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 Knowledge, Attitude, and Practice of Iranian Speech and Language Pathologists Toward Evidence-Based Practice

2020 ◽  
Vol 7 (4) ◽  
Author(s):  
Banafshe Mansuri ◽  
Seyed Abolfazl Tohidast ◽  
Masume Zareei
Keyword(s):  
Evidence Based Practice ◽  
Knowledge Score ◽  
Attitude Score ◽  
Evidence Based ◽  
Speech And Language ◽  
Cross Sectional ◽  
Attitude And Practice ◽  
Speech And Language Pathologists ◽  
The Mean ◽  
Knowledge Attitude And Practice

Background: Despite the great need and significance for documentation of knowledge, attitudes, and practice of speech and language pathologists (SLPs) about evidence-based practice (EBP), few studies have been performed in this field among SLPs, especially Iranian SLPs. Objectives: The present study aimed at investigating the knowledge, attitude, and practice of Iranian SLPs toward EBP. Methods: This cross-sectional study was conducted from October to December 2019, in Iran. A valid and reliable self-administrated questionnaire (The Speech and Language Pathology Evidence-Based Practice questionnaire (SLP-EBPQ)) was used to evaluate the attitude, knowledge, and the use of evidence sections of SLP-EBPQ among 600 Iranian SLPs. Results: Four hundred twenty-two out of 600 questionnaires were returned. The mean figure of the knowledge score of the SLPs was 3.85 (± 2.8), while SLPs with postgraduate degrees scored higher in the knowledge section than those with an undergraduate degree (P < 0.001). The mean figure of the attitude score of the SLPs was 46.97 (± 4.55). Conclusions: The findings of the present study showed that SLPs in Iran have positive and favorable attitudes toward EBP with an effective application. Our findings also showed that EBP knowledge is not very comprehensive among SLPs; however, the postgraduate SLPs presented a higher EBP compared with the undergraduate SLPs.

HUBUNGAN PENGETAHUAN TERHADAP KOMPETENSI MAHASIWA PROFESI NERS DALAM PENERAPAN EVIDENCE BASED PRACTICE

2018 ◽  
Vol 14 (1) ◽  
Author(s):  
Hasniatisari Harun ◽  
Yusshy Kurnia Herliani ◽  
Anita Setyawati
Keyword(s):  
Nursing Education ◽  
Nursing Students ◽  
Quantitative Research ◽  
Evidence Based Practice ◽  
Sampling Technique ◽  
Nursing Program ◽  
Evidence Based ◽  
Professional Nursing ◽  
Professional Nurses ◽  
High Competence

Professional nurses could be prepared through professional nursing programs. Professional nursing program is part of the nursing education program. One of the competencies required to be professional nurses is implementing evidence-based practice (EBP) to explore the best nursing interventions for patients to get optimal outcome. Nursing students have learned EBP during bachelor degree by analysis case using the EBP method. However, evaluation related  students' understanding of the method and its application of EBP to the clinical practice was none. The purpose of this study was to determine the relationship of knowledge with student competency in the implementation of evidence based practice (EBP) to managed patients in the medical surgical nursing stage. This research is quantitative research. The sample in this study was 120 nursing students who were at professional nursing program that were recruited using total sampling technique. The instrument used is the Evidence Based Practice Questionnaire (EBPQ) questionnaire. The results showed that more than half of the respondents had high knowledge (68%), and high competence (49%). This study shows a meaningful relationship between knowledge of student competence in applying EBP (r = .6070, p <0.01). The findings of this study are important for recommendations related to developing teaching materials in nursing education related to for providing the best service for patients.

scholarly journals GAMBARAN PENGETAHUAN PERAWAT DALAM PENANGANAN NYERI NONFARMAKOLOGI PADA PASIEN PASCA OPERASI DI RUANG BEDAH RSUD KABUPATEN INDRAMAYU TAHUN 2017

2019 ◽  
Vol 6 (2) ◽  
Author(s):  
Riyanto Riyanto ◽  
Ridho Kunto Prabowo ◽  
Maya Rahayu
Keyword(s):  
Public Hospital ◽  
Evidence Based Practice ◽  
Pain Treatment ◽  
Sampling Technique ◽  
Electronic Media ◽  
Evidence Based ◽  
Postoperative Patient ◽  
Subject Knowledge ◽  
Research Population ◽  
Nurse Knowledge

