Measuring evidence-based practice in physical therapy: a mix-methods study

Evidence-based practice (EBP) is considered the “holy grail” to manage patients by health practitioners (such as physical therapists). However, sometimes, patients are not treated with the best interventions for their condition. Although studies already explored the facilitators and barriers for this issue, they increase in the level of importance if the information gathered are context appropriated. As the profession is relatively new in Portugal, currently little is known about the implementation of EBP in Portuguese physical therapists context. So, the aim of this study is to know if the Portuguese physical therapists use an EBP, and collect and deeper understand the factors, barriers and facilitators associated with EBP. Methods: This study incorporated a mixed-methods design (quantitative and qualitative). In an attempt to ensure the correct population sample, a national professional association e-mail database and the e-mails of past students from national schools were requested. For the quantitative data it was choose an e-survey, adapted from the EBP: Beliefs, Attitudes, Knowledge, and Behaviors of Physical Therapists Portuguese version questionnaire, consisted of 55 close-ended questions. It was analyzed response frequencies and associations between variables with logistic regression analyses. For the qualitative data, it was choose to perform semi-structured interviews in purposefully selected physical therapists to include different sociodemographic factors (especially those found to be statistically significant in the logistic regression) and survey responses regarding the physical therapists’ beliefs, attitudes, knowledge, and behaviors. The interviews were performed in an online software, where only audio contact was performed. The audios were anonymized and verbatim transcribed, and the texts explored by the thematic approach. Results: From the 277 physical therapists that shown interest in participating in the study, 193 fully completed the questionnaire and, from those, 10 participated in the interviews. The Portuguese physical therapists reported positive beliefs, attitudes, knowledge, and behaviors regarding EBP. Among the physical therapists characteristics it seems that age (younger therapists), education (participating in continuing education courses; belonging to practice-orientated organizations; having a doctorate degree; pursuing a higher academic degree; and being a clinical instructor), and workplace (working for someone else account; and academic sector) are the main factors in the Portuguese EBP implementation. The Portuguese physical therapists, beyond the physical therapists individual characteristics and workplace, also stated that evidence, patients, clinical experience, schools, country and physical therapy characteristics, may behave as facilitators or barriers when performing an EBP.info:eu-repo/semantics/publishedVersio

2013 - 2014, Gardner-Webb University Graduate Academic Catalog

2013 - 2014, Gardner-Webb University Graduate Academic Catalog. A. Frank Bonner, president.https://digitalcommons.gardner-webb.edu/graduate-academic-catalogs/1008/thumbnail.jp

Quality Assurance in Competency Training of Pre-anesthesia Consultation Skills

The absence of quality assurance in training clinicians to perform pre-anesthesia consultations at a Canadian university is the Problem of Practice addressed in this Organizational Improvement Plan. This competency requires learners to apply their anesthesia knowledge to take medical histories; perform physical examinations; diagnose anesthetic risks; and generate anesthesia plans. Random chart audits of many learners identify deficiencies and suggest inconsistent training of this competency. This Organizational Improvement Plan analyzes the anesthesia program’s organizational context to be a complex adaptive system; organizational structure to be a hierarchy; and organizational state to be static. Through the paradigms of complexity theory, interpretivism, critical theory, and pragmatism, this proposal describes how adaptive, enabling, and administrative leadership strategies will (1) improve competency training of pre-anesthesia consultations; (2) build capacity of the anesthesia program’s stakeholders; and (3) foster a collaborative culture. An Integrated Framework of the Change Path Model and the Modified Plan-Do-Study-Act Cycle will serve to implement change in this organization. The research and recommendations offered in this work can be adapted for use in other clinical programs aiming to improve competency training

Virginia Commonwealth University Professional Bulletin

Professional programs bulletin for Virginia Commonwealth University for the academic year 2017-2018. It includes information on academic regulations, degree requirements, course offerings, faculty, academic calendar, and tuition and expenses for graduate programs

Virginia Commonwealth University Professional Bulletin

Professional programs bulletin for Virginia Commonwealth University for the academic year 2016-2017. It includes information on academic regulations, degree requirements, course offerings, faculty, academic calendar, and tuition and expenses for graduate programs

La Salle University Graduate Catalog 2009-2010

https://digitalcommons.lasalle.edu/course_catalogs/1191/thumbnail.jp

2014 - 2015, Gardner-Webb University Graduate Academic Catalog

2014 - 2015, Gardner-Webb University Graduate Academic Catalog. A. Frank Bonner, president.https://digitalcommons.gardner-webb.edu/graduate-academic-catalogs/1009/thumbnail.jp

Advancing the Nation’s Health: A Guide to Public Health Research Needs, 2006-2015

The U.S. Centers for Disease Control and Prevention (CDC), which includes the Agency for Toxic Substances and Disease Registry, is recognized as a lead federal agency for protecting the health and safety of people at home and abroad, providing credible information to enhance health decisions, and promoting health through strong partnerships. Research is the foundation of CDC’s success and enables CDC to develop, improve and disseminate evidence-based interventions, programs, and decision support to improve health (Figure I-1). The primary focus of CDC’s research is to fill gaps in knowledge necessary to accomplish the agency’s Health Protection Goals (Chapter II), but it must also be CDC’s core public health mission and be responsive to new opportunities, threats, and future health needs. A recent analysis indicates that the evidence base to support much of public health practice has not kept pace with the growing requirements, and much more research is needed to demonstrate the best methods that support effective public health practices.https://www.cdc.gov/od/science/quality/docs/AdvancingTheNationsHealth.pd

2010 - 2011, Gardner-Webb University Graduate Academic Catalog

2010 - 2011, Gardner-Webb University Graduate Academic Catalog. A. Frank Bonner, president.https://digitalcommons.gardner-webb.edu/graduate-academic-catalogs/1005/thumbnail.jp