SALBIS Research Group, Department of Nursing and Physiotherapy, Faculty of Health Sciences, Universidad de León, Leon, Spain.
Physical Therapy Department, CEU Universities, Universidad Cardenal Herrera-CEU, Elche, Spain.
Physiother Theory Pract. 2024 Feb;40(2):357-365. doi: 10.1080/09593985.2022.2112638. Epub 2022 Aug 16.
Evidence-based practice (EBP) interventions and effective therapeutic alliance (TA) are associated with greater treatment success. Furthermore, burnout syndrome could be detrimental to the development of such TA.
To examine the association between EBP competencies and burnout level with the quality of TA among Spanish physiotherapists.
Cross-sectional research with an electronic survey including the EBP Questionnaire-19, Maslach Burnout Inventory and Working Alliance Inventory-Short (WAI-S) and administered to 471 physiotherapists.
Regarding the EBP Questionnaire-19, physiotherapists scored highest on attitude and lowest on knowledge. For WAIS which achieved appropriate results of internal consistency and validity in the sample analyzed, bond scored the highest and goals the lowest. Years of experience was significantly associated with the task ( = 0.5; = .003) and bond ( = 0.7; = .002) and the WAIS total score ( = 0.8; < .001), and all burnout subscales (-0.7 < > 0.7; < .001 for all).
Lower levels of burnout and improved EBP competencies are associated with a TA of greater quality. The association between attitudes toward EBP, a higher level of self-confidence and a lower perception of depersonalization appear to be determinant factors for improving TA.
循证实践（EBP）干预措施和有效的治疗联盟（TA）与更高的治疗成功率相关。此外，倦怠综合征可能对 TA 的发展不利。
研究西班牙物理治疗师的 EBP 能力和倦怠水平与 TA 质量之间的关系。
横断面研究采用电子调查，包括 EBP 问卷-19、马斯拉赫倦怠量表和工作联盟量表-短表（WAI-S），并对 471 名物理治疗师进行了调查。
关于 EBP 问卷-19，治疗师在态度方面得分最高，在知识方面得分最低。WAIS 在分析样本中取得了适当的内部一致性和有效性结果，其中纽带得分最高，目标得分最低。工作年限与任务（ = 0.5； = 0.003）和纽带（ = 0.7； = 0.002）以及 WAIS 总分（ = 0.8； < 0.001）显著相关，所有倦怠子量表（-0.7 < > 0.7； < 0.001）。
较低的倦怠水平和改善的 EBP 能力与更高质量的 TA 相关。对 EBP 的态度、更高的自信水平和较低的去人格化感知之间的关联似乎是改善 TA 的决定因素。
