scholarly journals FISIOTERAPIA BASEADA EM EVIDÊNCIAS: NÍVEL DE CONHECIMENTO DOS ACADÊMICOS DE FISIOTERAPIA DE UMA INSTITUIÇÃO DO NOROESTE PAULISTA

Author(s):  
Roberta Fernandes DAL RI ◽  
Vinícius Souza QUIRINO ◽  
Thaisa Fernanda Queiroz SOUZA ◽  
Marilda Duran LIMA

A Prática baseada em evidências (PBE) é considerada a maneira mais eficaz e eficiente para a tomada de decisões, levando em consideração o embasamento teórico, o paciente e a experiência do fisioterapeuta. Assim, este trabalho tem por objetivo investigar o nível de conhecimento dos alunos do 6º e 8º termos, do curso de Fisioterapia de uma instituição do noroeste paulista, sobre prática baseada em evidências. Para isso, utilizou-se como instrumento de coleta de informações um questionário composto por 7 questões. Dos 85 acadêmicos matriculados, 66 (78%) participaram da pesquisa. A maior parte dos participantes (82%) expressou não possuir conhecimento sobre PBE. Também verificou-se que os acadêmicos não tinham entendimento sobre o método para a formulação de uma pergunta clínica, assim como muitos não possuem conhecimento de bases de dados confiáveis ou para escolher e avaliar artigos. Baseando-se nos resultados obtidos conclui-se que os alunos da instituição examinados apresentaram limitação ao conhecimento em relação aos princípios da PBE.   EVIDENCE-BASED PHYSIOTHERAPY: KNOWLEDGE LEVEL OF PHYSIOTHERAPY SCHOLARS FROM AN INSTITUTION IN NOROESTE PAULISTA   ABSTRACT The evidence-based practice (EBP) is considered the most efficient and effective way to make decisions, taking into consideration the theoretical background, the patient, and the practitioner's experience. Thus, this paper aims to probe the knowledge level of the students about evidence-based practice, from the sixth and eighth semester scholars at a School of Physical Therapy in an institution in Noroeste Paulista. To this end, a questionnaire consisting of seven questions was used as an instrument to collect data. In this survey 66 (78%) out of 85 enrolled scholars answered the questionnaire. Most participants (82%) demonstrated that they did not have knowledge of EBP. It was also identified that scholars did not have an understanding of how to pose a clinical question, as well as many of them, did not have knowledge of a reliable database, or how to screen and evaluate articles. Based on the results we obtained, it was concluded that scholars in an Institution demonstrated limitations regarding knowledge about EBP principles.   Keywords: Evidence-based Practice. Evidence-Based Physical Therapy.

2008 ◽  
Vol 18 (1) ◽  
pp. 37-42 ◽  
Author(s):  
Margaret Leahy

Abstract Educating students and informing clinicians regarding developments in therapy approaches and in evidence-based practice are important elements of the responsibility of specialist academic posts in universities. In this article, the development of narrative therapy and its theoretical background are outlined (preceded by a general outline of how the topic of fluency disorders is introduced to students at an Irish university). An example of implementing narrative therapy with a 12-year-old boy is presented. The brief case description demonstrates how narrative therapy facilitated this 12-year-old make sense of his dysfluency and his phonological disorder, leading to his improved understanding and management of the problems, fostering a sense of control that led ultimately to their resolution.


Author(s):  
Stephanie Hovick ◽  
Ingrid Provident

Evidence-based practice enables rehabilitation therapists to provide the best quality of care and outcomes for patients. However, rehabilitation therapists are often not confident in using evidence in many settings. Purpose. The objective of this evidence-based practice project was to determine if educational small group sessions enhanced occupational therapists, occupational therapy assistants, physical therapists, physical therapy assistants, and a speech and language pathologist’s confidence in utilizing and applying evidence. Method. Eleven rehabilitation therapists of multiple disciplines (occupational therapists, occupational therapy assistants, physical therapists, physical therapy assistants, and a speech and language pathologist) from a skilled nursing facility participated in six educational sessions designed to increase evidence-based practice. A pre- and post-test utilizing the Evidence-Based Practice Profile Questionnaire (EBPPQ), measured change in therapists’confidence regarding evidence-based practice. Results. Results on the Evidence-Based Practice Profile Questionnaire concluded that 7 of 11 rehabilitation therapists reported an increase in confidence levels. Conclusion. Educational small group sessions can be an effective method to assist rehabilitation therapists in developing this confidence. KEYWORDS: Evidence-based practice, confidence levels, rehabilitation therapists, educational sessions, skilled nursing facility


2014 ◽  
Vol 9 (1) ◽  
pp. 22-28 ◽  
Author(s):  
Mary Beth Zwart ◽  
Bernadette Olson

Context It is the responsibility of athletic training educators, through curriculum and clinical experiences, to engage students towards adopting evidence-based practice (EBP) into their practice. The initial task of implementing EBP into a curriculum or course can seem like a large task for educators and students. As a way to start scaffolding EBP concepts across the curriculum, a modified critical appraisal assignment was developed to teach therapeutic modality concepts. Objective The purpose of this action research project was to demonstrate how a modified critical appraisal assignment can be used to introduce the process and aspects of critical appraisal and begin scaffolding the development of critical appraisal skills over time. The objectives of this study were to evaluate the students' ability to (1) successfully locate relevant research needed to answer clinical questions and (2) successfully appraise the literature according to basic EBP strategy. From a program perspective, the modified critical appraisal assignment was a starting point from which to include EBP principles into didactic coursework. Design Seventeen athletic training students completed 3 modified critical appraisal assignments pertaining to the use of therapeutic modalities. Each paper included 5 sections: (1) clinical question, (2) key clinical findings, (3) clinical applicability based on information from the appraisal and significance of results, (4) article comparison table, and (5) implications for clinical practice, patient education, and future research. The instructor evaluated the assignments blind. Conclusions Students were generally able to complete the critical appraisal assignment; however, students had difficulty locating research that answered the clinical question. Students struggled to relate the key clinical findings of the research articles and implications for clinical practice to the given clinical question. Findings from this study have informed faculty teaching, including introducing EBP skills earlier in the curriculum and inserting assignments that stress various aspects of the critical appraisal process.


PeerJ ◽  
2022 ◽  
Vol 9 ◽  
pp. e12666
Author(s):  
Ricardo M. Ferreira ◽  
Pedro N. Martins ◽  
Nuno Pimenta ◽  
Rui S. Gonçalves

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.


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