Barriers and facilitators of evidence‐based physiotherapy practice in Iran: A qualitative study.
Background: To facilitate evidence‐based practice (EBP) in physiotherapy in Iran and guide future improvements, it is crucial to identify what barriers and facilitators exist in the current system from the physiotherapist's perspective. Therefore, the purpose of this study was to explore the barrier...
| Publicado en: | Musculoskeletal Care Vol. 21; no. 4; pp. 1507 - 1529 |
|---|---|
| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Dec2023
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=174158068&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 174158068 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14782189 VRY jtl: Musculoskeletal Care issn: 14782189 maglogo: Y pubinfo: dt: Dec2023 vid: 21 iid: 4 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 174158068 172882680 174158068 174158068 10.1002/msc.1831 174158068 ppf: 1507 ppct: 22 formats: tig: atl: Barriers and facilitators of evidence‐based physiotherapy practice in Iran: A qualitative study. aug: au: ShahAli, Shabnam Kajbafvala, Mehrnaz Fetanat, Sadaf Karshenas, Fahimeh Farshbaf, Marzieh Hegazy, Fatma Shahabi, Saeed affil: Iranian Center of Excellence in Physiotherapy, Rehabilitation Research Center, Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran sug: subj: Physical Therapy Practice, Evidence-Based Evaluation Health Services Accessibility Evaluation Human Iran Qualitative Studies Phenomenological Research Purposive Sample Snowball Sample Semi-Structured Interview Thematic Analysis Physical Therapists Faculty, Medical Workload Financial Support Insurance Coverage Motivation Funding Source ab: Background: To facilitate evidence‐based practice (EBP) in physiotherapy in Iran and guide future improvements, it is crucial to identify what barriers and facilitators exist in the current system from the physiotherapist's perspective. Therefore, the purpose of this study was to explore the barriers and facilitators of EBP in physiotherapy in Iran. Methods: This qualitative study was conducted using a phenomenological approach from January to July 2023 in Iran. The sampling process started with a purposive approach, and then an attempt was made to identify and interview more potential samples with the snowball approach. Thematic analysis was used to analyse the collected qualitative data. Results: 44 individuals, including 37 physiotherapists and seven faculty members, participated in this study. Several barriers and facilitators to evidence‐based physiotherapy practice in Iran were found and then put into three themes: (1) individual factors, (2) practice environment factors, and (3) extra‐organisational factors. The most common barriers were time/workload pressures, financial incentives, lack of motivation, weakness in English, managers' pressures, inadequate awareness among patients, infrastructure limitations, poor economic situation, Internet restrictions, inappropriateness of the educational curriculum, difficult access to scientific research, and lack of insurance coverage for up‐to‐date therapies. Conclusions: Although most of the participants had a very positive view of physiotherapy based on scientific evidence, various obstacles have prevented this approach from being well implemented in Iran. Therefore, it is necessary to move towards minimising the existing barriers at the individual, practice environment, and extra‐organisational levels by adopting effective multilateral policies. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|