Jette Diane U, Bacon Kimberly, Batty Cheryl, Carlson Melissa, Ferland Amanda, Hemingway Richard D, Hill Jessica C, Ogilvie Laura, Volk Danielle
Physical Therapy Program, Simmons College, 300 The Fenway, Boston, MA 02115, USA.
Phys Ther. 2003 Sep;83(9):786-805.
Little research has been done regarding the attitudes and behaviors of physical therapists relative to the use of evidence in practice. The purposes of this study were to describe the beliefs, attitudes, knowledge, and behaviors of physical therapist members of the American Physical Therapy Association (APTA) as they relate to evidence-based practice (EBP) and to generate hypotheses about the relationship between these attributes and personal and practice characteristics of the respondents.
A survey of a random sample of physical therapist members of APTA resulted in a 48.8% return rate and a sample of 488 that was fairly representative of the national membership. Participants completed a questionnaire designed to determine beliefs, attitudes, knowledge, and behaviors regarding EBP, as well as demographic information about themselves and their practice settings. Responses were summarized for each item, and logistic regression analyses were used to examine relationships among variables.
Respondents agreed that the use of evidence in practice was necessary, that the literature was helpful in their practices, and that quality of patient care was better when evidence was used. Training, familiarity with and confidence in search strategies, use of databases, and critical appraisal tended to be associated with younger therapists with fewer years since they were licensed. Seventeen percent of the respondents stated they read fewer than 2 articles in a typical month, and one quarter of the respondents stated they used literature in their clinical decision making less than twice per month. The majority of the respondents had access to online information, although more had access at home than at work. According to the respondents, the primary barrier to implementing EBP was lack of time.
Physical therapists stated they had a positive attitude about EBP and were interested in learning or improving the skills necessary to implement EBP. They noted that they needed to increase the use of evidence in their daily practice.
关于物理治疗师在实践中运用证据的态度和行为，相关研究较少。本研究的目的是描述美国物理治疗协会（APTA）物理治疗师会员与循证实践（EBP）相关的信念、态度、知识和行为，并就这些属性与受访者的个人及实践特征之间的关系提出假设。
对APTA物理治疗师会员进行随机抽样调查，回复率为48.8%，样本量为488，该样本能较好地代表全国会员情况。参与者完成一份问卷，旨在确定与EBP相关的信念、态度、知识和行为，以及他们自身和实践环境的人口统计学信息。对每个项目的回复进行总结，并使用逻辑回归分析来检验变量之间的关系。
受访者一致认为在实践中运用证据是必要的，文献对他们的实践有帮助，并且使用证据时患者护理质量更好。培训、对搜索策略的熟悉程度和信心、数据库的使用以及批判性评价往往与执业年限较短的年轻治疗师相关。17%的受访者表示他们在一个典型月份阅读的文章少于2篇，四分之一的受访者表示他们在临床决策中每月使用文献的次数少于两次。大多数受访者可以访问在线信息，尽管在家中能访问的人比在工作场所能访问的人更多。据受访者称，实施EBP的主要障碍是时间不足。
物理治疗师表示他们对EBP持积极态度，并且有兴趣学习或提高实施EBP所需的技能。他们指出需要在日常实践中增加证据的使用。
