Developing evidence-based practice in population health at the local level: Qualitative insights can complement quantitative needs assessment.

2005 ◽  
Vol 11 (2) ◽  
pp. 96
Author(s):  
Armita Adily ◽  
Wendell Peacock ◽  
Jeanette Ward
Keyword(s):  
Needs Assessment ◽  
Population Health ◽  
Evidence Based Practice ◽  
Core Competencies ◽  
Local Level ◽  
Evidence Based ◽  
Structured Interviews ◽  
Policy And Practice ◽  
Regional Population ◽  
Change Culture

In Australia, momentum has been steadily increasing to strengthen evidence-based policy and practice in population health, yet very little research has been reported that helps managers of population health services to change culture and reward an evidence-based approach. We had previously conducted a quantitative needs assessment with a regional population health workforce in Sydney. We then designed a complementary qualitative study to ensure that we understood underlying dimensions and perceptions. We analysed textual material and also conducted semi-structured interviews with 12 staff who were purposefully sampled. Not only was the value of qualitative enquiry recognised by staff as a complement to the previous quantitative needs assessment, we also discovered positive and negative views about the current promotion of evidence-based practice (EBP) and novel ways to overcome barriers and build capacity, including the development of core competencies, that has subsequently occurred. Furthermore, our contextualised assessment of local constructions of EBP also revealed underpinning tensions that will likely confront others who seek to build greater capacity for EBP in primary care.

scholarly journals Promoting evidence-based practice in population health at the local level: a case study in workforce capacity development

2007 ◽  
Vol 31 (3) ◽  
pp. 422 ◽  
Author(s):  
Michelle L Maxwell ◽  
Armita Adily ◽  
Jeanette E Ward
Keyword(s):  
Population Health ◽  
Workforce Development ◽  
Evidence Based Practice ◽  
Local Level ◽  
Evidence Based ◽  
Innovative Strategies ◽  
Department Of Health ◽  
South Wales ◽  
Development Resource ◽  
Evidence Of Impact

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.

Characterizing evidence-based practice and training resource barriers: A needs assessment.

2020 ◽  
Vol 14 (3) ◽  
pp. 200-208
Author(s):  
Allison E. Meyer ◽  
Erin E. Reilly ◽  
Katharine E. Daniel ◽  
Steven D. Hollon ◽  
Amanda Jensen-Doss ◽  
...  
Keyword(s):  
Needs Assessment ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
And Training

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

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.

scholarly journals Evidence-based practice self-efficacy of speech-language pathologists across settings

2020 ◽  
Author(s):  
◽  
Misty Tilmon
Keyword(s):  
Clinical Judgment ◽  
Self Efficacy ◽  
Graduate Program ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Master's Level ◽  
Years Of Experience ◽  
Structured Interviews ◽  
Speech Language Pathologists ◽  
Significant Difference

The purpose of this mixed-methods sequential explanatory study was to explore self-efficacy of speech-language pathologists (SLPs) employed in various settings. Self-efficacy of master's level SLPs was compared across settings to determine if differences existed in each of four experience groups. Self-efficacy ratings were also compared based on degree held, area of practice, and years of experience. Participants (n = 342) completed a survey containing 10 demographic questions, 11 items from Salbach and Jaglal's (2010) Evidence-Based Practice Confidence (EPIC) scale, and 2 open-ended questions regarding factors impacting self-efficacy. Participants (n=34) completed semi structured interviews to further explore factors influencing self-efficacy. No significant difference was noted in self-efficacy of master's level SLPs among settings. There was a significant difference between self-efficacy ratings based on degree held and years of experience. A significant difference in self-efficacy was found based on practice category (i.e., identification of knowledge gap, critical appraisal of research, development of treatment plans based on evidence, clinical judgment, and client preferences). Qualitative analysis revealed graduate program and post-graduate factors which impacted self efficacy ratings both positively and negatively.

scholarly journals Measuring evidence-based practice in physical therapy: a mix-methods study

PeerJ ◽  
2022 ◽  
Vol 9 ◽  
pp. e12666
Author(s):  
Ricardo M. Ferreira ◽  
Pedro N. Martins ◽  
Nuno Pimenta ◽  
Rui S. Gonçalves
Keyword(s):  
Logistic Regression ◽  
Physical Therapy ◽  
Evidence Based Practice ◽  
Physical Therapists ◽  
Population Sample ◽  
Individual Characteristics ◽  
Evidence Based ◽  
Structured Interviews ◽  
Academic Degree ◽  
And Behaviors

