scholarly journals The Indonesian Version of Evidence-Based Practice Questionnaire (EBPQ): An Evaluation of Reliability

2021 ◽  
pp. 42-48
Author(s):  
Melati Fajarini ◽  
Sri Rahayu ◽  
Agus Setiawan
Keyword(s):  
Patient Care ◽  
Reliability Analysis ◽  
Healthcare Workers ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Final Version ◽  
Quality Of Patient Care ◽  
Reliability Method ◽  
Forward Translation

Introduction: The use of evidence-based practice (EBP) has been demonstrated to increase the quality of patient care. However, the extent to which it is practiced in Indonesia is yet to be determined. It was necessary to develop a means of measuring EBP in order to acquire a profile of the use of EBP in Indonesia. The EBP questionnaire (EBPQ) developed by Upton and Upton was selected in the current study to evaluate the perceptions of healthcare workers regarding their knowledge of, attitudes toward, and practice of EBP. This questionnaire is widely recognized; however, an Indonesian version has not yet been developed. This study aimed to translate the EBPQ developed by Upton and Upton into Indonesian and to evaluate its reliability. Method: WHO framework on how to translate and adapt an instrument was applied. On completion of the forward translation and discussion process, backward translation of the EBPQ was performed, after which it was pretested and finalized. Reliability was tested by testing the questionnaire on 42 nurses at five hospitals in Depok and Jakarta. Result: Four words were changed. All items are valid. The reliability analysis resulted Cronbach’s a of 0.96 (a = 0.92, 0.80, and 0.96 for practice, attitude, and knowledge, respectively. Thus, 24 translated statements determined to be valid and reliable, were included in the final version. Conclusion: The Indonesian translated version of the EBPQ proposed by Upton and Upton was demonstrated to be valid and reliable. Further studies on the perceptions of healthcare workers  are warranted.

scholarly journals Evidence-based Practice (EBP): beliefs, knowledge and behavior of physiotherapists. A survey research.

2021 ◽  
pp. 19-35
Author(s):  
Collebrusco Luca ◽  
Gambacorta Andrea ◽  
Visciano Gennaro
Keyword(s):  
Clinical Practice ◽  
Patient Care ◽  
Practice Guidelines ◽  
Response Rate ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Demographic Information ◽  
Quality Of Patient Care ◽  
And Behaviors

An analytical observational study was conduct using a web-based questionnaire. Evidence-based practice is one of the most relevant concern of all health professions. This research has been done taking account of demographic information, attitudes and skills in reference to Evidence Based Practice (EBP) for application in the daily clinical practice. To describe beliefs and behaviors of physiotherapists from two Italian regions about EBP and its implementation in clinical practice, their knowledge in this field and the perception of its benefits and barrier in application in clinical practice. The participants completed a designed questionnaire, whose purpose was to determine beliefs, attitudes, knowledge, and behaviors regarding EBP, as well as demographic information about themselves and their practice settings. This survey was activated through the TSRM-PSTRP registers of Marche and Umbria regions that sent the questionnaire to all the registered physiotherapists. There was a response rate of 7.64% for Marche region, equal to a sample of 132 physiotherapists, and a response rate of 12.99% for Umbria region, equal to a sample of 110 physiotherapists, for a total sample of 242 physiotherapists. The questionnaire was filled out through an online Google platform called “Forms”. The responses were summarized for each item and the logistic regression analyses and the chi-square test were used to examine relationships among variables. The respondents agreed that the use of evidence in practice was necessary, that the literature was helpful in their practices and that the quality of patient care was better when evidence were used. For physiotherapists from Umbria, with more than 15 years of qualification, the following answers are statistically significant (p<0.05): “the application of EBP is necessary in the practice of physical therapy, EBP helps me making decisions about patient care and I actively seek practice guidelines pertaining to areas of my practice and EBP improves the quality of patient care”. For physiotherapists from Marche, with more than 15 years of qualification, the following answers are statistically significant (p<0.05): “EBP helps me making decisions about patient care, I actively seek practice guidelines pertaining to areas of my practice and I am confident in my ability to find relevant research to answer my clinical questions”. Training, familiarity with and confidence in search strategies, use of databases, and critical appraisal tended to be associated to younger therapists with fewer years of qualification. Physical therapists stated they have a positive attitude about EBP and they are interested in learning or improving the necessary skills to implement EBP. They noticed that they needed to increase the use of evidence in their daily practice.

