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Title Knowledge, Attitudes and Barriers towards the Implementation of Evidence-based Practice among Physiotherapists in Malaysia. Hannah Chay Yahui I 12001603 MPD 5998 Name of supervisor: Mr Narasimman Swaminathan INTI International University Faculty of Health Science Research proposal 1. Title of the proposed project Knowledge, attitudes and barriers towards the implementation of Evidence-based practice among physiotherapists in Malaysia 2. Need for the study and literature review The physiotherapy field has been on a rapid growth in the past few years. Many hospitals are finding physiotherapy useful as it complements the medical field. For example, in the musculoskeletal field, there is always a need for physiotherapy …show more content…
Nursing and allied health staff also had a more negative attitude on the value of EBP. Two of the highest response were that it was hard to relate the findings in clinical practice and that the value of EBP in clinical practice is exaggerated . Most of the studies found time limitation to be a barrier towards the implementation of EBP in their practice.3,5,6,7 In Malaysia however, a lack of good information technological support in the wards was listed as the main barrier.3 Additional barriers have also been noted. Many health care professional stated that they lack knowledge in appraising the articles obtained and some found it hard to generalize the research findings into patient care as there were conflicts between research evidences and patient …show more content…
4. Research hypothesis This research does not have a research hypothesis as it is an exploratory study.Not applicable 5. Objectives of the study To describe the physiotherapist's self-reports on 1. The knowledge and skills in searching and evaluating the available evidences. 2. The attitude of physiotherapists towards the value of EBP. 3. The perceived barriers towards its implementation of EBP. And 4. To suggest ways to improve the implementation in EBP in Malaysia. 6. Materials and methods a. Study design: Survey, in the form of a questionnaire b. Inclusion and exclusion criteria Subjects will be recruited from the Malaysian Physiotherapy Association (MPA) membership pool, who ha pool, having s at least two years of working experience and is a Malaysian physiotherapist. Members who are no longer practicing will be excluded from the study. d. Sample size: 493, number of members reported in 2015, taken from www.wcpt.org, and the maximum number of sample size will be used after taking into account the inclusion and exclusion
Evidence Based Practice (EBP) is useful to practice because it aids practitioners development and widens their knowledge and insight, therefore enhancing the experience of the practitioner. This ensures that the best quality of care is given to the patient (Duncan, 2006).
The guidelines generate the latest high-quality evidence which can very helpful to Physiotherapists as it will allow them to provide the best quality of care to the patients and improve the quality of their clinical decision making. However, guideline recommendations can be misleading, misinterpreted or wrong for some patients. It is important to evaluate the evidence and see if it is compatible with the patient the treatment is being provided for before selecting the recommended treatment. Furthermore, guideline evidence can be difficult to scrutinise for limitations as this requires a lot of time, resources and skills which is not available for all clinicians. Overall, if used correctly and appropriately Evidence-Based guidelines can be an effective process when Physiotherapists are choosing a treatment for a
EBP is a method of finding evidence and using it in practice: as Blaney (1986) states, it is used to assess health, plan, implement, and evaluate individualized care (p.182). Finotto et al. (2013) breaks EBP down into steps as follows: Formulate a research question; find the most relevant evidence; appraise evidence; integrate evidence with clinical experience and patient values to make practical decisions; and evaluate the outcome (p.460). Carrazzone (2009) and Moch et al. (2010) argue that didactic components with EBP integrated into the education are believed to be beneficial to studen...
Currently, I am involved in a prospective cohort study with other colleagues from King Fahad Medical City that aims to study the effect of a low back care educational program on low back pain prevalence among health-care professionals.
ASHA proposed the idea of EBP about 5 years ago. As the years progressed, implementing EBP in our field has increased, but it has not reached its highest capacity. There are many challenges that reduce implantation of EBP in our field. These challenges may include ………… In addition, some current SLP’s have not been trained on EBP, which decreases the involvement of EBP in clinical activities. SLP’s that work in public schools may not have time to schedule time to suppose EBP activities due to an overload of clients on their caseload. The papers only included school based and not rehabilitation or hospital base so I would have liked to compare use of EBP in different settings. ASHA needs to continue to promote EBP to increase SLPs awareness and try to reduce the challenges so that SLPs will feel comfortable in implementing EBP in their work.
