Cheung Gladys, Trembath David, Arciuli Joanne, Togher Leanne
The University of Sydney, Sydney, Australia.
Int J Speech Lang Pathol. 2013 Aug;15(4):396-406. doi: 10.3109/17549507.2012.714797. Epub 2012 Sep 12.
Although researchers have examined barriers to implementing evidence-based practice (EBP) at the level of the individual, little is known about the effects workplaces have on speech-language pathologists' implementation of EBP. The aim of this study was to examine the impact of workplace factors on the use of EBP amongst speech-language pathologists who work with children with Autism Spectrum Disorder (ASD). This study sought to (a) explore views about EBP amongst speech-language pathologists who work with children with ASD, (b) identify workplace factors which, in the participants' opinions, acted as barriers or enablers to their provision of evidence-based speech-language pathology services, and (c) examine whether or not speech-language pathologists' responses to workplace factors differed based on the type of workplace or their years of experience. A total of 105 speech-language pathologists from across Australia completed an anonymous online questionnaire. The results indicate that, although the majority of speech-language pathologists agreed that EBP is necessary, they experienced barriers to their implementation of EBP including workplace culture and support, lack of time, cost of EBP, and the availability and accessibility of EBP resources. The barriers reported by speech-language pathologists were similar, regardless of their workplace (private practice vs organization) and years of experience.
尽管研究人员已经在个体层面研究了实施循证实践(EBP)的障碍,但对于工作场所对言语病理学家实施循证实践的影响却知之甚少。本研究的目的是检验工作场所因素对为自闭症谱系障碍(ASD)儿童提供服务的言语病理学家使用循证实践的影响。本研究旨在:(a)探讨为ASD儿童提供服务的言语病理学家对循证实践的看法;(b)确定在参与者看来,哪些工作场所因素对他们提供循证言语病理学服务起到了阻碍或促进作用;(c)检验言语病理学家对工作场所因素的反应是否因工作场所类型或工作年限而异。来自澳大利亚各地的105名言语病理学家完成了一份匿名在线问卷。结果表明,尽管大多数言语病理学家都认为循证实践是必要的,但他们在实施循证实践时遇到了障碍,包括工作场所文化和支持、时间不足、循证实践的成本以及循证实践资源的可用性和可及性。言语病理学家报告的障碍相似,无论他们的工作场所(私人执业与机构)和工作年限如何。