Krueger Robert B, Sweetman Melissa M, Martin Malissa, Cappaert Thomas A
Doctor of Occupational Therapy Program, Rocky Mountain University of Health Professions, Provo, UT, USA.
Doctor of Occupational Therapy Program, Baylor University, Waco, TX, USA.
Occup Ther Health Care. 2020 Jul;34(3):253-276. doi: 10.1080/07380577.2020.1756554. Epub 2020 May 5.
Evidence-based practice (EBP) implementation has been associated with quality health care outcomes, yet only a small proportion of occupational therapists implement EBP. We conducted a cross-sectional survey measuring EBP implementation, skill and knowledge, self-reflection behavior, and practice demographics to clarify implementation of EBP and factors acting as supports. A random sample of occupational therapists practicing in the U.S. was invited to participate; 578 surveys were included in the final analysis. Participants implemented EBP ; EBP use was highest in those with a doctorate ( = .002) and high self-reflection behavior ( = .001); EBP use was marginally higher in those with organizational support ( = .008; = .009), time for EBP ( = .009), and access to full text articles ( = .006). Further investigation of how reflective practice and levels of doctoral education support EBP use are recommended.
循证实践（EBP）的实施与优质医疗保健结果相关，但只有一小部分职业治疗师实施循证实践。我们进行了一项横断面调查，测量循证实践的实施情况、技能和知识、自我反思行为以及实践人口统计学特征，以阐明循证实践的实施情况及起支持作用的因素。邀请了在美国执业的职业治疗师的随机样本参与；最终分析纳入了578份调查问卷。参与者实施了循证实践；在拥有博士学位的人（p = .002）和具有高度自我反思行为的人（p = .001）中，循证实践的使用率最高；在获得组织支持的人（p = .008；p = .009）、有时间进行循证实践的人（p = .009）以及能够获取全文文章的人（p = .006）中，循证实践的使用率略高。建议进一步研究反思性实践和博士教育水平如何支持循证实践的使用。
