Evidence-based practice: beliefs, attitudes, knowledge, and skills among Colombian physical therapists
Abstract
Objective:The main purpose of this study was to describe a group of Colombian physical therapists' beliefs and attitudes towards Evidence-Based Practice (EBP), their education, knowledge and skills for implementing EBP, the use of relevant literature in clinical practice, access to and availability of scientific information and perceived barriers to including EBP in practice.
Methods:This was a cross-sectional study which involved 1,064 Colombian physical therapists. The study used a 50-item screening questionnaire EBP developed to estimate attitudes, beliefs, knowledge and skills regarding. This instrument has been adapted and was validated previously in Colombia by Flórez-López et al.
Results:The population mostly consisted of young females (77.2%) aged 22 to 29 years old (79.4%). Most respondents had an undergraduate degree (87.7%). The physical therapists stated that they had positive attitudes and beliefs regarding EBP, most of them answering that they agreed or strongly agreed that EBP is necessary (71.6%), the relevant literature is useful for practice (61.3%), EBP improves the quality of patient care (64.1%) and evidence helps in decision-making (44.5%). Forty-one percent of the respondents indicated that a lack of research skills was the most important barrier to the use of evidence in practice.
Conclusion:The physical therapists reported that they had a positive attitude to EBP and were interested in learning about or improving the skills necessary to adopt EBP in their clinical practice.
Authors
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Keywords
- Physical therapy
- evidence-based practice
- research
- attitude
- Practice Guideline.
References
Ramirez-Velez R, Morales-Osorio MA, Dominguez MA, Meneses-Echavez JF, Gonzalez-Ruiz K, Martinez-Torres J, et al. Estado actual de la investigación y principales barreras para la práctica basada en evidencia en fisioterapeutas colombianos. Fisioterapia. 2013; 35: 146–53.
Ramírez-Vélez R, Meneses-Echavez JF, García S, González-Ruiz K, Agredo-Zúñiga RA. Critical analysis of physical therapy groups promoting scientific research in Colombia. A cross sectional study. CATUSSABA. 2013; 2: 39–45.
Duran-Palomino D, Chapetón O, Martínez-Santa J, Campos Rodríguez A, Ramírez-Vélez R. Cumplimiento de las recomendaciones en rehabilitación respiratoria de la British Thoracic Society en pacientes con fibrosis quística: estudio en fisioterapeutas colombianos. Rev Peru Med Exp Salud Publica. 2013; 30(2): 256–61.
Ramírez-Vélez R, Escobar Hurtado C, Flórez López ME. Análisis de la capacidad científica e investigativa de los profesionales en Fisioterapia de Colombia. Dificultades y oportunidades de desarrollo. Rev Iberoam Fisioter Kinesiol. 2011; 13: 37–45.
Turner P, Whitfield TWA. Physiotherapists' use of evidence based practice: a cross-national study. Physiother Res Int. 1997; 2: 17–29.
Iles R, Davidson M. Evidence based practice: A survey of physiotherapists' current practice. Physiother Res Int. 2006; 11: 93–103.
Guerra J, Bagur C, Girabent M. Adaptación al castellano y validación del cuestionario sobre práctica basada en la evidencia en fisioterapeutas. Fisioterapia. 2012; 34: 65–72.
Jette DU, Bacon K, Batty C, Carlson M, Ferland A, Hemingway RD, et al. Evidence-based practice: Beliefs, attitudes, knowledge, and behaviors of physical therapists. Phys Ther. 2003; 83: 786–805.
Bialocerkowski AE, Grimmer KA, Milanese SF, Kumar VS. Application of current research evidence to clinical physiotherapy practice. J Allied Health. 2004; 33: 230–7.
Flórez-López ME, Muñoz-Rodríguez DI, Domínguez MA, Ramírez-Cardona L, Correa-Bautista JE, González-Ruiz K, et al. Práctica basada en evidencia. Propiedades psicométricas de un cuestionario para su medición. Fisioterapia. 2014; 36(5): 207–16.
Chapetón O, Duran-Palomino D, Cubillos V, Martínez-Santa J, Campos A, Ramírez-Vélez R. Variabilidad en la asistencia hospitalaria. El caso de la rehabilitación respiratoria en Colombia. Fisioterapia. 2014; 36(2): 65–72.
Ramírez-Vélez R, González-Ruíz K, Domínguez MA, Durán-Palomino D. Reflexiones acerca de la educación y la investigación de los profesionales de la rehabilitación de Colombia. Rev Med Risaralda. 2013; 19(1): 86–93.
Manspeaker SA, Van Lunen BL, Turocy PS, Pribesh S, Hankemeier D. Student knowledge, attitudes, and use of evidence-based concepts following an educational intervention. Athl Train Educ J. 2011; 6(2): 88–98.
Dannapfel P, Peolsson A, Nilsen P. What supports physiotherapists' use of research in clinical practice? A qualitative study in Sweden. Implement Sci. 2013; 8: 31.
Ramírez-Vélez R, Escobar-Hurtado C, Ágredo-Zúñiga RA, Flórez-López ME. Profile research of physical therapy professionals in Colombia. MÉD UIS. 2011; 24: 34–40.
Ramírez-Vélez R, Escobar-Hurtado C, Florez-López ME. Análisis de la capacidad científica e investigativa de los profesionales en Fisioterapia de Colombia. Dificultades y oportunidades de desarrollo. Rev Iberoam Fisioter Kinesiol. 2010; 13: 37–45.
Martis R, Ho JJ, Crowther CA. Survey of knowledge and perception on the access to evidence-based practice and clinical practice change among maternal and infant health practitioners in South East Asia. BMC Pregnancy Childbirth. 2008; 8: 34.
Solà I, Carrasco JM, Díaz Del Campo P, Gracia J, Orrego C, Martínez F, et al. Attitudes and perceptions about clinical guidelines: a qualitative study with Spanish physicians. PLoS One. 2014; 9(2): e86065
Aarons GA, Cafri G, Lugo L, Sawitzky A. Expanding the domains of attitudes towards evidence-based practice: the evidence based practice attitude Scale-50. Adm Policy Ment Health. 2012; 39: 331–40.
Ramírez-Vélez R, Meneses-Echavez JF, Duran-Palomino D. Campos-Rodríguez A. Evaluación de la calidad clínica y metodológica de las guías de práctica clínica para el manejo fisioterapéutico del paciente con enfermedad respiratoria Original. Fisioterapia. 2014; 36(3): 110–6.
Gómez J, Morales JSA, Bennasar M, Vives G, Perelló C. Entorno de práctica de los profesionales de enfermería y competencia para la incorporación de la evidencia a las decisiones: situación en las Islas Baleares. Gac Sanit. 2011; 25(3): 191–7.
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