Pengetahuan merupakan hal yang sangat penting bagi seorang perawat. Mengenai hal ini tentang pengetahuan perawat dalam penanganan nyeri nonfarmakologi pada pasien pasca operasi belum sepenuhnya dilaksanakan dengan baik. Sehingga penelitian ini bertujuan mengetahui gambaran pengetahuan perawat dalam penanganan nyeri nonfarmakologi pada pasien pasca operasi. Metode yang digunakan kuantitatif dengan teknik deskriptif, populasi penelitian ini perawat di ruang bedah, dengan teknik total sampling sebanyak 30 perawat. Hasil didapatkan pengetahuan perawat dalam pennaganan nyeri nonfarmakologi pada pasien pasca operasi di ruang bedah RSUD Kabupaten Indramayu sebanyak 27 responden (90.0 %) dengan pengetahuan kurang, tentang massase kulit sebanyak 17 responden (56.7 %) dengan pengetahuan kurang, kompres 23 responden (76.7 %) dengan pengetahuan kurang, hipnotis sebanyak 19 responden (63.3 %) dengan pengetahuan kurang, acupressure sebanyak 16 responden (53.0 %) dengan pengetahuan cukup, relaksasi sebanyak 21 responden (70.0 %) dengan pengetahuan kurang, dan tentang distraksi sebanyak 17 responden (56.7 %) dengan pengetahuan kurang. Pengetahuan perawat dapat ditingkatkan dengan membaca media elektronik, evidence-based practice, dan mengikuti seminar atau workshop. ABSTRACT Knowledge is very important for a nurse. On this subject knowledge of nurse knowledge in the treatment of nonpharmacological pain in postoperative patients has not been fully implemented properly. So this study aims to determine the description of knowledge of nurses in the treatment of nonpharmacological pain in postoperative patients. The method used is quantitative with descriptive technique, this research population is nurse in surgery room, with total sampling technique counted 30 nurses. The result was obtained by nurse knowledge in non-pharmacology pain treatment in postoperative patient in surgical room of regionl public hospital regency of Indramayu with 27 respondents (90.0%) with less knowledge, about skin mass as much as 17 respondents (56.7%) with less knowledge, compress 23 respondents (76.7%) with less knowledge, hypnosis as much as 19 respondents (63.3%) with less knowledge, acupressure as many as 16 respondents (53.0%) with enough knowledge, relaxation as much as 21 respondents (70.0%) with less knowledge, and about distraction as many as 17 respondents (56.7%) with less knowledge. The nurse's knowledge can be improved by reading electronic media, evidence-based practice, and attending seminars or workshops.

What Makes or Breaks Evidence-Based Supervision? Staff and Organizational Predictors of Evidence-Based Practice in Probation

2021 ◽  
pp. 0306624X2110491
Author(s):  
Sara Debus-Sherrill ◽  
Alex Breno ◽  
Faye S. Taxman
Keyword(s):  
Organizational Culture ◽  
Survey Data ◽  
Evidence Based Practice ◽  
Organizational Factors ◽  
Evidence Based ◽  
Evidence Based Practices ◽  
Weak Evidence ◽  
The Impact

Research on staff and organizational factors that affect receptivity, adoption, feasibility, and utilization of innovations in justice settings is limited. This study uses survey data from 349 employees in one probation agency to assess how staff and perceived organizational factors influence attitudes related to evidence-based practices (EBPs) and their self-reported use. Staff characteristics, including education and knowledge about EBPs, and perceptions of the organization, including cynicism about the organization’s ability to change, predicted EBP outcomes. Staff age, tenure at the agency, and caseload size affected perceptions of organizational culture, but did not predict attitudes or use of EBPs. There is weak evidence for a relationship between self-reported use of EBPs with attitudinal support for EBPs, prior EBP training, and knowledge of EBPs. This study contributes to an emerging body of literature about the impact of various individual and organizational factors on support for EBPs with important lessons for implementation.

scholarly journals Factors Affecting Nurses’ Perceived Organizational Commitment: A Qualitative Study

2019 ◽  
Vol 18 (2) ◽  
pp. 303-311 ◽  
Author(s):  
Faribah Sepahvand ◽  
Foorozan Atashzadeh Shoorideh ◽  
Soroor Parvizy ◽  
Mansoureh Zagheri Tafreshi
Keyword(s):  
Content Analysis ◽  
Organizational Commitment ◽  
Qualitative Study ◽  
Nurse Managers ◽  
Qualitative Content Analysis ◽  
Medical Science ◽  
Organizational Factors ◽  
Structured Interviews ◽  
Factors Affecting ◽  
Clinical Nurses

