Main Article Content

Authors

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.

Vicente Benavides, Universidad del Valle, Cali, Colombia.

orcid_id14.png https://orcid.org/0000-0002-9129-0183

Rodrigo Torres-Castro, Universidad de Chile, Department of Physical Therapy, Santiago, Chile

orcid_id14.png https://orcid.org/0000-0001-7974-4333

Guilherme A. F. Fregonezi, Empresa Brasileira de Serviços Hospitalares

orcid_id14.png 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.

orcid_id14.png 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.

orcid_id14.png https://orcid.org/0000-0001-8817-7000

Alejandra Cañas, Hospital Universitario San Ignacio, Bogotá, Colombia., Pontificia Universidad Javeriana. Internal Medicine Department, Bogotá, Colombia.

orcid_id14.png 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

orcid_id14.png 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

orcid_id14.png 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.,

orcid_id14.png 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

Benavides, V., Torres-Castro, R., Fregonezi, G. A., Resqueti, V., Perez Nieto, O., Cañas, A., Larrateguy, S., Mazzucco, G., & Betancourt-Peña, J. (2024). Evidence-based practice in respiratory healthcare professionals in Latin America: : a survey of the Latin American Thoracic Association (ALAT). Colombia Medica, 55(1), e2005884. https://doi.org/10.25100/cm.v55i1.5884 (Original work published May 22, 2024)

Downloads

Download data is not yet available.