Perspectives on how evidence-based practice changes over time: A qualitative exploration of occupational therapy and physical therapy graduates

被引：0

作者：

Thomas, Aliki ^{[1
,2
]}

Iqbal, Muhammad Zafar ^{[2
,3
,4
]}

Roberge-Dao, Jacqueline ^{[2
,3
]}

Ahmed, Sara ^{[2
,3
,5
]}

Bussieres, Andre ^{[3
,6
]}

Debigare, Richard ^{[7
]}

Letts, Lori ^{[8
]}

MacDermid, Joy C. ^{[9
]}

Paterson, Margo ^{[10
,11
]}

Polatajko, Helene J. ^{[12
]}

Rappolt, Susan ^{[12
]}

Salbach, Nancy M. ^{[13
,14
]}

Rochette, Annie ^{[2
,15
]}

机构：

[1] McGill Univ, Inst Hlth Sci Educ, Sch Phys & Occupat Therapy, Montreal, PQ, Canada

[2] Ctr Interdisciplinary Res Rehabil Greater Montreal, Montreal, PQ, Canada

[3] McGill Univ, Sch Phys & Occupat Therapy, Montreal, PQ, Canada

[4] Acuity Insights, Res Dept, Toronto, ON, Canada

[5] McGill Univ, Res Inst, Ctr Outcome Res & Evaluat CORE, Clin Epidemiol,Hlth Ctr, Montreal, PQ, Canada

[6] Univ Quebec Trois Rivieres, Dept Chiroprat, Trois Rivieres, PQ, Canada

[7] Univ Laval, Ctr Rech, Inst Univ cardiol & pneumol Quebec, Quebec City, PQ, Canada

[8] McMaster Univ, Fac Hlth Sci, Sch Rehabil Sci, Hamilton, ON, Canada

[9] Western Univ, Sch Phys Therapy, London, ON, Canada

[10] Queens Univ, Sch Rehabil Therapy, Kingston, ON, Canada

[11] Columbia Univ, New York, NY USA

[12] Univ Toronto, Rehabil Sci Inst, Dept Occupat Sci & Occupat Therapy, Toronto, ON, Canada

[13] Univ Toronto, Rehabil Sci Inst, Dept Phys Therapy, Toronto, ON, Canada

[14] Univ Hlth Network, Res Inst KITE, Toronto Rehabil Inst, Toronto, ON, Canada

[15] Univ Montreal, Sch Rehabil, Montreal, PQ, Canada

来源：

JOURNAL OF EVALUATION IN CLINICAL PRACTICE | 2024年

基金：

加拿大健康研究院;

关键词：

evidence-based practice; interpretive description; occupational therapists; physical therapists; qualitative research; CONTINUING PROFESSIONAL-DEVELOPMENT; SHARED DECISION-MAKING; EVALUATING EDUCATION; PRACTICE CONFIDENCE; KNOWLEDGE; CARE; REHABILITATION; EXPERTISE; GUIDELINE; ATTITUDES;

D O I：

10.1111/jep.14200

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

RationaleThe integration of evidence-based practice (EBP) into rehabilitation education programs has been widespread, but little is known about how graduates' EBP competencies evolve over time.Aims and ObjectivesTo explore how and why the use of EBP by occupational therapists (OTs) and physical therapists (PTs) evolves during the first 3 years of clinical practice.MethodWe used an interpretive description methodology. We conducted semi-structured interviews with OTs and PTs who participated in a minimum of three out of four time points in a previous longitudinal pan-Canadian mixed methods study. Data analysis was guided by Braun and Clarke's approach to thematic analysis.ResultsSeventeen clinicians (13 OTs and 4 PTs) participated in the study. Our analysis identified six overarching themes: (1) evolution of "what EBP is and what it means"; (2) over time, evidence takes a back seat; (3) patients and colleagues have a vital and perennial role in clinical decision making; (4) continuing professional development plays a vital role in EBP; (5) personal attitudes and attributes influence EBP; and (6) organizational factors influence EBP.ConclusionOur study highlights the dynamic nature of EBP use among OTs and PTs in the first 3 years of clinical practice, emphasizing the need for contextualized approaches and ongoing support to promote evidence-informed healthcare in rehabilitation.

引用

页数：14

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