Mind the gap. How job task distributions of health professional developers constitute evidence-based practice

Work ◽  
2020 ◽  
pp. 1-11
Author(s):  
Helene Honoré ◽  
Hanne Pallesen ◽  
Kajsa Ellegård ◽  
Jørgen Feldbæk Nielsen
Keyword(s):  
Health Professional ◽  
Time Allocation ◽  
Evidence Based Practice ◽  
Occupational Therapists ◽  
Evidence Based ◽  
Conceptual Foundation ◽  
Work Activity ◽  
Conceptual Clarification ◽  
Work Tasks ◽  
Job Function

BACKGROUND: Development of clinical practice at a Danish neurorehabilitation centre was delegated to a group of health professional developers. Their job function lacked conceptual foundation, and it was unclear how their working tasks contributed to evidence-based practice. OBJECTIVE: Conceptual clarification of the job function and pattern analysis of activity distributions for health professional developers. METHODS: Health professional developers kept continuous time geographical diaries for two weeks. Meaningful categories were subtracted through content analysis. Patterns were analysed within activity distributions with regards to evidence-based practice. RESULTS: A total of 213 diaries were collected from 21 health professional developers of three professions (physiotherapists, occupational therapists and nurses). Each participant reported 6–13 workdays (median 10 days). Eleven main categories of work tasks emerged with 42 subcategories. Overall, 7% of total time reported was spent on external knowledge, with minimal variation between professions and contractual time allocation. CONCLUSION: Conceptual clarification of work tasks was established for health professional developers. Their work activity distributions contributed mainly to maintenance of existing level of professional knowledge rather than to implementation of new knowledge, which did not fulfil the intended responsibility for development of evidence-based practice. Educational competence boost and data-driven change of organisation structure was recommended.

Evidence-Based Practice: The Cochrane Collaboration, and Occupational Therapy

1998 ◽  
Vol 65 (3) ◽  
pp. 144-151 ◽  
Author(s):  
Robyn L. Hayes ◽  
John J. McGrath
Keyword(s):  
Systematic Reviews ◽  
Randomised Controlled Trials ◽  
Best Practice ◽  
Evidence Based Practice ◽  
Occupational Therapists ◽  
Cochrane Collaboration ◽  
Controlled Trials ◽  
Evidence Based ◽  
Randomised Controlled ◽  
The Cochrane Collaboration

This paper describes how occupational therapists can become involved in the Cochrane Collaboration — a well-developed tool for facilitating the involvement of health professionals and lay people in evidence-based practice. The Cochrane Collaboration is a growing international project intended to systematically locate, conduct systematic reviews (including metaanalyses) of, and disseminate information on all available randomised controlled trials of interventions in any area of health. In particular, occupational therapists can use the Cochrane Collaboration to become better informed about best practice and evaluate research in their areas of interest, and learn skills related to conducting randomised controlled trials, systematic reviews, and meta-analyses.

scholarly journals Increasing Rehabilitation Therapists’ Confidence Utilizing Evidence-Based Interventions: Pilot Study

2018 ◽  
Author(s):  
Stephanie Hovick ◽  
Ingrid Provident
Keyword(s):  
Physical Therapy ◽  
Occupational Therapy ◽  
Evidence Based Practice ◽  
Physical Therapists ◽  
Skilled Nursing Facility ◽  
Occupational Therapists ◽  
Evidence Based ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
Confidence Levels

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

Organisational support for evidence-based practice: occupational therapists perceptions

2016 ◽  
Vol 63 (1) ◽  
pp. 9-18 ◽  
Author(s):  
Sally Bennett ◽  
Shelley Allen ◽  
Elizabeth Caldwell ◽  
Mary Whitehead ◽  
Merrill Turpin ◽  
...  
Keyword(s):  
Evidence Based Practice ◽  
Occupational Therapists ◽  
Evidence Based ◽  
Organisational Support

Treatments for Chronic Fatigue Syndrome and the Internet: A Systematic Survey of what Your Patients are Reading

2002 ◽  
Vol 36 (2) ◽  
pp. 240-245 ◽  
Author(s):  
Stephen R Kisely
Keyword(s):  
Chronic Fatigue Syndrome ◽  
Health Professional ◽  
Search Engines ◽  
Evidence Based Practice ◽  
Chronic Fatigue ◽  
The Internet ◽  
Evidence Based ◽  
Potential Conflict ◽  
Fatigue Syndrome ◽  
Pro Forma

Objective: To evaluate the type, quality, and focus of patient information on the treatment of chronic fatigue syndrome on the Internet using simple search techniques. Design: The search phrase ‘chronic fatigue syndrome’ was entered into nine common Internet search engines. The 25 most highly ranked pages identified by each of the nine search engines were analysed using a standardized pro forma. The following outcome measures were used: balance of content, consistency of content with evidence-based practice, declared authorship with credentials, information sources including the presence of references, the declaration of any potential conflict of interest, and the need to clarify information with an appropriate health professional. Results: Two hundred and twenty-five websites were reviewed during a 2-week period in September 2000. A further 15 sites (6.3%) were inaccessible. Agreement between websites and systematic reviews of treatment for chronic fatigue syndrome ranged from 4 to 68%, the greatest agreement being for recommendations for graded exercise and the avoidance of prolonged rest. Most sites (64%) had a named author. Only a quarter to a third contained a declaration of interest, advised readers to clarify information with an appropriate health professional, or avoided inaccurate statements. Conclusions: The Internet contains a great deal of information on chronic fatigue syndrome that is neither balanced nor consistent with evidence-based practice. Doctors individually, and as a profession, should provide guidance on which Internet sites to trust.

Implementing evidence-based practice: A context analysis to examine use of task-based approaches to upper-limb rehabilitation

2018 ◽  
Vol 81 (5) ◽  
pp. 285-289
Author(s):  
Mary Vining Radomski ◽  
Mattie Anheluk ◽  
Christine Arulanantham ◽  
Marsha Finkelstein ◽  
Nancy Flinn
Keyword(s):  
Upper Limb ◽  
Evidence Based Practice ◽  
Contextual Factors ◽  
Occupational Therapists ◽  
Evidence Based ◽  
Context Analysis ◽  
Upper Limb Rehabilitation ◽  
Context Specific ◽  
Limb Rehabilitation ◽  
Practice Implementation

Statement of context Many occupational therapists experience challenges in implementing evidence-based practice, which may be best approached as a context-specific enterprise. Critical reflection on practice This practice analysis article reports the results of analyzing 24 home programs that occupational therapists issued to rehabilitation inpatients with stroke upon their discharge home. Home programs did not reflect a task-based approach to upper-limb recovery, even though this is supported by established evidence. Examination of contextual factors provides a framework to facilitate evidence implementation. Implications for practice Occupational therapists may optimize evidence-based practice implementation by first evaluating and addressing practice-specific contextual factors.

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