The reliability and validity of each selected item were also assessed. Cronbach's alpha was used to assess the reliability. The convergent validity was used to assess the construct validity among the selected items using the correlation between: a) pain intensity item with BPI-Pain Intensity, b) pain interference item with BPI-Pain Interference, ODI, and SF-12 Physical Component Summary, c) sleep item with BPI-Pain Interference, d) fatigue item with SF-12 Physical Component Summary and ODI, e) depression item with HADS-Depression and PHQ-9, f) anxiety item with HADS-Anxiety, g) physical function item with SF-12 Physical Component Summary and ODI, and h) social function item with Physical Component Summary and ODI. It was hypothesized that the
230) in EBP. Clinical opinion, together with the best relevant research evidence, provides the framework to for the best patient outcome. The nurse’s clinical opinion is acquired through knowledge and skills developed from undergraduate, graduate, or continuing education, clinical experience, and clinical practice (Melnyk & Fineout-Overholt, 2010). Clinical opinion also includes internal evidence, which is generated within a clinical setting from quality improvement outcomes, management initiatives or EBP implementation projects (Melnyk & Fineout-Overholt, 2010). Nurses use their clinical opinion when they identify each patient’s condition, individual risks, personal values and expectations, benefits of possible interventions, and gather evidence for EBP. When searching for the best available evidence, there is a hierarchy in the strength of evidence. The highest level of evidence usually comes from a systematic review or an evidence-based clinical practice guideline based on a systematic review. Systematic reviews provide the strongest evidence through a summary combining the results from many relevant, unbiased studies, to answer a particular clinical question. Nurses critically assess the individual studies, to gather the best evidence available for patient care. Systematic
Evidence-based practice is important to consider when researching for interventions, further knowledge, or help to guide a new idea in the health professions. Evidence-based practice is comprised of three significant concepts: respect and awareness for the targeted population’s values, previous clinical practice or experience with that population, and systematic research to establish a better understanding of what is already known about the study’s focus. These concepts are all taken into consideration when designing and conducting a study because it provides a more valid and credible source for others.
In social work evidence based practice is considered to be a decision making process and practitioners rely on the evidence when working with clients. According to Aveyard and Sharp (2013), evidence based practice is not easy to put into practice and there are many barriers to evidence based practice such as lack of time, lack of awareness of research, lack of support and cooperation, and lack of authority and inadequate facilities (p. 145). Although there are challenges to implementing evidence base practice this is still a doable task in the field of social work. Therefore, practitioners need to explore the motivation, knowledge and skills needed by the individual, the organizational motivation, learning
"The Five Eras of Chiropractic & the Future of Chiropractic as Seen through the Eyes of a Participant Observer. " Chiropractic & Manual Therapies. Vol. 20, No. 1 -. 1, 19 Jan. 2012, p. 1. EBSCOhost.com - EBSCOhost.com - EBSCOhost.com - EBSCOhost.com - EBSCOhost.com - 2017
Evidence-based practice is giving apt and effective care to patient based on integration of best evidence supporting the practice, clinical experience and patient’s preference (8). Studies has shown that health care workers are aware of the benefits of evidence bases practice such as ensuring quality and providing consistent care, practicing updated interventions or techniques and giving effective services but there is a mismatch in actual practice. This part of the paper will looked at barriers anticipated in adopting evidence based parctise among healthcare workers and will end with recommendations that could manage this problems.
One feature of evidence based practice is a problem-solving approach that draws on nurses’ experience to identify a problem or potential diagnosis. After a problem is identified, evidence based practice can be used to come up with interventions and possible risks involved with each intervention. Next, nurses will use the knowledge and theory to do clinical research and decide on the appropriate intervention. Lastly, evidence base practice allows the patients to have a voice in their own care. Each patient brings their own preferences and ideas on how their care should be handled and the expectations that they have (Fain, 2017, pg.
Evidence-based medicine (EBM) has been described as “the conscientious, explicit, and judicious use of current best evidence in making decision about the care of individual patients” . Evidence-Based Practice is a thoughtful integration of the best available evidence, coupled with clinical expertise. It enables one to address healthcare questions with an evaluative and qualitative approach. It is about applying the best available research evidence in provision of health, behavior and education services to enhance outcomes. Evidence-Based practice is about performing the best possible practice in order to provide the best possible care .
The applied nature of health research methodology makes it highly valuable in providing guidance and directions for clinical practice and basic research. Furthermore, studying the pre-occupation and with somatic and psychological variables will take a group perspective in supporting patients and family and the entire mankind can benefit from this research findings. Finally, promotion of human health through disease prevention is always more positive and economically meaningful than post-contraction
Medical study is a combination of clinical experience and scientific research, which requires proof and evidence. These two components can help physiotherapists with diagnosis, provide treatments for patients and making clinical decision. However, what are the ways for individuals to testify the effectiveness of these methods and treatments? Is there scientific evidence proving the information is correct and up to date? How helpful and appropriate are these methods and treatments to the patients? Hence evidence-based practice is necessary. It has a strong impact in physiotherapy, to ensure researches are more focused and relevant to physiotherapists and as a guiding principle to practice and treatment of patients.