Background Evidence-based practice (EBP) is considered the “holy grail” to manage patients by health practitioners (such as physical therapists). However, sometimes, patients are not treated with the best interventions for their condition. Although studies already explored the facilitators and barriers for this issue, they increase in the level of importance if the information gathered are context appropriated. As the profession is relatively new in Portugal, currently little is known about the implementation of EBP in Portuguese physical therapists context. So, the aim of this study is to know if the Portuguese physical therapists use an EBP, and collect and deeper understand the factors, barriers and facilitators associated with EBP. Methods This study incorporated a mixed-methods design (quantitative and qualitative). In an attempt to ensure the correct population sample, a national professional association e-mail database and the e-mails of past students from national schools were requested. For the quantitative data it was choose an e-survey, adapted from the EBP: Beliefs, Attitudes, Knowledge, and Behaviors of Physical Therapists Portuguese version questionnaire, consisted of 55 close-ended questions. It was analyzed response frequencies and associations between variables with logistic regression analyses. For the qualitative data, it was choose to perform semi-structured interviews in purposefully selected physical therapists to include different sociodemographic factors (especially those found to be statistically significant in the logistic regression) and survey responses regarding the physical therapists’ beliefs, attitudes, knowledge, and behaviors. The interviews were performed in an online software, where only audio contact was performed. The audios were anonymized and verbatim transcribed, and the texts explored by the thematic approach. Results From the 277 physical therapists that shown interest in participating in the study, 193 fully completed the questionnaire and, from those, 10 participated in the interviews. The Portuguese physical therapists reported positive beliefs, attitudes, knowledge, and behaviors regarding EBP. Among the physical therapists characteristics it seems that age (younger therapists), education (participating in continuing education courses; belonging to practice-orientated organizations; having a doctorate degree; pursuing a higher academic degree; and being a clinical instructor), and workplace (working for someone else account; and academic sector) are the main factors in the Portuguese EBP implementation. The Portuguese physical therapists, beyond the physical therapists individual characteristics and workplace, also stated that evidence, patients, clinical experience, schools, country and physical therapy characteristics, may behave as facilitators or barriers when performing an EBP.

scholarly journals Barriers of Implementing Evidence-Based Practice Perceived by Iranian Speech and Language Pathologists: A Qualitative Study

2021 ◽  
Vol 8 (4) ◽  
Author(s):  
Seyed Abolfazl Tohidast ◽  
Leila Ghelichi ◽  
Mohammad Kamali ◽  
Abbas Ebadi ◽  
Narges Shafaroodi ◽  
...  
Keyword(s):  
Data Analysis ◽  
Evidence Based Practice ◽  
Qualitative Content Analysis ◽  
Sampling Technique ◽  
Organizational Factors ◽  
Evidence Based ◽  
Speech And Language ◽  
Structured Interviews ◽  
Rehabilitation Team ◽  
Speech And Language Pathologists

Background: Identifying and removing the barriers faced by speech and language pathologists (SLPs) for implementing evidence-based practice (EBP) can facilitate its administration among Iranian SLPs. Objectives: The present study was conducted to explore the barriers to implementing EBP among Iranian SLPs. Methods: A total of 14 SLPs were recruited using a purposive sampling technique. Semi-structured interviews were conducted for data collection. The interviews continued until data saturation was reached. Data were recorded and transcribed verbatim, and qualitative content analysis was used for data analysis. Results: Data analysis yielded three themes, including individual factors, organizational (workplace) factors, and extra organizational factors, and 13 subthemes. Conclusions: This study demonstrated that Iranian SLPs are faced with several barriers to using EBP in clinical practice, which may be related to both the SLPs themselves and their surroundings. These barriers should be considered by policymakers, administrators, teachers, and rehabilitation team members to facilitate the implementation of EBP by SLPs.

