Evidence Based Practice Barriers

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.

• Lack of time and high pressure workload is one anticipated barriers. With staff having to stay back nearly

Some university hospital might already have access to database. However small, privately run hospital or clinic might have limited resources and staff might not have access to update articles and database. Since access to journal are expensive, some clinician don’t read articles.

• Some health care worker have perceptual barriers on research. They have a perception that research and clinical cannot mix as the parameters that were set in an RCT would not be translatable to the actual hospital or clinic setting. There is also a perception that, where would a patient with multiple past medical history, fit into such research findings (10).

• Lack of skills to search, appraise and use evidence is another probable barrier. Newly qualify staff are trained to read, search and apprise the evidence in school. However, those more staff might not had been taught such skills and might have difficulties reading articles (11).

• Misconception on evidence based practice could also be a likely barrier. Some physiotherapists have the misconception that clinical expertise and experience is obsolete in evidence based practice. This misconception might make the therapist feel challenge and that their years of clinical experience made