Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
BMC Health Services Research
Published in: BMC Health Services Research 1/2018

Open Access 01-12-2018 | Research article

Reported use of evidence in clinical practice: a survey of rehabilitation practices in Norway

Authors: Jennifer L. Moore, Svein Friis, Ian D. Graham, Elisabeth Troøyen Gundersen, Jan E. Nordvik

Published in: BMC Health Services Research | Issue 1/2018

Login to get access

Abstract

Background

The South Eastern Health Region in Norway serves approximately 2.8 million people, which is more than half of Norway’s population. Physical medicine and rehabilitation services are provided by 9 public hospital trusts and 30 private rehabilitation facilities. The purposes of this study were to conduct a psychometric analysis of the EBP Implementation Scale (EBPIS) and describe rehabilitation clinicians’ self-reported 1) use of evidence-based practices (EBPs), 2) use of EBPs across hospitals, and 3) determine factors associated with use of EBPs in the South Eastern Health Region in Norway.

Methods

A cross-sectional study using an online survey was conducted with public hospitals and private rehabilitation centers. The survey, which was distributed throughout the region, included the EBPIS, 8 questions related to EBP in the health region, and demographics. Response frequencies were calculated and described. Internal consistency and factor structure of the EBPIS and its subscales were determined. Associations and differences in groups with similar demographics, EBPIS scores, and use of EBPs were identified.

Results

A total of 316 individuals completed the survey, including allied health clinicians, nurses, psychologists, social workers, and physicians. The EBPIS mean score was 30/72. A factor analysis identified that the EBPIS can be divided into 3 subscales: literature search and critical appraisal (α = .80), knowledge sharing (α = .83), and practice evaluation (α = .74). EBP activities reported were primarily related to literature searches, critical appraisal, and discussing evidence. Approximately 65 and 75% of respondents agreed that the same OMs and evidence based interventions were used within the local clinic respectively. Fewer agreed that the same OMs (13%) and evidence-based interventions (39%) are used regionally.

