scholarly journals A survey of Australian chiropractors’ attitudes and beliefs about evidence-based practice and their use of research literature and clinical practice guidelines

2013 ◽  
Vol 21 (1) ◽  
Author(s):  
Bruce F Walker ◽  
Norman J Stomski ◽  
Jeff J Hebert ◽  
Simon D French
2008 ◽  
Vol 16 (5) ◽  
pp. 336-339 ◽  
Author(s):  
David Codyre ◽  
Andrew Wilson ◽  
Juliette Begg ◽  
David Barton

Objective: The aim of this paper is to summarize information about the dissemination and implementation of the Royal Australian and New Zealand College of Psychiatrists’ clinical practice guidelines (CPGs) since their completion in 2003, and assess the effectiveness of these activities. Method: The dissemination and implementation activities undertaken from 2003 to the present are described. Data regarding the dissemination of the clinician and consumer-carer versions of the CPGs are presented. The results of a series of implementation pilots are summarized. Results: Available data suggest the CPGs have been widely disseminated through both the clinician and consumer-carer communities in Australia and New Zealand, and that the consumer-carer versions in particular continue to be in high demand. Evaluation of CPG implementation pilots, using tools that assist in bringing summary evidence into clinical practice, have suggested that such tools are acceptable, are a useful aid to implementing evidence-based practice, and have a positive impact on practice. Common barriers to implementing the evidence are highlighted. Conclusions: Summary consumer-carer versions of CPGs seem to be acceptable and useful to both consumer-carers and non-government mental health providers. Locally led implementation of CPGs using tools that summarize evidence and support its use in everyday practice has a positive impact, but also highlights system-level barriers to implementing evidence-based practice.


2013 ◽  
Vol 23 (2) ◽  
Author(s):  
Sari Susanna Ormstad ◽  
Hege Underdal

<p>Fremveksten av kunnskapsbasert praksis har ført til økt fokus på å gjøre forskningsbasert kunnskap lettere tilgjengelig. 6S-pyramiden, som er utviklet av McMaster University i Canada, er en modell som viser hvordan helsefaglig forskning kan plasseres på seks ulike nivåer, avhengig av graden av oppsummering og kvalitetsvurdering. Modellen kan brukes som et verktøy når man skal velge relevante søkekilder.</p><p>Den mest sammenstilte kunnskapen om ulike tilstander og sykdommer finner man i kliniske oppslagsverk og kunnskapsbaserte retningslinjer. De har som formål å tilby kunnskapsbaserte og oppdaterte anbefalinger om diagnostisering, behandling og oppfølging av spesifikke utvalgte tilstander i lettlest format.</p><p>Om man søker etter litteratur til bruk i utarbeidelsen av fagprosedyrer, retningslinjer, systematiske oversikter eller lignende oppsummeringer, må det utføres søk i bibliografiske databaser og andre lignende kilder. Man bør først lete etter systematiske oversikter og eventuelt utvide søket etter primærstudier dersom man ikke finner oppdaterte, relevante systematiske oversikter.</p><p>Helsebiblioteket.no er et offentlig finansiert nettbibliotek som gir gratis tilgang til norske og internasjonale kunnskapskilder. Helsebiblioteket kjøper tilgang til lisensbelagte ressurser som kliniske oppslagsverk, databaser og tidsskrifter. Mange av kildene nevnt i denne artikkelen inngår i Helsebibliotekets samling. I tillegg er nettsiden en delingsplattform for norske retningslinjer, prosedyrer og annet stoff som utvikles i det offentlige helse-Norge.</p><p>Ormstad SS, Underdal H. <strong>Information sources for evidence-based practice</strong>. <em>Nor J Epidemiol</em> 2013; <strong>23</strong> (2): 221-224.</p><p><strong>ENGLISH SUMMARY </strong></p><p>The development of evidence-based practice has led to an increased focus on making research-based evidence easily accessible. The 6S model, developed by McMaster University in Canada, is a model that describes how health-related research evidence can be sorted out on six different levels. The higher one comes in the model, the more summarized and quality-assured the evidence is. The 6S model can be used as a tool when selecting relevant sources for the literature search.</p><p>The most compiled evidence on various conditions and diseases can be found in evidence-based point of care tools and clinical practice guidelines. They are designed to offer comprehensive and up-to-date recommendations on diagnosis, treatment and monitoring of specific conditions condensed into easily digestible formats.</p><p>When looking for relevant research evidence to be included in clinical procedures, clinical practice guidelines, systematic reviews and other evidence syntheses, one should conduct searches in bibliographic databases and other similar sources. One should first try to find systematic reviews or similar evidence syntheses written about the topic of interest, and expand the search for primary studies only if no relevant up-to-date systematic reviews are available.</p><p>The Norwegian Electronic Health Library (helsebiblioteket.no) is a publicly funded e-library that provides free access to many Norwegian and international sources. The Norwegian Electronic Health Library purchases access to licensed resources, such as clinical reference works, databases, and journals. Many of the sources mentioned in this article are included in the collection of the Electronic Health Library. In addition, the e-library is a sharing platform for Norwegian clinical practice guidelines, clinical procedures, and other materials developed in the public health care system in Norway.</p>


2005 ◽  
Vol 14 (3) ◽  
pp. 208-220 ◽  
Author(s):  
Richard P. Zipoli ◽  
Marianne Kennedy

A total of 240 speech-language pathologists responded to a questionnaire examining attitudes toward and use of research and evidence-based practice (EBP). Perceived barriers to EBP were also explored. Positive attitudes toward research and EBP were reported. Attitudes were predicted by exposure to research and EBP practice during graduate training and the clinical fellowship year (CFY). Clinical experience and opinions of colleagues were used to guide decision making more frequently than research studies or clinical practice guidelines. Only exposure to research and EBP during the CFY predicted use of evidence-based resources. Respondents reported a decline in exposure to research and EBP as they moved from graduate training into the CFY. A lack of time was perceived as a barrier to EBP.


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