scholarly journals Icelandic Physical Therapists' Attitudes Toward Adoption of New Knowledge and Evidence-Based Practice: Cross-Sectional Web-Based Survey

2016 ◽  
Vol 96 (11) ◽  
pp. 1724-1733 ◽  
Author(s):  
Solveig A. Arnadottir ◽  
Bjorg Gudjonsdottir
Keyword(s):  
Evidence Based Practice ◽  
Physical Therapists ◽  
Multivariable Analysis ◽  
Dissemination And Implementation ◽  
Evidence Based ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Web Based ◽  
Positive Attitudes ◽  
New Knowledge

Abstract Background A positive attitude toward evidence-based practice (EBP) has been identified as an important factor in the effectiveness of the dissemination and implementation of EBP in real-world settings. Objective The objectives of this study were: (1) to describe dimensions of Icelandic physical therapists' attitudes toward the adoption of new knowledge and EBP and (2) to explore the association between attitudes and selected personal and environmental factors. Design This study was a cross-sectional, Web-based survey of the total population of full members of the Icelandic Physiotherapy Association. Methods The Evidence-Based Practice Attitude Scale (EBPAS) was used to survey attitudes toward EBP; the total EBPAS and its 4 subscales (requirements, appeal, openness, and divergence) were included. Linear regression was used to explore the association between the EBPAS and selected background variables. Results The response rate was 39.5% (N=211). The total EBPAS and all of its subscales reflected physical therapists' positive attitudes toward the adoption of new knowledge and EBP. Multivariable analysis revealed that being a woman was associated with more positive attitudes, as measured by the total EBPAS and the requirements, openness, and divergence subscales. Physical therapists with postprofessional education were more positive, as measured by the EBPAS openness subscale, and those working with at least 10 other physical therapists demonstrated more positive attitudes on the total EBPAS and the openness subscale. Limitations Because this was a cross-sectional survey, no causal inferences can be made, and there may have been unmeasured confounding factors. Potential nonresponse bias limits generalizability. Conclusions The results expand understanding of the phenomenon of attitudes toward EBP. They reveal potentially modifiable dimensions of attitudes and the associated characteristics of physical therapists and their work environments. The findings encourage investigation of the effectiveness of strategies aimed at influencing various dimensions of attitudes toward EBP.

scholarly journals Perceptions and Attitudes towards Evidence Based Practice among Nurses and Nursing Students in Nepal

2017 ◽  
Vol 13 (4) ◽  
pp. 308-315 ◽  
Author(s):  
S. Karki ◽  
R. Acharya ◽  
H. Budhwani ◽  
P. Shrestha ◽  
P. Chalise ◽  
...  
Keyword(s):  
Nursing Students ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Study Objective ◽  
Knowledge And Skills ◽  
Professional Students ◽  
Positive Attitudes ◽  
Perceptions And Attitudes

Background As the evidence based practice (EBP) movement expands, there is a need for health leaders and educators in each country to assess the extent to which health professional students and practitioners are prepared to locate, evaluate, and apply evidence to guide their practice.Objective The study objective was to explore nurses’ and nursing students’ perceptions and attitudes towards EBP.Method This was a descriptive cross-sectional survey administered to all 273 nurses and nursing students from Nepal who attended an EBP conference. The survey instrument that was used by Majid in Singapore was adapted for use in this study with permission from the author.Result In total, 121 nurses participated in the study. The majority (93%) of respondents reported that they had no previous training in EBP. The respondents’ perceptions of their EBP knowledge and skills were variable, but most of them demonstrated positive attitudes toward EBP. Respondents identified a number of barriers that limit the implementation of EBP in Nepal. The greatest barriers were lack of time and resources, difficulty understanding research articles and translating the findings to practice, and limited autonomy to change practice based on evidence.Conclusion Although respondents had positive attitudes towards EBP, their knowledge and skills were limited and barriers to implementation existed. Nursing faculty can use the findings to guide implementation of EBP into curricula, and nursing administrators and clinicians can use the findings to guide practice to promote EBP.

scholarly journals Determinants of Guideline Use in Primary Care Physical Therapy: A Cross-Sectional Survey of Attitudes, Knowledge, and Behavior

2014 ◽  
Vol 94 (3) ◽  
pp. 343-354 ◽  
Author(s):  
Susanne Bernhardsson ◽  
Kajsa Johansson ◽  
Per Nilsen ◽  
Birgitta Öberg ◽  
Maria E.H. Larsson
Keyword(s):  
Primary Care ◽  
Physical Therapy ◽  
Physical Therapists ◽  
Multiple Logistic Regression Analysis ◽  
Easy Access ◽  
Evidence Based ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Positive Attitudes ◽  
And Behavior

