Considerations for developing an evidenced-based practice in orthotics and prosthetics

2008 ◽  
Vol 32 (1) ◽  
pp. 93-102 ◽  
Author(s):  
N. Ramstrand ◽  
T.-H. Brodtkorb
Keyword(s):  
Cultural Change ◽  
Evidence Based Practice ◽  
Daily Practice ◽  
Evidence Based ◽  
Professional Groups ◽  
Body Of Knowledge ◽  
Professional Body ◽  
Research Findings ◽  
Evidenced Based ◽  
Evidenced Based Practice

Evidence-based practice has become somewhat of a catchphrase over the past ten years. In this paper evidence-based practice is defined and its importance for the development of the prosthetics and orthotics profession is highlighted. The authors suggest that evidence-based practice needs to be prioritized within the profession and that a cultural change needs to be initiated which supports clinicians in incorporating research findings into their daily practice. In addition, the authors highlight the need for prosthetists/orthotists to become more active in generating research rather than relying on other professional groups to contribute to their professional body of knowledge.

Exploring Evidence: A Challenge before Nurses of Today

2021 ◽  
pp. 431-434
Author(s):  
Stephy Sabu
Keyword(s):  
Health Care ◽  
Evidence Based Practice ◽  
Health Care Team ◽  
Health Care Facilities ◽  
Evidence Based ◽  
Optimal Care ◽  
Knowledge And Attitude ◽  
Barriers And Challenges ◽  
Evidenced Based ◽  
Evidenced Based Practice

The review article presents the obstacles and the solutions towards the implementation of Evidence Based Practice among the nurses in India by merging the content and concept from a few set of related articles by the experts and those include 1. K Gitumoni and K Jyasree. The barriers and challenges of conducting nursing research and communicatoing findings into practice. 2. Daphne c duncombe. A study of perceived barriers and faciliattors to implement evidenced based practice. 3. Joan and Warren. A crosssectional study to assess the strength and challenges to implement ebp in nursing. 4. B Mauricio, Implementing evidence based practice: a challenge for the nursing practice. 5. M Neda and B naser. Nurses faculties knowledge and attitude on evidence based practice. The successful utilization of best evidence into practice depends on the knowledge of nurses, understanding the concepts, and its application. There exists various barriers and facilitators as well to the application of EBP among nurses. The practice can be a successful and routine process in an organization only if there could be support, encouragement and recognition by the administration. The health care team in India must provide an indispensible support to eliminate those barriers and facilitate the optimal care through best evidences in the health care facilities. Thus the article comprises a cross cut view on the obstacles in the application of best evidences in the clinical setting.

scholarly journals Contemporary factors shaping the professional identity of occupational therapy lecturers

2018 ◽  
Vol 82 (3) ◽  
pp. 186-194 ◽  
Author(s):  
John O’Shea ◽  
Simon McGrath
Keyword(s):  
Occupational Therapy ◽  
Professional Identity ◽  
Teaching And Learning ◽  
Evidence Based Practice ◽  
Professional Autonomy ◽  
Evidence Based ◽  
Structural Factors ◽  
Construction Of Knowledge ◽  
Body Of Knowledge ◽  
Professional Body

Introduction The contemporary factors of neoliberalism and evidence-based practice have implications for professional autonomy and values, education and training, ways of working and construction of knowledge. Occupational therapy lecturers are at the interface between student education and professional practice and therefore have unique insights into the way in which these factors are shaping their professional identity and that of the profession. Method Nine narrative inquiry focused interviews of occupational therapy lecturers from two universities were carried out. Data was interpreted through a Bourdieusian lens of professional habitus, and analysed thematically. Findings The main factors influencing occupational therapy lecturer identity were noted to be relationships between professional identity and artistry; the professional body of knowledge and language; evidencing practice, neoliberalism and changes to teaching and learning. Conclusion The structural factors of neoliberalism, evidence-based practice and associated policies are influencing the occupational therapy professional habitus and, in turn, occupational therapy lecturers’ professional identity. An effective critique of these structural factors is required to maintain the profession’s values and artistry and the knowledge upon which occupational therapy lecturers’ identity is formed and their approaches to teaching and learning are based.

