调查挪威脊医的循证实践态度、技能和应用；一项全国性的横断面研究。

Investigating attitudes, skills, and use of evidence-based practice among Norwegian chiropractors; a national cross-sectional study.

机构信息

Department of Interdisciplinary Health Sciences, Institute of Health and Society, University of Oslo, P.O. Box 1089, Blindern, Oslo, 0317, Norway.

Et Liv I Bevegelse (ELiB), The Norwegian Chiropractic Research Foundation, Oslo, Norway.

出版信息

BMC Health Serv Res. 2023 Apr 20;23(1):385. doi: 10.1186/s12913-023-09354-2.

DOI:10.1186/s12913-023-09354-2

PMID:37081471

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10116754/

Abstract

BACKGROUND

Evidence-based practice (EBP) is essential in improving the quality of healthcare and of importance for all health care personnel. No study in Norway has investigated attitudes, skills and use related to EBP among chiropractors. The aim of this study was to describe Norwegian chiropractors' attitudes, skills, and use of EBP, as well as the barriers and facilitators to their use of EBP.

METHODS

A national cross-sectional survey, the online version of the Evidence Based practice Attitudes & Utilisation SurvEy (EBASE), was sent by email to 770 Norwegian practicing chiropractors, all members of the Norwegian Chiropractic Association. Three EBASE sub-scores were generated (Attitudes, Skills and Use), and the demographic characteristics of the sample were reported. Linear regression analyses were conducted to examine the association between responses of the three sub-scores and demographic characteristics. Information on main barriers and facilitators of EBP was collected and described.

RESULTS

A total of 312 (41%) chiropractors responded to the survey, and 95% agreed that EBP is necessary for chiropractic practice. While overall use of EBP activities was low participants were interested in learning and improving their skills to incorporate EBP into practice. Chiropractors' attitudes, skills, and use of EBP were positively associated with being female and having spent more than one hour per week on research, but negatively associated with having practiced more than 10 years. Main barriers of EBP were lack of skills to critically evaluate, interpret, and apply research findings to practice. Main facilitators of EBP included access to the internet and free online databases in the workplace.

CONCLUSION

Although chiropractors in Norway reported positive attitudes and moderate skills in EBP, their use of EBP activities was limited. The main barriers and facilitators to EBP were primarily related to perceived skills deficits, whilst enablers of EBP were mostly related to infrastructure requirements.

摘要

背景

循证实践（EBP）对于提高医疗保健质量至关重要，对所有医疗保健人员都很重要。挪威尚未研究过脊医对 EBP 的态度、技能和使用情况。本研究旨在描述挪威脊医对 EBP 的态度、技能和使用情况，以及他们使用 EBP 的障碍和促进因素。

方法

采用全国性横断面调查，通过电子邮件向挪威脊骨疗法协会的 770 名执业脊医发送了循证实践态度和利用调查（EBASE）的在线版本。生成了三个 EBASE 子评分（态度、技能和使用），并报告了样本的人口统计学特征。进行线性回归分析，以检验三个子评分的回答与人口统计学特征之间的关联。收集并描述了 EBP 的主要障碍和促进因素的信息。

结果

共有 312 名（41%）脊医对调查做出了回应，95%的人认为 EBP 对脊医实践是必要的。尽管整体 EBP 活动的使用率较低，但参与者有兴趣学习并提高他们的技能，以将 EBP 纳入实践。脊医对 EBP 的态度、技能和使用与女性和每周花费超过一小时进行研究呈正相关，但与实践超过 10 年呈负相关。EBP 的主要障碍是缺乏批判性评估、解释和将研究结果应用于实践的技能。EBP 的主要促进因素包括在工作场所中可以访问互联网和免费的在线数据库。