印度德里和NCR的物理治疗师使用循证实践:一项横断面调查

Ramesh Gyawali, N. Hamdani
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引用次数: 0

摘要

引言:循证实践(EBP)是对科学数据库的访问和可用性,在实践中对相关文献的搜索,以及在对个体患者的护理做出决策时精确使用证据。对信念、态度、知识和行为等变量的评估,产生了个体实施EBP的因素影响和自我效能感,并概念化了EBP在物理治疗领域日益增长的重要性。本研究旨在评估印度物理治疗师对EBP的信念和态度,以及与获取和评估证据相关的知识和技能,并确定实践中的障碍。方法:采用横断面分析方法,对在德里市和NCR工作的物理治疗师进行研究。调查问卷包含5个部分和51个陈述项目,筛选个人在使用EBP方面的信念、态度、知识和行为。通过Logistic回归分析得到了各变量之间的关系。数据收集于2016年4月至2016年5月。结果:87%的物理治疗师表示他们对EBP持积极态度,并理解循证实践的必要性。他们熟悉搜索引擎(87%),相关文献在实践中有用(75%),有助于临床决策(75.9%),提高患者护理质量(78.9%),但大多数受访者表示不符合患者偏好(51.8%),研究发现缺乏对个体患者的普遍性(28.7%),以及纳入EBP的时间不足(77.8%)。结论:来自德里和NCR的印度物理治疗师认为,他们对获得EBP持积极态度,利用现有证据进行临床决策,提高患者护理质量。工作环境中的文化变化和组织的支持将允许更多的时间搜索相关数据库,以便在日常临床实践中实施EBP。
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Use of Evidence Based Practice by Physical Therapist in Delhi and NCR, India: A Crossectional Survey
Introduction: Evidence-based practice (EBP) is access to and availability of the scientific database, the search of relevant literature in practice, and the precise use of Evidence in making decisions about the care of individual patients. Assessment of variables such as the beliefs, attitudes, knowledge, and behavior give rise to factor influencing and self-efficacy of individuals practicing EBP and conceptualizing the growing importance of EBP in the physical therapy sector. The present study aimed to assess belief and attitude about EBP, its knowledge, and skills related to obtaining and evaluating evidence and identify barriers to practice among Physical Therapists in India. Methods: A cross-sectional analytical study was conducted among the physical therapist working in Delhi and NCR. A survey questionnaire contains 5 segments and 51 statement item screening beliefs, attitudes, knowledge, and behavior of individuals in terms of using EBP. The relationship among variables is obtained by using Logistic Regression analysis. The data was collected from April 2016 through May 2016. Results: The physical therapist state that they had a positive attitude toward EBP and understand the necessity of evidencebased practice (87%). They were familiar with a search engine (87%), relevant literature is useful in practice (75%), help in clinical decision making (75.9%), and improve quality of patient care (78.9%) but the majority of respondents said that it doesn’t come under patient preference (51.8%), lack of generalizability of research finding to the individual patient (28.7%), and insufficient time (77.8%) to incorporate EBP. Conclusion: Indian physical therapists from Delhi and NCR believe that they had a positive attitude toward obtaining EBP, using available evidence for clinical decision making, and improve the quality of patient care. A cultural change within the working environment and the organization’s support will allow more time for searching relevant databases for implementing EBP in daily clinical practice.
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来源期刊
CiteScore
0.20
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0.00%
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审稿时长
12 weeks
期刊介绍: The Online Journal of Health & Allied Sciences is the FIRST "Online Only" medical journal from India. The journal brings the vast potential of the Internet to the doorsteps of the biomedical fraternity for publishing various topics of common interest.
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