Evidence-based practice in respiratory healthcare professionals in Latin America: a survey of the Latin American Thoracic Association (ALAT).
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Background:
Evidence-based practice (EBP) is a systematic approach to professional practice using the best available evidence to make informed clinical decisions in healthcare. It is necessary to measure and identify strengths and opportunities for improvement.
Objective:
To assess the knowledge and application of EBP in respiratory health professionals in Latin America.
Methods:
A cross-sectional study was conducted. The questionnaire was distributed online to health professionals in Latin American countries. Demographic data, professional characteristics, EBP training, and questionnaire responses were collected. Descriptive and inferential statistical analyses were performed.
Results:
A total of 448 respiratory health professionals participated in the study. Responses were obtained from 17 countries where the majority were female, with an average age of 42. Participants included physicians, physiotherapists, nurses, respiratory therapists, speech therapists, and occupational therapists. Overall scores indicated moderate to high levels of EBP knowledge and application. However, variations were observed in different dimensions. Factors such as EBP training, reading scientific articles, and professional characteristics were associated with higher scores. Barriers to implementing EBP were identified mostly related to institutional support.
Conclusions:
This study provides information on the knowledge and implementation of EBP in respiratory health professionals in Latin America. Although the overall levels of knowledge and application of EBP were moderate to high, there are options for improvement, especially in addressing barriers to implementation.
- Evidence-Based Medicine
- health workers
- Latin America
- Surveys and Questionnaires
Vicente Benavides, Universidad del Valle, Cali, Colombia.
https://orcid.org/0000-0002-9129-0183
Rodrigo Torres-Castro, Universidad de Chile, Department of Physical Therapy, Santiago, Chile
https://orcid.org/0000-0001-7974-4333
Guilherme A. F. Fregonezi, Empresa Brasileira de Serviços Hospitalares
https://orcid.org/0000-0003-4938-7018
Vanessa Resqueti, Empresa Brasileira de Serviços Hospitalares, Hospital Universitário Onofre Lopes, PneumoCardioVascular Lab/HUOL, Natal, Brasil. - Universidade Federal do Rio Grande do Norte, Departamento de Fisioterapia Natal, Brasil.
https://orcid.org/0000-0003-4817-9364
Orlando Perez Nieto, Hospital General San Juan del Río. Unidad de Cuidados Intensivos, Querétaro, México., Universidad Autónoma de Querétaro, Medicina Crítica, Querétaro, México.
https://orcid.org/0000-0001-8817-7000
Alejandra Cañas, Hospital Universitario San Ignacio, Bogotá, Colombia., Pontificia Universidad Javeriana. Internal Medicine Department, Bogotá, Colombia.
https://orcid.org/0000-0003-3975-2835
Santiago Larrateguy, Centro Privado de Medicina Respiratoria, Paraná, Argentina. - Hospital de la Baxada, Paraná, Argentina. - Universidad Adventista del Plata, Libertador San Martín, Argentina
https://orcid.org/0000-0002-4043-7819
Guillermo Mazzucco, Deusto Physical TherapIker, Departamento de Fisioterapia, Facultad Ciencias de la Salud, Universidad de Deusto, Donostia San-Sebastián, España - Empresa Brasileira de Serviços Hospitalares, Hospital Universitário Onofre Lopes, PneumoCardioVascular Lab/HUOL, Natal, Brasil
