加拿大骨科医生对循证实践的态度、技能和使用情况的全国横断面调查

IF 1.1 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL International Journal of Osteopathic Medicine Pub Date : 2024-03-16 DOI:10.1016/j.ijosm.2024.100721
René Pelletier , Chantal Morin , Monica Noy , Oliver P. Thomson , Tobias Sundberg , Matthew J. Leach
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引用次数: 0

摘要

医疗保健行业面临着越来越大的压力,需要将研究证据融入实践,以改善患者的治疗效果。对于许多专业而言,人们对循证实践(EBP)的采用情况仍然知之甚少,加拿大的骨科医生也不例外。本研究的主要目的是确定加拿大骨科医生对循证实践的认知、培训、自我认知技能、使用、障碍和促进因素。加拿大骨科医生应邀参加了使用循证实践态度和使用情况调查的在线调查。四百零八名骨科医生(回复率为 13.4%)提供了知情同意书,其中三百四十名骨科医生回答了所有问题。大多数受访者对循证医学实践持肯定态度,认为其非常重要(70.8%)。大多数受访者(超过 65%)将其执行 EBP 的技能评为中高级水平。受访者很少使用 EBP。使用 EBP 的障碍是缺乏临床证据、时间以及与骨科实践的相关性。使用 EBP 的促进因素包括有更多机会获取研究文章和工具,以及有关批判性分析研究的更多信息。虽然受访者很少搜索和查阅研究信息,但他们认为这与临床实践指南、个人和患者偏好一样,是临床决策的最重要方面。加拿大整骨疗法徒手从业者基本上都支持 EBP,但将其纳入临床实践的承诺却很有限。提高EBP的知识和技能,解决EBP应用的障碍,并将EBP纳入教育计划,可以提高EBP在整骨疗法实践中的应用。
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A national cross-sectional survey of the attitudes, skills and use of evidence-based practice amongst Canadian osteopaths

Background

Health care professions face increasing pressure to integrate research evidence into practice to improve patient outcomes. For many professions, the uptake of evidence-based practice (EBP) remains poorly understood, including for osteopaths in Canada. The primary aim of this study was to determine the perceptions, training, self perceived skills, use, barriers, and facilitators of EBP amongst Canadian osteopaths.

Methods

Canadian Osteopaths were invited to participate in an online survey using the Evidence-Based Practice Attitude and Utilisation Survey.

Results

Four hundred and eight osteopaths’ (response rate 13.4%) provided informed consent of which three hundred and forty answered all questions. The majority of respondents had a favorable perception and believed EBP was important (70.8%). Most respondents (>65%) rated their skills in performing EBP at a medium-high level. EBP use was infrequent among respondents. Barriers to the utilisation of EBP were lack of clinical evidence, time, and relevance to osteopathic practice. Facilitators of EBP use included having greater access to research articles and tools, and further information regarding critical analysis of research. Although searching and consulting research information was rarely performed by respondents, they were perceived as the most important aspect of clinical decision making along with clinical practice guidelines, personal and patient preferences.

Conclusion

Canadian osteopathic manual practitioners were largely supportive of EBP but there was limited commitment to its integration within clinical practice. Improving knowledge and skills of EBP, addressing the barriers of EBP uptake, and integrating EBP into educational programs may improve the uptake of EBP within osteopathic practice.

Implications for practice

There is acknowledgement of the importance and benefits of evidence-based practice amongst Canadian osteopaths.

Although Canadian osteopaths recognize the importance of evidence-based practice there is limited commitment to its use within clinical practice.

The major barriers to the use of evidence-based practice are a lack of time and clinically relevant osteopathic literature.

Canadian osteopaths state that patient preference, clinical practice guidelines, published clinical evidence and personal preference where the most important sources of information used for the basis of clinical decision making.

Interventions that aim to improve knowledge and skills, addresses barriers, and fosters alignment between osteopathic models and evidence-based practices may help to improve the uptake among osteopaths in Canada.

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来源期刊
CiteScore
2.20
自引率
36.80%
发文量
42
审稿时长
3 months
期刊介绍: The International Journal of Osteopathic Medicine is a peer-reviewed journal that provides for the publication of high quality research articles and review papers that are as broad as the many disciplines that influence and underpin the principles and practice of osteopathic medicine. Particular emphasis is given to basic science research, clinical epidemiology and health social science in relation to osteopathy and neuromusculoskeletal medicine. The Editorial Board encourages submission of articles based on both quantitative and qualitative research designs. The Editorial Board also aims to provide a forum for discourse and debate on any aspect of osteopathy and neuromusculoskeletal medicine with the aim of critically evaluating existing practices in regard to the diagnosis, treatment and management of patients with neuromusculoskeletal disorders and somatic dysfunction. All manuscripts submitted to the IJOM are subject to a blinded review process. The categories currently available for publication include reports of original research, review papers, commentaries and articles related to clinical practice, including case reports. Further details can be found in the IJOM Instructions for Authors. Manuscripts are accepted for publication with the understanding that no substantial part has been, or will be published elsewhere.
期刊最新文献
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