Döpp Carola M E, Steultjens Esther M J, Radel Jeff
University of Kansas Medical Center, Kansas City, Kansas, USA.
Occup Ther Int. 2012 Mar;19(1):17-27. doi: 10.1002/oti.324.
This study explored how the evidenced-based practise (EBP) is perceived by Dutch occupational therapists (OTs), what sources of research data are used to make clinical decisions, and what barriers are identified in implementing EBP. A self-administered, pre-tested, questionnaire was distributed through an email survey and postal mail among the 200 randomly stratified selected OTs out of a total population of 2,019 Dutch OTs. Analyses of data comprised descriptive statistics of all variables and test statistics to evaluate the differences between demographical groups. Dutch OTs have a very positive attitude toward the EBP. Barriers experienced are mostly related to a lack of skills needed to implement the EBP and to the characteristics of the work environment. The attitude, experiences and barriers are mainly similar to research findings in other countries or professions. A unique barrier to the implementation of the EBP found in this study was that Dutch OTs perceived evidence written in a foreign (non-Dutch) language as a barrier to using evidence in non-Dutch languages. The results of the study, derived from a partly representative group of working OTs, implicate universal problems regarding the effective implementation of the EBP. Solutions to increase the implementation of the EBP from an international point of view are called for and need to be evaluated.
本研究探讨了荷兰职业治疗师(OTs)如何看待循证实践(EBP),用于临床决策的研究数据来源是什么,以及在实施EBP过程中发现了哪些障碍。通过电子邮件调查和邮政邮件,向从2019名荷兰职业治疗师的总人口中随机分层选取的200名职业治疗师发放了一份预先测试过的自填式问卷。数据分析包括所有变量的描述性统计和用于评估人口统计学组之间差异的检验统计。荷兰职业治疗师对循证实践持非常积极的态度。所经历的障碍大多与实施循证实践所需的技能缺乏以及工作环境的特点有关。态度、经验和障碍主要与其他国家或职业的研究结果相似。本研究发现实施循证实践的一个独特障碍是,荷兰职业治疗师将用外语(非荷兰语)撰写的证据视为使用非荷兰语证据的障碍。该研究结果来自部分具有代表性的在职职业治疗师群体,揭示了循证实践有效实施方面的普遍问题。需要从国际角度提出增加循证实践实施的解决方案并进行评估。