Implementation of an Evidence-based Protocol for DC Cardioversion Improves Quality of Patient Care and Influences Outcomes

2009 ◽  
Vol 18 ◽  
pp. S100
Author(s):  
K.-L. Looi ◽  
A. Ng ◽  
G. Armstrong ◽  
C. Edwards ◽  
H. Patel ◽  
...  
Keyword(s):  
Patient Care ◽  
Evidence Based ◽  
Quality Of Patient Care ◽  
Dc Cardioversion

Evaluating the Quality of Evidence

2017 ◽  
Author(s):  
Zach W Brown ◽  
Herb A. Phelan
Keyword(s):  
Patient Care ◽  
Clinical Decision Making ◽  
Evidence Based Practice ◽  
Internal Validity ◽  
Medical Practitioner ◽  
Clinical Decision ◽  
Evidence Based ◽  
Quality Of Evidence ◽  
Relevant Topic

One of the most important skills a medical practitioner must develop is the ability to evaluate the evidence as evidence-based practice is the best way to provide patient care. Critical appraisal of an article requires a systematic approach to identify a clear and novel hypothesis, a relevant topic, valid study methods, and the overall importance of the research. This review identifies how to establish a baseline level of quality per the hierarchy of study designs. It then deconstructs each section of the standard IMRAD format article (Introduction, Methods, Results, Analysis, and Discussion), including a brief discussion of statistical methods. Finally, it shows how to apply some of the evaluation methods of the GRADE guidelines that were devised specifically to provide a process for determining quality of evidence through modifiers reflecting priorities in clinical decision making. In particular, the overall quality can be downgraded based on five criteria: imprecision, inconsistency, indirectness, publication bias, and lack of internal validity. In contrast, quality can be upgraded when the size of the effect seen is very large, when a dose-response relationship exists, or when plausible confounders or other biases paradoxically increase confidence in the direction or magnitude of the signal. Taken together, a final assessment of quality may be applied, and the practitioner may accept the research for inclusion into practice or reject it as low-quality evidence. Both are examples of appropriate evidence-based practice, and both result in better patient care. Key words: appraisal, evaluate, evidence, grade, statistics

scholarly journals Satisfaction among Cancer Patients Undergoing Radiotherapy during the COVID-19 Pandemic: An Institutional Experience

2021 ◽  
Vol 28 (2) ◽  
pp. 1507-1517
Author(s):  
Vanessa Di Lalla ◽  
Haley Patrick ◽  
Nicolas Siriani-Ayoub ◽  
John Kildea ◽  
Tarek Hijal ◽  
...  
Keyword(s):  
Patient Care ◽  
Healthcare Workers ◽  
Treatment Delivery ◽  
Treatment Delays ◽  
Patient Feedback ◽  
Quality Of Patient Care ◽  
Radiotherapy Department ◽  
Institutional Experience ◽  
Current Reality

The COVID-19 pandemic has shifted oncology practices to prioritize patient safety while maintaining necessary treatment delivery. We obtained patient feedback on pandemic-based practices in our radiotherapy department to improve quality of patient care and amend policies as needed. We developed a piloted questionnaire which quantitatively and qualitatively assessed patients’ pandemic-related concerns and satisfaction with specific elements of their care. Adult patients who were treated at our Centre between 23 March and 31 May 2020, had initial consultation via telemedicine, and received at least five outpatient fractions of radiotherapy were invited to complete the survey by telephone or online. Relative frequencies of categorical and ordinal responses were then calculated. Fifty-three (48%) out of 110 eligible patients responded: 32 patients by phone and 21 patients online. Eighteen participants (34%) admitted to feeling anxious about hospital appointments, and only five (9%) reported treatment delays. Forty-eight patients (91%) reported satisfaction with their initial telemedicine appointment. The majority of patients indicated that healthcare workers took appropriate precautions, making them feel safe. Overall, all 53 patients (100%) reported being satisfied with their treatment experience during the pandemic. Patient feedback is needed to provide the highest quality of patient care as we adapt to the current reality.

