'What scientific evidence supports this?' how do physiotherapists in private practice use evidence-based practice and what are the main challenges? A convergent parallel mixed-methods study.

Evidence-based practice (EBP) has been defined as the integration of best available scientific evidence, patient preferences, and individual clinical expertise. A range of barriers for implementing EBP in physiotherapy practice have been identified, but little is known about the underlying causes. T...

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Publicado en:European Journal of Physiotherapy Vol. 26; no. 4; pp. 201 - 211
Autores principales: Pedersen, Samuel Krogh, Platzer, Oscar Just, Rathleff, Michael Skovdal, Hoegh, Morten
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Aug2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2024
      vid: 26
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        atl: 'What scientific evidence supports this?' how do physiotherapists in private practice use evidence-based practice and what are the main challenges? A convergent parallel mixed-methods study.
      aug:
        au:
          Pedersen, Samuel Krogh
          Platzer, Oscar Just
          Rathleff, Michael Skovdal
          Hoegh, Morten
        affil: Department of Physiotherapy, University College of Northern Denmark, Aalborg, Denmark
      sug:
        subj:
          Physical Therapist Attitudes
          Physical Therapists Psychosocial Factors
          Private Practice
          Physical Therapy Practice, Evidence-Based Utilization
          Implementation Science
          Human
          Multimethod Studies
          Male
          Female
          Adult
          Middle Age
          Questionnaires
          Semi-Structured Interview
          Phenomenological Research
          Time
          Decision Making, Shared
          Patient Preference
          Peer Group
          Support, Psychosocial
          Organizational Culture
          Work Environment
          Professional-Patient Relations
          Cross Sectional Studies
          Descriptive Statistics
          Denmark
          Data Analysis Software
          Wilcoxon Signed Rank Test
          Thematic Analysis
          Income
          New Graduates
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Evidence-based practice (EBP) has been defined as the integration of best available scientific evidence, patient preferences, and individual clinical expertise. A range of barriers for implementing EBP in physiotherapy practice have been identified, but little is known about the underlying causes. The objective was to explore how physiotherapists in private practice perceive EBP, how they use, and what their main challenges are. This study used a convergent parallel mixed-methods design. It consisted of a 28-item questionnaire informed by systematic reviews with a deductive approach and semi-structured interviews with a phenomenological and inductive approach. The results from the questionnaire (n = 216) and the interviews (n = 9) showed that physiotherapists are more likely to implement EBP if they have sufficient flexibility in time allocation to facilitate shared decision-making and increase the integration of patient preferences. Support from colleagues and the workplace culture were identified as both a challenge and a potential facilitator for increased use of EBP. Participants in this study experienced several modifiable challenges, including lack of flexibility in time allocation and insufficient time to build rapport with the patient. Physiotherapists show inconsistency in their understanding of what EBP is – this ultimately becomes an additional and yet undescribed barrier for implementation of EBP.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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