https://orcid.org/0000-0002-3288-5363
Jhonatan Betancourt-Peña, Universidad del Valle, Facultad de Salud, Cali, Colombia - Institución Universitaria Escuela Nacional del Deporte, Cali, Colombia. Cali , Colombia. - Universidad de Vigo, Vigo, España.,
https://orcid.org/0000-0002-7292-7628
Rycroft-Malone J, Seers K, Titchen A, Harvey G, Kitson A, McCormack B. What counts as evidence in evidence-based practice? J Adv Nurs. 2004; 47(1): 81-90. https://doi.org/10.1111/j.1365-2648.2004.03068.x PMid:15186471
Sackett DL, Rosenberg WMC, Gray JAM, Haynes RB, Richardson WS. Evidence based medicine: what it is and what it isn't. BMJ. 1996; 312(7023): 3-5. https://doi.org/10.1136/bmj.312.7023.71 PMid:8555924 PMCid:PMC2349778
Leach MJ. Evidence-based practice: a framework for clinical practice and research design. Int J Nurs Pract. 2006; 12(5): 248-51. https://doi.org/10.1111/j.1440-172X.2006.00587.x PMid:16942511
Sehon SR, Stanley DE. A philosophical analysis of the evidence-based medicine debate. BMC Health Serv Res. 2003; 3(1): 14. https://doi.org/10.1186/1472-6963-3-14 PMid:12873351 PMCid:PMC169187
Breet E, Matooane M, Tomlinson M, Bantjes J. Systematic review and narrative synthesis of suicide prevention in high-schools and universities: a research agenda for evidence-based practice. BMC Public Health. 2021; 21(1): 1116. https://doi.org/10.1186/s12889-021-11124-w PMid:34112141 PMCid:PMC8194002
Scurlock-Evans L, Upton P, Upton D. Evidence-based practice in physiotherapy: a systematic review of barriers, enablers and interventions. Physiotherapy. 2014; 100(3): 208-19. https://doi.org/10.1016/j.physio.2014.03.001 PMid:24780633
Norman GR, Shannon SI, Marrin ML. The need for needs assessment in continuing medical education. BMJ. 2004; 328(7446): 999. https://doi.org/10.1136/bmj.328.7446.999 PMid:15105326 PMCid:PMC404504
Taylor R, Reeves B, Mears R, Keast J, Binns S, Ewings P, et al. Development and validation of a questionnaire to evaluate the effectiveness of evidence-based practice teaching. Med Educ. 2001; 35(6): 544-7. https://doi.org/10.1046/j.1365-2923.2001.00916.x PMid:11380856
Mainous AG, Baker R, Love MM, Gray DP, Gill JM. Continuity of care and trust in one's physician: evidence from primary care in the United States and the United Kingdom. Fam Med. 2001; 33(1): 22-7.
Argimon-Palls JM, Flores-Mateo G, Jiménez-Villa J, Pujol-Ribera E. Effectiveness of a short-course in improving knowledge and skills on evidence-based practice. BMC Fam Pract. 2011; 12(1): 1-7. https://doi.org/10.1186/1471-2296-12-64 PMid:21718496 PMCid:PMC3146413
Duffy EA, Hooke MC, Landier W. Reflections on the past decade in evidence-based practice within the children's oncology group. J Pediatr Hematol Oncol Nurs. 2024; https://doi.org/10.1177/27527530231222827 PMid:38437793
Baeza JI, Fraser A, Boaz A. Evidence-based practice: reflections from five European case studies. London J Prim Care (Abingdon). 2014; 6(5): 98. https://doi.org/10.1080/17571472.2014.11493426 PMid:25949726 PMCid:PMC4338515
Zhao J, Bai W, Zhang Q, Su Y, Wang J, Du X, et al. Evidence-based practice implementation in healthcare in China: a living scoping review. Lancet Reg Health West Pac. 2022; 20: 100355.https://doi.org/10.1016/j.lanwpc.2021.100355 PMid:35036975 PMCid:PMC8743207
Valera-Gran D, Campos-Sánchez I, Prieto-Botella D, Fernández-Pires P, Hurtado-Pomares M, Juárez-Leal I, et al. Enhancing evidence-based practice into healthcare: Exploring the role of scientific skills in occupational therapists. Scand J Occup Ther. 2024; 31(1): 2323205. https://doi.org/10.1080/11038128.2024.2323205 PMid:38447524