Conclusion

The EBPIS and its subscales demonstrated excellent internal consistency. Practice variability exists in rehabilitation throughout Southeastern Norway. An increased emphasis on use of EBP throughout the region is needed.
Literature
1.
Sackett DL, Straus S, Richardson WS, Rosenberg W, Haynes RB. Evidence-based medicine: how to practice and teach EBM. Second ed. Edinburgh: Churchill Livingstone; 2000.
2.
Kaderavek JN, Justice LM. Fidelity: an essential component of evidence-based practice in speech-language pathology. Am J Speech Lang Pathol. 2010;19(4):369–79.CrossRefPubMed
3.
Cohen DJ, Crabtree BF, Etz RS, Balasubramanian BA, Donahue KE, Leviton LC, Clark EC, Isaacson NF, Stange KC, Green LW. Fidelity versus flexibility: translating evidence-based research into practice. Am J Prev Med. 2008;35(5 Suppl):S381–9.CrossRefPubMed
4.
5.
McCain KJ, Pollo FE, Baum BS, Coleman SC, Baker S, Smith PS. Locomotor treadmill training with partial body-weight support before overground gait in adults with acute stroke: a pilot study. Arch Phys Med Rehabil. 2008;89(4):684–91.CrossRefPubMed
6.
Moore JL, Roth EJ, Killian C, Hornby TG. Locomotor training improves daily stepping activity and gait efficiency in individuals poststroke who have reached a "plateau" in recovery. Stroke. 2010;41(1):129–35.CrossRefPubMed
7.
Edwards DF, Hahn MG, Baum CM, Perlmutter MS, Sheedy C, Dromerick AW. Screening patients with stroke for rehabilitation needs: validation of the post-stroke rehabilitation guidelines. Neurorehabil Neural Repair. 2006;20(1):42–8.CrossRefPubMed
8.
9.
10.
Turner P, Whitfield TW. Physiotherapists' use of evidence based practice: a cross-national study. Physiother Res Int. 1997;2(1):17–29.CrossRefPubMed
11.
Pain K, Magill-Evans J, Darrah J, Hagler P, Warren S. Effects of profession and facility type on research utilization by rehabilitation professionals. J Allied Health. 2004;33(1):3–9.PubMed
12.
Kloda LA, Bartlett JC. Clinical information behavior of rehabilitation therapists: a review of the research on occupational therapists, physical therapists, and speech-language pathologists. J Med Lib Assoc. 2009;97(3):194–202.CrossRef
13.
Salbach NM, Guilcher SJ, Jaglal SB, Davis DA. Determinants of research use in clinical decision making among physical therapists providing services post-stroke: a cross-sectional study. Implement Sci. 2010;5:77.CrossRefPubMedPubMedCentral
14.
Askim T, Indredavik B, Engen A, Roos K, Aas T, Morkved S. Physiotherapy after stroke: to what extent is task-oriented practice a part of conventional treatment after hospital discharge? Physiother Theory Pract. 2013;29(5):343–50.CrossRefPubMed
15.
Philibert DB, Snyder P, Judd D, Windsor MM. Practitioners' reading patterns, attitudes, and use of research reported in occupational therapy journals. Am J Occup Ther. 2003;57(4):450–8.CrossRefPubMed
16.
Salbach NM, Jaglal SB, Korner-Bitensky N, Rappolt S, Davis D. Practitioner and organizational barriers to evidence-based practice of physical therapists for people with stroke. Phys Ther. 2007;87(10):1284–303.CrossRefPubMed
17.
Zipoli RP Jr, Kennedy M. Evidence-based practice among speech-language pathologists: attitudes, utilization, and barriers. Am J Speech Lang Pathol. 2005;14(3):208–20.CrossRefPubMed
18.
Straus S, Tetroe J, Graham I. Knowledge translation in health care: moving from evidence to practice. 2nd ed. West Sussex, UK: BMJ Books; 2013.CrossRef
19.
Dannapfel P, Peolsson A, Nilsen P. What supports physiotherapists' use of research in clinical practice? A qualitative study in Sweden. Implement Sci. 2013;8:31.CrossRefPubMedPubMedCentral
20.
Jette DU, Bacon K, Batty C, Carlson M, Ferland A, Hemingway RD, Hill JC, Ogilvie L, Volk D. Evidence-based practice: beliefs, attitudes, knowledge, and behaviors of physical therapists. Phys Ther. 2003;83(9):786–805.PubMed
21.
Lillefjell M, Knudtsen MS, Wist G, Ihlebaek C. From knowledge to action in public health management: experiences from a Norwegian context. Scand J Public Health. 2013;41(8):771–7.CrossRefPubMed
22.
Graham ID, Logan J, Harrison MB, Straus SE, Tetroe J, Caswell W, Robinson N. Lost in knowledge translation: time for a map? J Contin Educ Heal Prof. 2006;26(1):13–24.CrossRef
23.
24.
McAllister M, Osborne SR. Teaching and learning practice development for change. J Contin Educ Nurs. 2006;37(4):154–61.CrossRefPubMed
25.
Melnyk BM, Fineout-Overholt E, Mays MZ. The evidence-based practice beliefs and implementation scales: psychometric properties of two new instruments. Worldv Evid Based Nurs/ Sigma Theta Tau Int Honor Soc Nurs. 2008;5(4):208–16.CrossRef
26.