Objective: Nurses’ organizational commitment is one of the most important factors that facilitates their professional evolution and influences the method of care provision, quality of care, and patients’ satisfaction. The aim of this study was identified the factors that affect nurses’ perceived organizational commitment. Material and Methods: This qualitative study, conducted on 16 clinical nurses employed in Social Security Hospital of Khorramabad, Iran, during five months from May to September 2015, used deep semi-structured interviews. Purposive sampling method was used for the selection of nurses and the data were analyzed using conventional qualitative content analysis. Lincoln & Guba’s criteria were used to secure data accuracy and stability. Results: Sixteen subcategories, five categories, and three themes were distilled during content analysis process. The abstracted themes included “organizational factors”, “occupational challenges”, and “contributory management”. Conclusion: Our findings showed that numerous factors present in nurses’ profession and work environment may influence the rate of nurses’ interest and commitment in the hospital and the related organization. Hence, nurse managers can foster the promotion of nurses’ organizational commitment through creating the required suitable conditions. Bangladesh Journal of Medical Science Vol.18(2) 2019 p.303-311

scholarly journals Evidence-based implementation of normal childbirth: what are the obstacles? (qualitative study)

2020 ◽  
Vol 3 (2) ◽  
pp. 115-126
Author(s):  
Rizki Amalia ◽  
Moch. Hakimi ◽  
Herlin Fitriani
Keyword(s):  
Clinical Care ◽  
Sampling Technique ◽  
Obstetric Care ◽  
Evidence Based ◽  
Independent Practice ◽  
Structured Interviews ◽  
Delivery Assistance ◽  
Quality Of Obstetric Care ◽  
The Impact

Evidence-based is a very effective strategy to improve the quality of midwifery services. One of the most frequently problems faced is the gap between midwifery practices that are in accordance with the procedures (based on evidence-based) with clinical care practices that occur in the clinic. The purpose of this study was to explore in-depth the obstacles to the implementation of evidence-based normal childbirth, which are the position of delivery, monitoring and documenting delivery by using partographs in the Independent Practice of Midwives of Gunungkidul District, Yogyakarta.This research was a qualitative research with a phenomenological descriptive approach. The participants of this study were midwives who had the Independent Midwife Practice (PMB) consisting of 7 informants. Participant selection in this study used a purposive sampling technique with convenience sampling and identification of obstacles used was the Consolidated Framework for Implementation Research (CFIR). Data collection used was semi-structured interviews and observations. Data analysis used was a thematic analysis.The interview and observation of delivery assistance is done at the Independent Midwife Practice Center (PMB). The position of delivery that was often used by patients was lithotomy and left slant, and the application of evidence-based monitoring and documentation using partograph was still not optimal. This was because there were several obstacles in its application, which were obstacles from patients, families, midwives, and obstacles from the organization. The impact of these obstacles was that it can reduce the quality of obstetric care in patients according to evidence-based. The evaluation of clinical practice based on evidence-based by the organization and the existence of feedback from patients to midwives are expected to improve the quality of service to patients.    

scholarly journals Training Needs of Practice Facilitators When Implementing An Opioid Improvement Initiative in Primary Care

2021 ◽  
Author(s):  
Michael L. Parchman ◽  
Brooke Ike ◽  
Katie Osterhage ◽  
Ashley Johnson ◽  
Laura-Mae Baldwin
Keyword(s):  
Primary Care ◽  
Training Program ◽  
Peer Relationships ◽  
Qualitative Content Analysis ◽  
Medication Management ◽  
Building Blocks ◽  
Training Needs ◽  
Evidence Based ◽  
Structured Interviews ◽  
Evidence Based Programs

Abstract Background: Practice facilitation is a commonly employed strategy to implement evidence-based programs into primary care settings. Preparing facilitators for this role requires an understanding of their training needs and support. Here we report on the experiences of facilitators who participated in a training program to support efforts to improve opioid medication management in primary care.Methods: Trainees with prior QI experience were recruited for the six-month training program. Each trainee recruited a clinic for which they would serve as an external facilitator to implement the Six Building Blocks program. At the end of the six-months, we conducted two semi-structured interviews with each trainee. The interviews focused on facilitators and barriers that the trainees experienced during the training and support provided. Qualitative content analysis was used to analyze the transcribed interviews.Results: Three of the five trainees completed the program. In addition to the in-depth understanding of the Six BB program, trainees valued the opportunity to build peer relationships which provided a supportive peer support group. They valued the availability of more experienced facilitators who supported and mentored them. They also mentioned the importance of providing helpful tools and resources and the availability of a clinical expert. Barriers focused on factors internal to the trainees’ clinical setting, the trainees limited clinical knowledge about chronic pain, and difficulty maintaining momentum for change due to the flexible timeline of the program itself.Conclusions: In addition to training on the content of an evidence-based programs, facilitators valued work with supportive peers and the mentoring of more experienced facilitators. Primary care improvement initiatives employing practice facilitators should consider these training needs and the resources required for this supportive infrastructure.

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.

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