A cross-sectional study evaluating the knowledge, attitude, and practice of evidence-based medicine among resident doctors of a health-care Institution of National Importance in India

Vivekraj Navabalan, Indumathi Prabath, Suja Xaviar, Jayanthi Mathaiyan
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Abstract

Background and Objectives: Evidence-based medicine (EBM) promotes the integration of updated– best evidence with patient preferences and medical expertise for clinical decision-making. Despite the availability of high-quality evidence such as systematic review and meta-analysis, some clinicians manage their patients based on past experiences and expert opinion. Thus, this study was proposed to assess the knowledge, attitude, and practice of EBM among resident doctors at a tertiary care hospital in India. Participants and Methods: This cross-sectional questionnaire-based study was conducted among senior residents and final-year postgraduates (PGs) who were independently involved in clinical decision-making. By convenience sampling method, the participants were recruited, and the validated EBM Questionnaire (EBMQ) was distributed online for assessing the knowledge, attitude, and practice of EBM. Descriptive statistics were represented as frequency and proportions. Results: A total of 102 resident doctors participated with male preponderance (74.5%). Nearly, 96 (94.1%) participants were already practicing EBM and 21.6% had undergone EBM training. Textbooks (50%) were the most often referred sources for EBM information. Specific EBM databases such as MEDLINE and Cochrane were also utilized by 37.3% of participants. More than 70% of participants understood the terms such as a randomized controlled trial, case–control study, and P value. A higher proportion (80.4%) of participants showed a positive attitude about patient care improved by EBM. Conclusions: The majority of the resident doctors exhibited good knowledge and a positive attitude toward applying EBM in clinical decision-making. Periodic training through workshops or courses and integration of EBM with the PG curriculum would potentially enhance the EBM practice.
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一项横断面研究,评估了印度一家国家级重要医疗机构的住院医生对循证医学的知识、态度和实践
背景和目的:循证医学(EBM)促进将最新的最佳证据与患者偏好和临床决策的医学专业知识相结合。尽管有高质量的证据,如系统评价和荟萃分析,一些临床医生根据过去的经验和专家意见来管理他们的病人。因此,本研究旨在评估印度某三级医院住院医师对循证医学的知识、态度和实践。参与者和方法:本研究以横断面问卷为基础,在独立参与临床决策的老年住院医师和最后一年的研究生(pg)中进行。采用方便抽样的方法,在线发放经验证的循证医学问卷(EBMQ),对参与者的循证医学知识、态度和实践情况进行评估。描述性统计用频率和比例表示。结果:共有102名住院医师参与调查,男性占74.5%。近96名(94.1%)参与者已经在实践循证医学,21.6%的参与者接受过循证医学培训。教科书(50%)是EBM信息最常被引用的来源。37.3%的参与者还使用了MEDLINE和Cochrane等特定的EBM数据库。超过70%的参与者理解随机对照试验、病例对照研究和P值等术语。较高比例(80.4%)的参与者对循证医学改善患者护理持积极态度。结论:大部分住院医师对实证医学应用于临床决策表现出良好的认知和积极的态度。通过研讨会或课程进行定期培训,并将循证医学与研究生课程相结合,可能会提高循证医学的实践水平。
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来源期刊
Perspectives in Clinical Research
Perspectives in Clinical Research Medicine-Medicine (all)
CiteScore
2.90
自引率
0.00%
发文量
41
审稿时长
36 weeks
期刊介绍: This peer review quarterly journal is positioned to build a learning clinical research community in India. This scientific journal will have a broad coverage of topics across clinical research disciplines including clinical research methodology, research ethics, clinical data management, training, data management, biostatistics, regulatory and will include original articles, reviews, news and views, perspectives, and other interesting sections. PICR will offer all clinical research stakeholders in India – academicians, ethics committees, regulators, and industry professionals -a forum for exchange of ideas, information and opinions.
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