BackgroundUnderstanding of attitudes, knowledge, and behavior related to evidence-based practice (EBP) and use of evidence-based clinical practice guidelines in primary care physical therapy is limited.ObjectivesThe objectives of this study were: (1) to investigate self-reported attitudes, knowledge, behavior, prerequisites, and barriers related to EBP and guideline use among physical therapists in primary care and (2) to explore associations of self-reported use of guidelines with these social cognitive factors along with demographic and workplace characteristics.DesignThis was a cross-sectional survey.MethodsA web-based survey of 419 physical therapists in primary care in western Sweden was performed. Multiple logistic regression analysis was performed to examine factors associated with guideline use.ResultsThe response rate was 64.7%. Most respondents had positive attitudes toward EBP and guidelines: 90% considered EBP necessary, and 96% considered guidelines important. Approximately two thirds reported confidence in finding and using evidence. One third reported being aware of guidelines. Thirteen percent knew where to find guidelines, and only 9% reported having easy access to guidelines. Fewer than half reported using guidelines frequently. The most important barriers to using guidelines were lack of time, poor availability, and limited access to guidelines. Young age and brief work experience were associated with positive attitudes toward EBP. A postgraduate degree was associated with higher application of EBP. Positive attitudes, awareness of guidelines, considering guidelines to facilitate practice, and knowing how to integrate patient preferences with guideline use were associated with frequent use of guidelines.LimitationsData were self-reported, which may have increased the risk of social desirability bias.ConclusionsUse of guidelines was not as frequent as could be expected in view of the positive attitudes toward EBP and guidelines among physical therapists. Awareness of and perceived access to guidelines were limited. The identified determinants can be addressed when developing guideline implementation strategies.

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.

scholarly journals Knowledge, Attitude and Implementation of Evidence-Based Practice among Physiotherapists Working in the Kingdom of Saudi Arabia: A Cross-Sectional Survey

Healthcare ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 354
Author(s):  
Fatmah Hasani ◽  
Joy C. MacDermid ◽  
Ada Tang ◽  
Michelle Kho ◽  
Ahmad H. Alghadir ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Survey Questionnaire ◽  
Cross Sectional Survey ◽  
Kingdom Of Saudi Arabia ◽  
Cross Sectional ◽  
Advanced Degrees ◽  
Positive Attitudes ◽  
Outpatient Settings

The current study aimed to investigate knowledge, attitudes, and implementation of evidence-based practice among physiotherapists working in Saudi Arabia. A sample of physiotherapists working in various outpatient settings in Saudi Arabia participated in this survey. Sixty-four therapists (30 females, 34 males) completed a 28-item survey questionnaire. Approximately half of the participants indicated that evidence-based practice was useful and important for clinical practice. About 60% of the participants reported that they have adopted the evidence-based practice on a regular basis. Participants who had a membership in a physiotherapy organization and had advanced degrees showed more positive attitudes (t = −2.31, p = 0.02 and t = −2.15, p = 0.04, respectively) and greater levels of knowledge (t = −2.32, p = 0.02 and t = −3.86, p = 0.001, respectively) regarding evidence-based practice terminology. Furthermore, place of training (trained overseas) was associated with a positive attitude towards literature findings (t = 2.26, p = 0.03). The results of this study demonstrated that participants reported that evidence-based practice had not been extensively implemented, despite positive attitudes regarding its implementation among physiotherapists practicing in Saudi Arabia.

scholarly journals Evidence-Based Practice in Primary Care Occupational Therapy: A Cross-Sectional Survey in Sweden

2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Ann-Charlotte Lindström ◽  
Susanne Bernhardsson
Keyword(s):  
Primary Care ◽  
Occupational Therapy ◽  
Evidence Based Practice ◽  
Occupational Therapists ◽  
Easy Access ◽  
Evidence Based ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Web Based ◽  
Main Barrier

Introduction. Understanding of attitudes, knowledge, and behaviour related to evidence-based practice (EBP) and guidelines in Swedish occupational therapy is limited. The study aims were to investigate attitudes, knowledge, and behaviour related to evidence-based practice and guidelines of Swedish occupational therapists in primary care.Methods. A web-based survey of 94 Swedish primary care occupational therapists (response rate 53.7%). Data were analysed using logistic regressions.Results. Attitudes towards EBP and guidelines were highly positive (97%–98%). About half of the respondents reported confidence in finding and using evidence. Almost two-thirds reported being aware of guidelines and 47% knowing where to find guidelines. Four-fifths stated that they had easy access to guidelines and 75% that they used guidelines frequently. Men were more likely to feel confident to find research (OR 8.58, 95% CI 1.03 to 71.66;p=0.047) and have easy access to guidelines (OR 9.10, 95% CI 1.94 to 42.83;p=0.005). Occupational therapists older than 50 years were more likely to integrate patient preferences with guideline use (OR 6.44, 95% CI 1.14 to 36.57;p=0.035). Few reported reading scientific articles, and many expressed uncertainty in finding research. The main barrier for using guidelines was reported to be lack of time.Conclusion. Although attitudes among primary care occupational therapists towards EBP are positive and a large proportion report using guidelines, many state that they want to learn more and improve their evidence-based practice skills. The findings suggest that education measures need to be taken to address the identified shortcomings.

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.

scholarly journals Attitudes, skills and use of evidence-based practice among UK osteopaths: a national cross-sectional survey

2018 ◽  
Vol 19 (1) ◽  
Author(s):  
Tobias Sundberg ◽  
Matthew J. Leach ◽  
Oliver P. Thomson ◽  
Philip Austin ◽  
Gary Fryer ◽  
...  
Keyword(s):  
Evidence Based Practice ◽  
Evidence Based ◽  
Cross Sectional Survey ◽  
Cross Sectional
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