Stokke K, Olsen NR, Espehaug B, Nortvedt MW. Evidence based practice beliefs and implementation among nurses: a cross-sectional study. BMC Nurs. 2014;13(1):8.CrossRefPubMedPubMedCentral
27.
Dalheim A, Harthug S, Nilsen RM, Nortvedt MW. Factors influencing the development of evidence-based practice among nurses: a self-report survey. BMC Health Serv Res. 2012;12:367.CrossRefPubMedPubMedCentral
28.
Phillips C. Relationships between duration of practice, educational level, and perception of barriers to implement evidence-based practice among critical care nurses. Int J Evid Based Healthc. 2015;13(4):224–32.CrossRefPubMed
29.
Stanley JL, Hanson CL, Van Ness CJ, Holt L. Assessing evidence-based practice knowledge, attitudes, access and confidence among dental hygiene educators. J Dental Hygiene. 2016;90(Suppl 1):42.
30.
Weng YH, Kuo KN, Yang CY, Lo HL, Chen C, Chiu YW. Implementation of evidence-based practice across medical, nursing, pharmacological and allied healthcare professionals: a questionnaire survey in nationwide hospital settings. Implement Sci. 2013;8:112.CrossRefPubMedPubMedCentral
31.
Lang CE, Macdonald JR, Reisman DS, Boyd L, Jacobson Kimberley T, Schindler-Ivens SM, Hornby TG, Ross SA, Scheets PL. Observation of amounts of movement practice provided during stroke rehabilitation. Arch Phys Med Rehabil. 2009;90(10):1692–8.CrossRefPubMedPubMedCentral
32.
Smith M, Saunders R, Stuckhardt L, McGinnis JM. Best care at a lower cost: the path to continuously learning heatlh care in America. In: Institute of Medicine: IOM (Institute of Medicine); 2013.
33.
Squires JE, Hutchinson AM, Bostrom AM, O'Rourke HM, Cobban SJ, Estabrooks CA. To what extent do nurses use research in clinical practice? A systematic review. Implement Sci. 2011;6:21.CrossRefPubMedPubMedCentral
34.
Jones CA, Roop SC, Pohar SL, Albrecht L, Scott SD. Translating knowledge in rehabilitation: systematic review. Phys Ther. 2015;95(4):663–77.CrossRefPubMed
35.
Tilson JK, Mickan S, Howard R, Sum JC, Zibell M, Cleary L, Mody B, Michener LA. Promoting physical therapists' use of research evidence to inform clinical practice: part 3--long term feasibility assessment of the PEAK program. BMC Med Educ. 2016;16:144.CrossRefPubMedPubMedCentral
36.
Field B, Booth A, Ilott I, Gerrish K. Using the knowledge to action framework in practice: a citation analysis and systematic review. Implement Sci. 2014;9:172.CrossRefPubMedPubMedCentral
37.
Psek WA, Stametz RA, Bailey-Davis LD, Davis D, Darer J, Faucett WA, Henninger DL, Sellers DC, Gerrity G. Operationalizing the learning health care system in an integrated delivery system. EGEMS (Wash DC). 2015;3(1):1122.
38.
Huijg JM, Dusseldorp E, Gebhardt WA, Verheijden MW, van der Zouwe N, Middelkoop BJC, Duijzer G, Crone MR. Factors associated with physical Therapists' implementation of physical activity interventions in the Netherlands. Phys Ther. 2015;95(4):539–57.CrossRefPubMed
39.
Harlos K, Tetroe J, Graham ID, Bird M, Robinson N. Mining the management literature for insights into implementing evidence-based change in healthcare. Healthc Policy = Politiques de sante. 2012;8(1):33–48.CrossRefPubMed
40.
Tricco AC, Cardoso R, Thomas SM, Motiwala S, Sullivan S, Kealey MR, Hemmelgarn B, Ouimet M, Hillmer MP, Perrier L, et al. Barriers and facilitators to uptake of systematic reviews by policy makers and health care managers: a scoping review. Implement Sci. 2016;11(1):4.CrossRefPubMedPubMedCentral
Metadata
Title
Reported use of evidence in clinical practice: a survey of rehabilitation practices in Norway
Authors
Jennifer L. Moore
Svein Friis
Ian D. Graham
Elisabeth Troøyen Gundersen
Jan E. Nordvik
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2018
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-018-3193-8

Other articles of this Issue 1/2018

BMC Health Services Research 1/2018 Go to the issue

Research article

Evidence to service gap: cardiac rehabilitation and secondary prevention in rural and remote Western Australia

Research article

Assessing practice pattern differences in the treatment of acute low back pain in the United States Military Health System

Research article

State variation in opioid treatment policies and opioid-related hospital readmissions

Research article

Anticipating the potential for positive uptake and adaptation in the implementation of a publicly funded online STBBI testing service: a qualitative analysis

Research article

High rate of unplanned pregnancy in the context of integrated family planning and HIV care services in South Africa

Research article

A simple metric for a complex outcome: proposing a sustainment index for health indicators