and to identify motivators and barriers to them doing so.DesignAn observational, prepiloted web-based survey developed by a trainee-led focus group.SettingThe survey instrument was disseminated to doctors and dentists in training within the UK and RoI during June 2017 via social media and through deaneries, Royal Colleges and specialty-specific mailing lists.ParticipantsData from 243 trainees were analysed; 188 doctors from 31 specialties and 55 dentists from 9 specialties. Responses were received from trainees at all stages of postgraduate training though the overall response rate was low.Primary and secondary outcome measuresThe motivators and barriers to, and the extent of, trainee engagement with EBP.ResultsCronbach’s α was 0.83. Most trainees (87.6% (n=148) of doctors and 75.1% (n=39) of dentists) consulted the evidence base at least monthly, while 23.1% [n=39 doctors, 12 dentists] of both specialties did so daily. The two most commonly cited barriers to engagement with EBP for both doctors and dentists, respectively, were insufficient time (57.6% (n=95) and 45.1% (n=23)) and a tendency to follow departmental practice (40.6% (n=67) and 45.1% (n=23)). Key motivators for EBP included curiosity, following the example set by senior colleagues and a desire to avoid harm. Most trainees reported high levels of confidence interpreting evidence yet for 26.8% (n=45) of doctors and 36.5% (n=19) of dentists, medical hierarchy would impede them querying a colleague’s management plan based on their own reading of the evidence.ConclusionsTime, accepted departmental practice and the behaviour of senior clinicians all highly impact on trainee engagement with EBP. Given the low response rate, the extent to which these data represent the overall population is unclear.


2007 ◽  
Vol 31 (3) ◽  
pp. 422 ◽  
Author(s):  
Michelle L Maxwell ◽  
Armita Adily ◽  
Jeanette E Ward

This paper describes a service-based initiative to enhance capacity for evidence-based practice (EBP) in the South Western Sydney Area Health Service Division of Population Health. A working group planned an organisational response to a customised EBP needs assessment using the New South Wales Department of Health?s framework for capacity building focussing on five key action areas; organisational development, workforce development, resource allocation, leadership and partnerships. Innovative strategies to promote EBP were developed and implemented and on-site training programs that targeted specific groups of staff were conducted. Because there was commitment and leadership from senior staff for the initiative, a comprehensive approach to building capacity for EBP in population health was possible. Evidence of impact needs to be collected in the future.


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