Implementation of an Evidence-Based Protocol for DC Cardioversion Improves Quality of Patient Care and Influences Outcomes

2009 ◽  
Vol 18 ◽  
pp. S18-S19 ◽  
Author(s):  
K-L Looi ◽  
A Ng ◽  
G Armstrong ◽  
C Edwards ◽  
H Patel ◽  
...  
Keyword(s):  
Patient Care ◽  
Evidence Based ◽  
Quality Of Patient Care ◽  
Dc Cardioversion

Evaluating the Quality of Evidence

2018 ◽  
Author(s):  
Zach W Brown ◽  
Herb A. Phelan
Keyword(s):  
Patient Care ◽  
Clinical Decision Making ◽  
Evidence Based Practice ◽  
Internal Validity ◽  
Medical Practitioner ◽  
Clinical Decision ◽  
Evidence Based ◽  
Quality Of Evidence ◽  
Relevant Topic

One of the most important skills a medical practitioner must develop is the ability to evaluate the evidence as evidence-based practice is the best way to provide patient care. Critical appraisal of an article requires a systematic approach to identify a clear and novel hypothesis, a relevant topic, valid study methods, and the overall importance of the research. This review identifies how to establish a baseline level of quality per the hierarchy of study designs. It then deconstructs each section of the standard IMRAD format article (Introduction, Methods, Results, Analysis, and Discussion), including a brief discussion of statistical methods. Finally, it shows how to apply some of the evaluation methods of the GRADE guidelines that were devised specifically to provide a process for determining quality of evidence through modifiers reflecting priorities in clinical decision making. In particular, the overall quality can be downgraded based on five criteria: imprecision, inconsistency, indirectness, publication bias, and lack of internal validity. In contrast, quality can be upgraded when the size of the effect seen is very large, when a dose-response relationship exists, or when plausible confounders or other biases paradoxically increase confidence in the direction or magnitude of the signal. Taken together, a final assessment of quality may be applied, and the practitioner may accept the research for inclusion into practice or reject it as low-quality evidence. Both are examples of appropriate evidence-based practice, and both result in better patient care. Key words: appraisal, evaluate, evidence, grade, statistics

Evidence-Based Perspectives on Pay for Performance and Quality of Patient Care and Outcomes in Emergency Medicine

2008 ◽  
Vol 51 (5) ◽  
pp. 622-631 ◽  
Author(s):  
Seth W. Glickman ◽  
Kevin A. Schulman ◽  
Eric D. Peterson ◽  
Michael B. Hocker ◽  
Charles B. Cairns
Keyword(s):  
Emergency Medicine ◽  
Patient Care ◽  
Pay For Performance ◽  
Evidence Based ◽  
Quality Of Patient Care

Debates in Dysphagia Management: How Do You Use Evidence-Based Practice in Your Dysphagia Patient Care?

2011 ◽  
Vol 20 (4) ◽  
pp. 121-123
Author(s):  
Jeri A. Logemann
Keyword(s):  
Decision Making ◽  
Patient Care ◽  
Clinical Outcomes ◽  
Clinical Judgment ◽  
Clinical Decision Making ◽  
Evidence Based Practice ◽  
Clinical Decision ◽  
Evidence Based ◽  
Clinical Method ◽  
Do So

Evidence-based practice requires astute clinicians to blend our best clinical judgment with the best available external evidence and the patient's own values and expectations. Sometimes, we value one more than another during clinical decision-making, though it is never wise to do so, and sometimes other factors that we are unaware of produce unanticipated clinical outcomes. Sometimes, we feel very strongly about one clinical method or another, and hopefully that belief is founded in evidence. Some beliefs, however, are not founded in evidence. The sound use of evidence is the best way to navigate the debates within our field of practice.

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