Department of Chiropractic, University of Johannesburg, Beit Street, 2028, Johannesburg, Gauteng, South Africa.
Chiropr Man Therap. 2024 Apr 30;32(1):13. doi: 10.1186/s12998-024-00534-3.
Evidence-Based Practice (EBP) is a model utilised by the majority of healthcare professionals and is a clinical framework that assists with decision-making related to patient care, to improve outcomes and patient satisfaction. The study aimed to analyse the attitudes, skills, and utilization of evidence-based practice (EBP) among South African chiropractors, focusing on perceived skill levels, training, use and identifying facilitators and barriers to EBP application.
A descriptive cross-sectional quantitative secondary analysis was conducted by inviting registered chiropractors in South Africa (n = 920) to participate in an anonymous online questionnaire using the Evidence-Based Practice Attitude and Utilisation Survey (EBASE).
A total of 132 chiropractors completed the survey, yielding a response rate of 14.4%. Of the respondents, 59.9% were female, 52.3% were between 26 and 35 years old, and 63.3% had graduated from the University of Johannesburg. A third of respondents stated they have poor clinical research skills. Over half of the respondents (56.8%) indicated that EBP constituted a significant part of their education except for completing systematic reviews or meta-analyses. Published clinical evidence was ranked 6th as a source of information for clinical decisions. The obstacles indicated were time constraints and a lack of clinical research in complementary and alternative medicine. Access to the internet, databases and research tools were facilitators that were deemed to be "very useful" in promoting EBP.
The majority of South African chiropractors are generally favourable towards EBP, and this practice therefore appears to be utilised and embraced, with the requisite skills.
循证实践（EBP）是大多数医疗保健专业人员使用的模型，是一种临床框架，可协助做出与患者护理相关的决策，以改善结果和患者满意度。本研究旨在分析南非脊医对循证实践（EBP）的态度、技能和应用，重点分析他们对技能水平、培训、应用的感知，以及识别应用 EBP 的促进因素和障碍。
采用描述性横断面定量二次分析方法，邀请南非注册脊医（n=920）参与匿名在线问卷调查，使用循证实践态度和利用调查（EBASE）。
共有 132 名脊医完成了调查，应答率为 14.4%。在应答者中，59.9%为女性，52.3%年龄在 26-35 岁之间，63.3%毕业于约翰内斯堡大学。三分之一的应答者表示他们临床研究技能较差。超过一半的应答者（56.8%）表示 EBP 构成他们教育的重要组成部分，但不包括完成系统评价或荟萃分析。发表的临床证据在临床决策信息来源中排名第六。表明的障碍是时间限制和补充和替代医学中缺乏临床研究。访问互联网、数据库和研究工具被认为是促进 EBP 的“非常有用”的促进因素。
南非大多数脊医普遍赞成 EBP，因此这种做法似乎得到了应用和接受，且具备必要的技能。
