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将职业治疗定位为研究连续体上的一门学科:一项关于研究经验的横断面调查结果

Positioning occupational therapy as a discipline on the research continuum: results of a cross-sectional survey of research experience.

作者信息

Pighills Alison C, Plummer David, Harvey Desley, Pain Tilley

机构信息

Faculty of Medicine, Health and Molecular Sciences, James Cook University, Townsville, Australia.

出版信息

Aust Occup Ther J. 2013 Aug;60(4):241-51. doi: 10.1111/1440-1630.12057. Epub 2013 Jun 30.

Abstract

BACKGROUND/AIM: Evidence-based practice and research are beginning and endpoints on a research continuum. Progression along the continuum builds research capacity. Occupational Therapy has a low evidence base, thus, clinicians are not implementing evidence-based practice or publishing research. Barriers to implementing evidence-based practice and engaging in research include a lack of confidence. This research gauged Occupational Therapists' research experience, support needs and barriers, and compared levels of research anxiety between allied health disciplines.

METHODS

A cross-sectional survey was sent to Health Practitioners in northern Queensland in May-June 2011. Responses about experience, support needs and barriers, between Occupational Therapists, were analysed using Chi-square 'goodness of fit' tests. Multivariate analysis compared responses between disciplines about research anxiety. This paper reports results for the subset of Occupational Therapists.

RESULTS

The whole population, consisting of 152 Occupational Therapists, was sent a questionnaire, from which 86 responded. More Occupational Therapists than not had experience of evidence-based practice and less support was required, but they had little experience of producing research and required more support. The amount of support required for activities along the research continuum was inversely related to the level of experience in these tasks. Barriers included lack of staff and time. Occupational Therapists were more anxious about research (53 of 79, 67%) than all other Health Practitioner disciplines combined (170 of 438, 39%, P < 0.0001).

CONCLUSION

A cohesive strategy should focus on consolidating Occupational Therapists' evidence-based practice skills and building confidence. Clinicians wishing to engage in research need access to academic support. Academics and clinicians should work closely to produce clinically relevant research.

摘要

背景/目的:循证实践与研究是研究连续体的起点和终点。沿着这一连续体不断推进可提升研究能力。职业治疗的循证基础薄弱,因此临床医生未践行循证实践或发表研究成果。实施循证实践和开展研究的障碍包括信心不足。本研究评估了职业治疗师的研究经验、支持需求和障碍,并比较了不同联合健康学科之间的研究焦虑水平。

方法

2011年5月至6月,向昆士兰北部的医疗从业者发放了一份横断面调查问卷。使用卡方“拟合优度”检验分析职业治疗师之间关于经验、支持需求和障碍的回复。多变量分析比较了不同学科之间关于研究焦虑的回复。本文报告了职业治疗师子样本的结果。

结果

向152名职业治疗师的总体人群发放了问卷,其中86人回复。多数职业治疗师有循证实践经验,且所需支持较少,但他们开展研究的经验不足,需要更多支持。沿着研究连续体开展活动所需的支持量与这些任务的经验水平呈负相关。障碍包括人员和时间短缺。职业治疗师对研究的焦虑程度(79人中的53人,67%)高于所有其他联合健康学科的总和(438人中的170人,39%,P<0.0001)。

结论

一项连贯的策略应侧重于巩固职业治疗师的循证实践技能并增强信心。希望开展研究的临床医生需要获得学术支持。学者和临床医生应紧密合作,开展与临床相关的研究。

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