Evidence-based practice: Beliefs, attitudes, knowledge, and behaviors of physical therapists
Evidence-based practice: Beliefs, attitudes, knowledge, and behaviors of physical therapists
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DOI：
10.1093/ptj/83.9.786
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发表时间：
2003-09-01
期刊：
影响因子：
3.2
通讯作者：
Volk, D
中科院分区：
文献类型：
--
作者：
Jette, DU;Bacon, K;Volk, D
背景和目的。关于物理治疗师在实践中使用证据的态度和行为的研究很少。本研究的目的是描述美国物理治疗协会（APTA）的物理治疗师成员的信念，态度，知识和行为，因为它们涉及到循证实践（EBP），并产生假设这些属性和个人之间的关系和实践特征的受访者。方法.对A-PTA的物理治疗师成员的随机抽样调查结果是48.8%的回报率和488个样本，这是相当代表的国家成员。参与者完成了一份问卷调查，旨在确定信念，态度，知识和行为有关EBP，以及人口统计信息，他们自己和他们的做法设置。对每个项目的响应进行了总结，并使用逻辑回归分析来检查变量之间的关系。结果受访者一致认为，在实践中使用证据是必要的，文献在他们的做法是有帮助的，病人的护理质量更好时，使用证据。培训，熟悉和信心的搜索策略，使用数据库，和关键的评价往往与年轻的治疗师，因为他们有执照的年数较少。17%的受访者表示，他们在一个典型的月阅读不到2篇文章，四分之一的受访者表示，他们在临床决策中使用的文献每月不到两次。大多数答卷人都能获得在线信息，但更多的人是在家里而不是在工作场所获得的。据受访者称，实施EBP的主要障碍是缺乏时间。讨论和结论。物理治疗师表示，他们对EBP持积极态度，并有兴趣学习或改进实施EBP所需的技能。他们指出，他们需要在日常实践中更多地使用证据。
Background and Purpose. Little research has been done regarding the attitudes and behaviors of physical therapists relative to the use of evidence in practice. The purposes of this study were to describe the beliefs, attitudes, knowledge, and behaviors of physical therapist members of the American Physical Therapy Association (APTA) as they relate to evidence-based practice (EBP) and to generate hypotheses about the relationship between these attributes and personal And practice characteristics of the respondents. Methods. A survey of a random sample of physical therapist members of A-PTA resulted in a 48.8% return rate and a sample of 488 that was fairly representative of the national membership. Participants completed a questionnaire designed to determine beliefs, attitudes, knowledge, and behaviors regarding EBP, as well as demographic information about themselves and their practice settings. Responses were summarized for each item, and logistic regression analyses were used to examine relationships among variables. Results. Respondents agreed that the use of evidence in practice was necessary, that the literature was helpful in their practices, and that quality of patient care was better when evidence was used. Training, familiarity with and confidence in search strategies, use of databases, and critical appraisal tended to be associated with younger therapists with fewer years since they were licensed. Seventeen percent of the respondents stated they read fewer than 2 articles in a typical month, and one quarter of the respondents stated they used literature in their clinical decision making less than twice per month. The majority of the respondents had access to online information, although more had access at home than at work. According to the respondents, the primary barrier to implementing EBP was lack of time. Discussion and Conclusion. Physical therapists stated they had a positive attitude about EBP and were interested in learning or improving), the skills necessary to implement EBP. They noted that they needed to increase the use of evidence in their daily practice.