Division of Neonatology, Department of Pediatrics, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taiwan.
Respir Care. 2014 Feb;59(2):281-7. doi: 10.4187/respcare.02611. Epub 2013 Aug 6.
Evidence-based practice (EBP) has been proposed as a core competence to improve healthcare quality. The profile of EBP among respiratory therapists (RTs) has not been explored. We investigated how RTs in Taiwan perceive the implementation of EBP.
We surveyed RTs in Taiwan's regional hospitals during a 4-month period in 2011.
A majority of RTs were aware of EBP (88.0%). Although most RTs held a favorable impression of EBP, their knowledge of and skill in EBP implementation were deficient. Only half of the RTs had implemented EBP. Insufficient convenient kits (59.1%), deficient designated personnel (50.0%), and lack of time (45.5%) were major barriers to implementing EBP. RTs rated MEDLINE as the most commonly used evidence-based retrieval database, followed by UpToDate, the Cochrane Library, MD Consult, ProQuest, CINAHL, DynaMed, and Micromedex. Multivariate regression analyses demonstrated sufficient skill in EBP and use of online databases as favorable factors for implementing EBP. In contrast, barriers of time constraint and insufficient knowledge were unfavorable factors for the implementation of EBP.
EBP is not widespread among RTs in Taiwan. We have identified important factors in the implementation of EBP. The data provide valuable evidence for plotting strategies for disseminating EBP implementation.
循证实践（EBP）已被提议作为提高医疗质量的核心能力。呼吸治疗师（RTs）的 EBP 概况尚未得到探索。我们调查了台湾的 RTs 对 EBP 的实施的看法。
我们在 2011 年的 4 个月期间调查了台湾地区医院的 RTs。
大多数 RTs 都意识到 EBP（88.0%）。尽管大多数 RTs 对 EBP 印象良好，但他们在 EBP 实施方面的知识和技能却很欠缺。只有一半的 RTs 实施了 EBP。缺乏方便的工具包（59.1%）、缺乏指定的人员（50.0%）和缺乏时间（45.5%）是实施 EBP 的主要障碍。RTs 将 MEDLINE 评为最常用的循证检索数据库，其次是 UpToDate、Cochrane 图书馆、MD Consult、ProQuest、CINAHL、DynaMed 和 Micromedex。多元回归分析表明，EBP 方面有足够的技能和使用在线数据库是实施 EBP 的有利因素。相比之下，时间限制和知识不足的障碍是实施 EBP 的不利因素。
EBP 在台湾的 RTs 中并不普遍。我们已经确定了实施 EBP 的重要因素。这些数据为传播 EBP 实施策略提供了有价值的证据。