What Does Evidence-Based Practice Mean to You? A Follow-Up Study Examining School-Based Speech-Language Pathologists' Perspectives on Evidence-Based Practice

2020 ◽  
Vol 29 (2) ◽  
pp. 688-704
Author(s):  
Katrina Fulcher-Rood ◽  
Anny Castilla-Earls ◽  
Jeff Higginbotham
Keyword(s):  
Clinical Practice ◽  
Research Evidence ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Clinical Expertise ◽  
Speech Language Pathologists ◽  
School Based ◽  
Research Findings ◽  
Ebp Implementation

Purpose The current investigation is a follow-up from a previous study examining child language diagnostic decision making in school-based speech-language pathologists (SLPs). The purpose of this study was to examine the SLPs' perspectives regarding the use of evidence-based practice (EBP) in their clinical work. Method Semistructured phone interviews were conducted with 25 school-based SLPs who previously participated in an earlier study by Fulcher-Rood et al. 2018). SLPs were asked questions regarding their definition of EBP, the value of research evidence, contexts in which they implement scientific literature in clinical practice, and the barriers to implementing EBP. Results SLPs' definitions of EBP differed from current definitions, in that SLPs only included the use of research findings. SLPs seem to discuss EBP as it relates to treatment and not assessment. Reported barriers to EBP implementation were insufficient time, limited funding, and restrictions from their employment setting. SLPs found it difficult to translate research findings to clinical practice. SLPs implemented external research evidence when they did not have enough clinical expertise regarding a specific client or when they needed scientific evidence to support a strategy they used. Conclusions SLPs appear to use EBP for specific reasons and not for every clinical decision they make. In addition, SLPs rely on EBP for treatment decisions and not for assessment decisions. Educational systems potentially present other challenges that need to be considered for EBP implementation. Considerations for implementation science and the research-to-practice gap are discussed.

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

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.

Preoperative fasting durations for adult elective surgical patients: Convenient for the professional, but detrimental to the patient? A narrative review

2019 ◽  
Vol 29 (12) ◽  
pp. 393-397
Author(s):  
Emma King
Keyword(s):  
Perioperative Complications ◽  
Stomach Contents ◽  
Evidence Based ◽  
Preoperative Fasting ◽  
Review Of The Literature ◽  
Evidenced Based ◽  
Risk Of Aspiration ◽  
Induction Of Anaesthesia ◽  
Evidenced Based Practice ◽  
By Products

Preoperative fasting is necessary in reducing the risk of aspiration of stomach contents when undergoing a procedure that requires anaesthesia. There are numerous guidelines based upon evidence-based practice that outline the safe duration of a fast prior to the induction of anaesthesia. Common practice however is to give advice that unnecessarily starves the patient leading to perioperative complications. There is a breadth of literature analysing the fasting durations of various institutions, with a consensus of fasting from midnight being the norm, and side effects of nausea and dehydration being unfortunate by-products of fasting. A review of the literature examines the continued poor compliance of evidenced-based practice.

Confidence Levels Can Broaden the Application of Clinical Research Findings and Promote Evidence-Based Practice

2009 ◽  
Vol 29 (3) ◽  
pp. 99-104
Author(s):  
James E. Graham ◽  
Timothy A. Reistetter ◽  
Trudy R. Mallinson ◽  
Kenneth J. Ottenbacher
Keyword(s):  
Clinical Research ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Confidence Levels ◽  
Research Findings

Building the house of evaluation: Reconsidering the blueprints and bricks for knowledge accumulation in evaluation

Evaluation ◽  
2018 ◽  
Vol 24 (2) ◽  
pp. 185-201 ◽  
Author(s):  
Sebastian Lemire ◽  
Christina A. Christie
Keyword(s):  
Evidence Based Practice ◽  
Knowledge Building ◽  
Meta Analysis ◽  
Evidence Base ◽  
Evidence Based ◽  
The Public ◽  
Body Of Knowledge ◽  
What Works ◽  
Alternative Approaches ◽  
Cumulative Knowledge