scholarly journals Physiotherapists’ perceptions of challenges facing evidence-based practice and the importance of environmental empowerment in fall prevention in the municipality – a qualitative study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Hilde Worum ◽  
Daniela Lillekroken ◽  
Kirsti Skavberg Roaldsen ◽  
Birgitte Ahlsen ◽  
Astrid Bergland
Keyword(s):  
Work Environment ◽  
Fall Prevention ◽  
Evidence Based Practice ◽  
Health Concern ◽  
Evidence Based ◽  
Main Theme ◽  
Prevention Measures ◽  
Structured Interviews ◽  
Organisational Routines ◽  
Transfer Of Information

Abstract Background Falls in older adults are an increasingly important public-health concern. Despite abundant research, fall rates have not been reduced, because implementation of evidence-based fall-prevention measures has been slow and limited. This study aims to explore physiotherapists’ perceptions on external factors, such as public policy, organisation and leadership, regarding the relation between knowledge translation and the three elements of evidence-based practice (EBP) to effectively address barriers and facilitate the uptake of EBP in fall prevention. Methods We conducted semi-structured interviews with 18 physiotherapists (men = 7; women = 11) working with fall prevention in the primary healthcare system. The physiotherapists ranged in age from 27 to 60 years (median 36 years) and had worked as a physiotherapist from 1 to 36 years (median 7 years). Data are analysed using thematic analysis. Results The analysis revealed one main theme and four sub-themes. The main theme was ‘Environmental empowerment enhances physiotherapists’ capabilities for using EBP’. A resourceful work environment facilitates EBP, having access to information about research-based knowledge, supportive leadership, enough human resources and opportunities to learn and grow at work. The four sub-themes were as follows: 1) ‘Tension between attributes of research-based knowledge and organisational routines and practices’; 2) ‘Evidence must be informed by policymakers—What works?’; 3) ‘Empowering culture and work environment—A steppingstone to EBP’ and 4) ‘Organisation readiness for EBP, managerial and clinical relations’. Success in environmental empowerment depends on the leader’s role in creating preconditions at the workplace that may lead to important positive personal and organisational outcomes for EBP. Two-way communication and transfer-of-information are also key factors in the development of positive work engagement when using EBP. Conclusion The findings of this study outline tension between policy, leadership, organisational facilitators and EBP. Leadership is influenced by policy with ripple effects for the organisation and clinicians. Organisational facilitators form structural empowerment, which is the foundation for creating an EBP environment. Trial registration 2018/2227/REC south-east C. Registered 19 December 2018, Norwegian Ethics Committee for Medical and Health Research Ethics.

scholarly journals Core Competencies in Evidence-Based Practice for Health Professionals

2018 ◽  
Vol 1 (2) ◽  
pp. e180281 ◽  
Author(s):  
Loai Albarqouni ◽  
Tammy Hoffmann ◽  
Sharon Straus ◽  
Nina Rydland Olsen ◽  
Taryn Young ◽  
...  
Keyword(s):  
Health Professionals ◽  
Evidence Based Practice ◽  
Core Competencies ◽  
Evidence Based

Information work of hospital librarians: Making the invisible visible

2021 ◽  
pp. 096100062110632
Author(s):  
Fredrik Hanell ◽  
Sara Ahlryd
Keyword(s):  
Information Seeking ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Clinical Practices ◽  
Structured Interviews ◽  
Building Relationships ◽  
Different Types ◽  
Field Notes ◽  
Information Work ◽  
Work Done

The aim of this paper is to explore and to make visible how the information work of hospital librarians is enacted in key practices where services of the hospital library are employed to support evidence-based practice. The empirical material was produced at three hospital libraries in three different regions in Sweden between January and March 2020. A practice-oriented approach using the theoretical lens information work is employed to analyze nine semi-structured interviews with hospital librarians and hospital library managers, together with field notes from observations of interactions between hospital librarians and healthcare practitioners. The analysis investigates the conditions for information work performed by hospital librarians as they participate in three key practices: clinical practices, information seeking practices, and HTA-practices. The results of the analysis are related to four categories of invisible information work, and the nature of the information work done to counter different types of invisibilities within the key practices is discussed. The findings suggest that a substantial amount of the information work of hospital librarians is invisible to clinicians. At the same time, considerable efforts are made by hospital librarians to counter different types of invisibility, for example through building relationships with healthcare staff and to develop and make specialized competencies visible. In particular, the importance assigned to evidence-based practice in healthcare allows for the librarians to be regarded by clinicians as legitimate partners with clearly defined competencies in specific situations.

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