Glegg Stephanie M N, Livingstone Roslyn, Montgomery Ivonne
a Therapy Department , Sunny Hill Health Centre for Children , Vancouver , BC , Canada .
b Department of Occupational Science & Occupational Therapy , The University of British Columbia , Vancouver , BC , Canada , and.
Disabil Rehabil. 2016;38(4):391-9. doi: 10.3109/09638288.2015.1041616. Epub 2015 Apr 29.
Lack of time, competencies, resources and supports are documented as barriers to evidence-based practice (EBP). This paper introduces a recently developed web-based toolkit designed to assist interprofessional clinicians in implementing EBP within a paediatric rehabilitation setting.
EBP theory, models, frameworks and tools were applied or adapted in the development of the online resources, which formed the basis of a larger support strategy incorporating interactive workshops, knowledge broker facilitation and mentoring.
The highly accessed toolkit contains flowcharts with embedded information sheets, resources and templates to streamline, quantify and document outcomes throughout the EBP process. Case examples relevance to occupational therapy and physical therapy highlight the utility and application of the toolkit in a clinical paediatric setting. Workshops were highly rated by learners for clinical relevance, presentation level and effectiveness. Eight evidence syntheses have been created and 79 interventions have been evaluated since the strategy's inception in January 2011.
The toolkit resources streamlined and supported EBP processes, promoting consistency in quality and presentation of outputs. The online toolkit can be a useful tool to facilitate clinicians' use of EBP in order to meet the needs of the clients and families whom they support. Implications for Rehabilitation A comprehensive online EBP toolkit for interprofessional clinicians is available to streamline the EBP process and to support learning needs regardless of competency level. Multi-method facilitation support, including interactive education, e-learning, clinical librarian services and knowledge brokering, is a valued but cost-restrictive supplement to the implementation of online EBP resources. EBP resources are not one-size-fits-all; targeted appraisal tools, models and frameworks may be integrated to improve their utility for specific sectors, which may limit them for others.
时间、能力、资源和支持的匮乏被记录为循证实践（EBP）的障碍。本文介绍了一种最近开发的基于网络的工具包，旨在协助跨专业临床医生在儿科康复环境中实施循证实践。
在在线资源的开发过程中应用或改编了循证实践理论、模型、框架和工具，这些在线资源构成了一个更大支持策略的基础，该策略包括互动式工作坊、知识经纪人促进和指导。
这个访问量很高的工具包包含带有嵌入式信息表、资源和模板的流程图，以简化、量化和记录循证实践过程中的结果。与职业治疗和物理治疗相关的案例示例突出了该工具包在儿科临床环境中的实用性和应用。学习者对工作坊的临床相关性、展示水平和有效性给予了高度评价。自该策略于2011年1月启动以来，已创建了8项证据综合分析，并对79项干预措施进行了评估。
该工具包资源简化并支持了循证实践过程，促进了产出质量和展示的一致性。在线工具包可以成为促进临床医生使用循证实践的有用工具，以满足他们所服务的客户和家庭的需求。对康复的启示 为跨专业临床医生提供了一个全面的在线循证实践工具包，以简化循证实践过程并支持学习需求，无论其能力水平如何。包括互动式教育、电子学习、临床图书馆员服务和知识经纪在内的多方法促进支持是在线循证实践资源实施的一项有价值但成本受限的补充。循证实践资源并非一刀切；有针对性的评估工具、模型和框架可以整合起来，以提高其对特定部门的效用，但这可能会限制它们对其他部门的适用性。