The push for evidence-based practice is persistent in the public sector—what counts is what works. One central premise for evidence-based practice is the existence of an evidence base; that is, an accumulated and generalizable body of knowledge. Informed by a recent systematic review, we examine the promises and pitfalls of meta-analysis (the statistical workhorse of systematic reviews) as the primary blueprint for cumulative knowledge building in evaluation. This analysis suggests that the statistical assumptions underlying the meta-analytic framework raise issues that, at least in regards to producing generalizable knowledge, may cut even deeper than is suggested by common criticisms. Advancing beyond meta-analysis, we consider alternative approaches for knowledge building and reflect on the implications of these for individual evaluations.

scholarly journals Evidence-based practice in primary healthcare from the managerial point of view – a national survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tobias Abelsson ◽  
Helena Morténius ◽  
Ann-Kristin Karlsson ◽  
Stefan Bergman ◽  
Amir Baigi
Keyword(s):  
National Survey ◽  
Primary Healthcare ◽  
Evidence Based Practice ◽  
Statistical Significance ◽  
Correlation Coefficients ◽  
Daily Practice ◽  
Direct Result ◽  
Evidence Based ◽  
Chi Square ◽  
Significance Level

Abstract Background The vast availability of and demand for evidence in modern primary healthcare force clinical decisions to be made based on condensed evidence in the form of policies and guidelines. Primary healthcare managers play a key role in implementing these governing documents. Thus, the aim of this article is to investigate the use and availability of evidence-based practice resources from the perspective of first-line primary healthcare managers. Methods The study is based on a national survey of primary healthcare managers, consisting of 186 respondents, recruited nationally from Sweden. The data was analysed using empirically constructed concepts and validated using factor analysis. A chi-square test was utilized to determine the statistical significance of comparisons. Associations between variables were calculated using Spearman’s correlation coefficients. All tests were two-sided, and the significance level was set to 0.05. Results A majority (97 %) of managers stated that guidelines and policy documents impacted primary healthcare; 84 % of managers observed a direct effect on daily practices. Most of the managers (70 %) stated that some adaptation was needed when new evidence was introduced. The managers emphasized the importance of keeping themselves updated and open to new information about work routines (96 %). Conclusions The study illustrates a nearly unanimous response about the influence of clinical evidence on daily practice. The emphasis on the importance of all staff members keeping their professional knowledge up to date is viewed as a direct result of this effect on daily practice. An information-dense organization such as a primary healthcare organization would have much to gain from increased cooperation with regional information resources such as clinical libraries.

scholarly journals Assessing Attitudes towards Knowledge and use of Evidence-Based Practice among Nurses Working in a Teaching Hospital in Kuala Lumpur

2019 ◽  
Vol 7 (1) ◽  
pp. 25
Author(s):  
Felor Javadi Bashar
Keyword(s):  
Teaching Hospital ◽  
Evidence Based Practice ◽  
Daily Practice ◽  
Self Report ◽  
Good Knowledge ◽  
Evidence Based ◽  
Kuala Lumpur ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Positive Attitudes

Evidence-based practice provides the most effective care that is available with the aim of improving clients’ outcome. However, despite existing policies related to encouragement to or requirement of evidence-based practice (EBP), results of reviewed studies show nurses do not generally incorporate research evidence in their daily practice. This study aimed to assess nurses’ attitudes towards knowledge and use of EBP in a teaching hospital in Kuala Lumpur. This study used descriptive cross-sectional survey among 265 nurses (out of 851), working in the different adult medical-surgical wards, who were selected through the quota sampling. Participants in this study, reported positive attitudes towards EBP, good knowledge of EBP, but poor utilization of evidence in their practice. Results of this study affirmed the findings of previous researches, showed despite having positive attitude and perception of good knowledge/skill regarding EBP; nurses did not incorporate evidence into practice. Application of EBP in clinical setting increases the quality of patient care, clients’ outcome and nurses’ job satisfaction and retention. In this regard, nursing managers and authorities have an important role in providing supports, facilities and persuading environment to focus nurses on evidence-based practice. It is recommended that the effect of personal and professional agents on actual EBP activities among nurses should be assessed through the observational studies rather than self-report questionnaire.

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