Chien LY. Evidence-based practice and nursing research. J Nurs Res. 2019; 27(4): e29. https://doi.org/10.1097/jnr.0000000000000346 PMid:31313747 PMCid:PMC6641093
Streiner SC, Besterfield-Sacre M. Evidence-based approaches for engineering global preparedness programming: Research to inform practice. 2015 IEEE Frontiers in Education Conference (FIE), El Paso, TX, USA, 2015, pp. 1-5. https://doi.org/10.1109/FIE.2015.7344354 PMCid:PMC4305389
Sharma A, Minh Duc NT, Luu Lam Thang T, Nam NH, Ng SJ, Abbas KS, et al. A Consensus-Based Checklist for Reporting of Survey Studies (CROSS). J Gen Intern Med. 2021; 36(10): 3179-87. https://doi.org/10.1007/s11606-021-06737-1 PMid:33886027 PMCid:PMC8481359
Fernández-Domínguez JC, De Pedro-Gómez JE, Morales-Asencio JM, Bennasar-Veny M, SastreFullana P, Sesé-Abad A. Health Sciences-Evidence Based Practice questionnaire (HS-EBP) for measuring transprofessional evidence-based practice: Creation, development and psychometric validation. PLoS One. 2017; 12(5): e0177172. https://doi.org/10.1371/journal.pone.0177172 PMid:28486533 PMCid:PMC5423642
Schwenck RCB, Domenico EBL de. Adaptação transcultural e validação do "health sciences evidence based practice questionnaire" para o português do Brasil. REME Rev Min Enferm. 2023; 27: e-149. https://doi.org/10.35699/2316-9389.2023.38648
Fernández-Domínguez JC, Sesé-Abad A, Morales-Asencio JM, Sastre-Fullana P, Pol-Castañeda S, De Pedro-Gómez JE. Content validity of a health science evidence-based practice questionnaire (HS-EBP) with a web-based modified Delphi approach. Int J Qual Health Care. 2016; 28(6): 764-73. https://doi.org/10.1093/intqhc/mzw106 PMid:27655793
Mohammed AA, Gosling CM, Khasawneh E, McKenna L, Williams B. Challenges faced by female healthcare professionals in the workforce: a scoping review. J Multidiscip Health. 2020; 13: 681. https://doi.org/10.2147/JMDH.S254922 PMid:32821112 PMCid:PMC7417925
Upton P, Scurlock-Evans L, Williamson K, Rouse J, Upton D. The evidence-based practice profiles of academic and clinical staff involved in pre-registration nursing students' education: a cross sectional survey of U.S. and U.K. staff. Nurse Educ Today. 2015; 35(1): 80-5. https://doi.org/10.1016/j.nedt.2014.06.006 PMid:25027871
Lasso LA. Análisis de la formación posgradual a nivel de Maestría y Doctorado en Colombia entre 2010 y 2018. Espacios. 2020; 41(48): 161-76. https://doi.org/10.48082/espacios-a20v41n48p12
Balzer J, Jung A, Gerhard J, Reinecke S, Mijic M, Fichtmüller A, et al. Psychometric properties of questionnaires to assess evidence-based practice among occupational, physical and speech therapists: A systematic review. Z Evid Fortbild Qual Gesundhwes. 2023; 176: 1-11. https://doi.org/10.1016/j.zefq.2022.11.003 PMid:36702639
Fernández-Domínguez JC, De Pedro-Gómez JE, Jiménez-López R, Romero-Franco N, Bays Moneo AB, Oliva-Pascual-Vaca Á, et al. Physiotherapists Evidence-Based Practice profiles by HS-EBP questionnaire in Spain: A cross-sectional normative study. PLoS One. 2022; 17(6): e0269460. https://doi.org/10.1371/journal.pone.0269460 PMid:35658062 PMCid:PMC9165824
Portela dSO, Melly P, Hilfiker R, Giacomino K, Perruchoud E, Verloo H, et al. Effectiveness of educational interventions to increase skills in evidence-based practice among nurses: The EDITcare systematic review. Healthcare (Basel). 2022; 10(11): 2204. https://doi.org/10.3390/healthcare10112204 PMid:36360544 PMCid:PMC9691114
