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科威特儿科职业治疗师对循证实践应用的看法:一项定性研究。

Perspectives of paediatric occupational therapists on the use of evidence-based practice in Kuwait: a qualitative study.

作者信息

Jasem Zainab, Dursia Dareen, Ahmad Dalal, Ahmad Feddah

机构信息

Occupational Therapy Department, Kuwait University, Kuwait City, Kuwait

Occupational Therapy Department, Ministry of Health, Kuwait, Kuwait.

出版信息

BMJ Open. 2024 Dec 12;14(12):e086617. doi: 10.1136/bmjopen-2024-086617.

DOI:10.1136/bmjopen-2024-086617
PMID:39672581
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11647311/
Abstract

OBJECTIVES

To investigate the perspectives of paediatric occupational therapists on factors relating to the use of evidence-based practice (EBP) in clinical practice/settings.

DESIGN

A qualitative approach entailing the use of (face-to-face) semistructured interviews. Collected data were analysed using thematic analysis.

SETTING

Governmental and private hospitals, clinics and schools in Kuwait that offered occupational therapy services.

PARTICIPANTS

10 occupational therapists with a minimum of 2 years experience working with children.

PRIMARY AND SECONDARY OUTCOME MEASURES

Occupational therapists' perspectives on the factors relating to the implementation of EBP in clinical practice.

RESULTS

Three themes emerged: (1) source of motivation towards EBP; (2) organisational support for EBP use and (3) creativity and flexibility in implementing EBP. Several motivators encouraged therapists to use EBP in their clinical practice, including their personal motivation and clients' outcomes. However, the barriers to EBP implementation are due to the lack of organisational support for EBP. Using creativity and flexibility in practice is essential to overcome challenges.

CONCLUSION

This study identified factors related to the implementation of EBP from the perspective of paediatric occupational therapists in Kuwait. It provides several implications and recommendations for occupational therapy education and practice in the region due to similarities in culture. As therapists' concerns are identified, developing the educational curricula at universities and providing continuous professional development courses in regard to EBP utilisation are important for delivering effective healthcare services.

摘要

目的

探讨儿科职业治疗师对临床实践/环境中与循证实践(EBP)应用相关因素的看法。

设计

采用定性研究方法,即进行(面对面)半结构式访谈。使用主题分析法对收集到的数据进行分析。

研究背景

科威特提供职业治疗服务的政府和私立医院、诊所及学校。

研究对象

10名具有至少2年儿童工作经验的职业治疗师。

主要和次要观察指标

职业治疗师对临床实践中与循证实践实施相关因素的看法。

结果

出现了三个主题:(1)循证实践的动机来源;(2)对循证实践应用的组织支持;(3)循证实践实施中的创造力和灵活性。几个动机促使治疗师在临床实践中使用循证实践,包括他们的个人动机和客户的治疗效果。然而,循证实践实施的障碍在于缺乏对循证实践的组织支持。在实践中运用创造力和灵活性对于克服挑战至关重要。

结论

本研究从科威特儿科职业治疗师的角度确定了与循证实践实施相关的因素。由于文化上的相似性,它为该地区的职业治疗教育和实践提供了一些启示和建议。鉴于已确定治疗师的担忧,大学制定教育课程并提供关于循证实践应用的持续专业发展课程对于提供有效的医疗服务很重要。

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