Evidence-based practice in undergraduate physiotherapy programs in Brazil: A cross-sectional document analysis study.

IF 1.5 Q3 REHABILITATION Physiotherapy Research International Pub Date : 2024-01-01 Epub Date: 2023-11-20 DOI:10.1002/pri.2065
Nívea Renata Oliveira Monteiro, Wueyla Nicoly Nascimento Santos, André Silva Sousa, Daniela Gonçalves Ohara, Maycon Sousa Pegorari, Areolino Pena Matos
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Abstract

Background and purpose: Physiotherapists worldwide are encouraged to integrate evidence-based practice (EBP) to provide safer and effective services. However, for professionals to consolidate this practice, the contact with EBP must begin at the university. In this study, we aimed to map and analyze the distribution of EBP courses and their characteristics in undergraduate physiotherapy programs in Brazil.

Methods: This web-based document analysis study analyzed the current curricula of undergraduate physiotherapy programs in Brazil according to their availability on university sites. The identification of curricular components and analysis of EBP course syllabi used evidence-based descriptive terms. A descriptive analysis was used to verify the frequency and the regional distribution of EBP courses.

Results: Of 1033 accredited programs in Brazil, 809 curricula were analyzed. Only 9.4% (76/809) of the analyzed curricula presented EBP courses; the mean duration of courses was 44.3 (SD 13.5) hours. Southeast region had the greatest number of undergraduate programs (46.5%, 376/809), and the north region had a proportionally greater number of EBP courses (24%, 12/50). In addition, 15.6% (10/64) and 8.9% (66/739) of the curricula of public and private institutions, respectively, provided EBP content. Critical appraisal was the most mentioned step among 15 undergraduate programs with complete EBP syllabi.

Discussion: Most undergraduate physiotherapy programs in Brazil did not offer an EBP course. Also, an unbalanced emphasis on the critical appraisal step was observed. The lack of EBP content and skills in the curricula of Brazilian undergraduate physiotherapy programs may negatively influence the training, decision-making, and clinical practice of physiotherapists. A re-evaluating of the current undergraduate programs and curricula for EBP-based education is needed.

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巴西本科物理治疗项目的循证实践:一项横断面文献分析研究。
背景和目的:世界各地的物理治疗师被鼓励整合循证实践(EBP),以提供更安全、更有效的服务。然而,对于专业人士来说,要巩固这种实践,与EBP的接触必须从大学开始。在本研究中,我们旨在绘制和分析巴西本科物理治疗课程中EBP课程的分布及其特点。方法:这项基于网络的文献分析研究根据巴西大学网站上现有的本科物理治疗课程进行了分析。课程组成的识别和EBP课程大纲的分析使用循证描述性术语。描述性分析验证了EBP病程的发生频率和区域分布。结果:在巴西1033个认证项目中,809个课程被分析。仅9.4%(76/809)的课程提供EBP课程;平均疗程为44.3小时(SD 13.5)。东南地区开设本科课程最多(46.5%,376/809),北部地区开设EBP课程比例较高(24%,12/50)。此外,15.6%(10/64)和8.9%(66/739)的公立和私立院校的课程分别提供了EBP内容。在完整的EBP教学大纲的15个本科专业中,批判性评估是被提及最多的步骤。讨论:巴西大多数本科物理治疗项目不提供EBP课程。此外,还观察到对关键评价步骤的不平衡强调。巴西本科物理治疗课程中缺乏EBP内容和技能可能会对物理治疗师的培训、决策和临床实践产生负面影响。需要重新评估当前的本科课程和ebp基础教育课程。
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来源期刊
CiteScore
3.30
自引率
5.90%
发文量
53
期刊介绍: Physiotherapy Research International is an international peer reviewed journal dedicated to the exchange of knowledge that is directly relevant to specialist areas of physiotherapy theory, practice, and research. Our aim is to promote a high level of scholarship and build on the current evidence base to inform the advancement of the physiotherapy profession. We publish original research on a wide range of topics e.g. Primary research testing new physiotherapy treatments; methodological research; measurement and outcome research and qualitative research of interest to researchers, clinicians and educators. Further, we aim to publish high quality papers that represent the range of cultures and settings where physiotherapy services are delivered. We attract a wide readership from physiotherapists and others working in diverse clinical and academic settings. We aim to promote an international debate amongst the profession about current best evidence based practice. Papers are directed primarily towards the physiotherapy profession, but can be relevant to a wide range of professional groups. The growth of interdisciplinary research is also key to our aims and scope, and we encourage relevant submissions from other professional groups. The journal actively encourages submissions which utilise a breadth of different methodologies and research designs to facilitate addressing key questions related to the physiotherapy practice. PRI seeks to encourage good quality topical debates on a range of relevant issues and promote critical reflection on decision making and implementation of physiotherapy interventions.
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