Cerritelli F, Iacopini A, Galli M, Thomson OP, Sundberg T, Leach MJ, et al. Evidence-based practice among Italian osteopaths: a national cross-sectional survey. BMC Complement Med Ther. 2021; 21(1): 1-10. https://doi.org/10.1186/s12906-021-03430-y PMid:34620142 PMCid:PMC8496002
Upton P, Scurlock-Evans L, Williamson K, Rouse J, Upton D. The evidence-based practice profiles of academic and clinical staff involved in pre-registration nursing students education: a cross sectional survey of U.S. and U.K. staff. Nurse Educ Today. 2015; 35(1): 80-5. https://doi.org/10.1016/j.nedt.2014.06.006 PMid:25027871
Balzer J, Jung A, Gerhard J, Reinecke S, Mijic M, Fichtmüller A, et al. Psychometric properties of questionnaires to assess evidence-based practice among occupational, physical and speech therapists: A systematic review. Z Evid Fortbild Qual Gesundhwes. 2023; 176: 1-11. https://doi.org/10.1016/j.zefq.2022.11.003 PMid:36702639
Streiner SC, Besterfield-Sacre M. Evidence-based approaches for engineering global preparedness programming: Research to inform practice. 2015 IEEE Frontiers in Education Conference (FIE), El Paso, TX, USA, 2015, pp. 1-5, https://doi.org/10.1109/FIE.2015.7344354 PMCid:PMC4305389
Flores-Mateo G, Argimon JM. Evidence based practice in postgraduate healthcare education: A systematic review. BMC Health Serv Res. 2007; 7(1): 1-8. https://doi.org/10.1186/1472-6963-7-119 PMid:17655743 PMCid:PMC1995214
Snibsøer AK, Espehaug B, Ciliska D, Nortvedt MW. Changes in evidence-based practice beliefs and implementation after a postgraduate educational program: A before-and-after study over one year. Nordic J Nurs Res. 2017; 37(3): 164-171. https://doi.org/10.1177/2057158517692754
Lehane E, Leahy-Warren P, O'Riordan C, Savage E, Drennan J, O'Tuathaigh C, et al. Evidence-based practice education for healthcare professions: an expert view. BMJ Evid Based Med. 2019; 24(3): 103-8. https://doi.org/10.1136/bmjebm-2018-111019 PMid:30442711 PMCid:PMC6582731
Lehane E, Leahy-Warren P, O'Riordan C, Savage E, Drennan J, O'Tuathaigh C, et al. Evidence-based practice education for healthcare professions: an expert view. BMJ Evid Based Med. 2019; 24(3): 103-8. https://doi.org/10.1136/bmjebm-2018-111019 PMid:30442711 PMCid:PMC6582731
Rwamamara RA, Lagerqvist O, Olofsson T, Johansson BM, Algirdas KK. Evidence-based prevention of work-related musculoskeletal injuries in construction industry. J Civil Engineer Manag. 2010; 16(4): 499-509. https://doi.org/10.3846/jcem.2010.56
Mir HR, Cannada LK, Murray JN, Black KP, Wolf JM. Orthopaedic resident and program director opinions of resident duty hours: a national survey. J Bone Joint Surg Am. 2011; 93(23): e1421-9. https://doi.org/10.2106/JBJS.K.00700 PMid:22159864
Cabrera PA, Pardo R. Review of evidence based clinical practice guidelines developed in Latin America and Caribbean during the last decade: an analysis of the methods for grading quality of evidence and topic prioritization. Global Health. 2019; 15(1): 14. https://doi.org/10.1186/s12992-019-0455-0 PMid:30782176 PMCid:PMC6380043
Tulloch-Reid MK, Saravia NG, Dennis RJ, Jaramillo A, Cuervo LG, Walker SP, et al. Fortalecimiento de la capacidad institucional para la equidad en la investigación en salud: enseñanzas de América Latina y el Caribe. Rev Panamer Salud Públ. 2019; 43: 1-6. https://doi.org/10.26633/RPSP.2019.311
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