The Adoption and Implementation of Evidence-Based Practice (EBP) Among Allied Health Professions.

Background and aims: Evidence-based practice (EBP) is widely accepted within patient care as it ensures health care professionals remain informed of recent evidence and research relating to their clinical practice. However, the particular characteristics detrimental to the successful implementation of EBP within Allied Health Professionals' (AHP) clinical practice are unknown. The purpose of this study was to assess and characterise adoption of EBP within AHP's clinical practice. Methods: Questionnaires comprising the Evidence-Based Practice Questionnaire (EBPQ; Upton and Upton, 2006a) were administered to 154 (response rate=27.3%) newly qualified practitioners (NQPs) from NHSScotland. Data were analysed to determine attitudes, knowledge and skill of EBP; K-means cluster and chi-square analyses were conducted in order to differentiate profiles of NPQs within high-, medium- and low- categories on the EBPQ practice and knowledge/skills sub-sections. Findings: Moderate scores were recorded for NQP's implementation, knowledge, and attitudes toward EBP. Chi-square analysis performed on the high-, moderate- and low- practice and skills' profiles revealed no significant results for NQP's year qualified, age, or year of clinical practice. Conclusions: The findings illustrate that the majority of NQPs have a good understanding of the application and importance of EPB, and suggests the improvement in NQPs training with regards to EBP enables them to successfully transfer acquired knowledge within their clinical practice

‘Being called sisters’: Masculinities and black male nurses in South Africa

This study contributes to an understanding of the geographies of masculinities, by demonstrating how black South African male nurses negotiate hegemonic masculinity through citing masculine gendered acts. The research draws on qualitative data gathered from interviews with 15 black male nurses aged between 26 and 50 years who have worked in the paediatric, trauma, orthopaedic, oncology and midwifery fields for a period of not less than two years. It is argued that the colonially imposed hierarchies of race, gender and occupation merge with culturally specific pre-existing African masculinities, and that this informed how the black male nurses experienced their gender identity in the occupation. The study demonstrates how, because of their career choice, the gender identities of the male nurses were positioned as marginalized and subordinate to the modes of a hegemonic masculinity, a gender identity only available to them momentarily. In this context, it was found that the modes of gender performativity in which the nurses negotiated and subverted their subordinate and marginal status was with the complicity of patients and other healthcare workers. This upheld the more generally assumed hegemony of masculinity in the hospital workplace. The study traces these experiences to the discourses of black masculinities during South Africa's pre-colonial, colonial and apartheid eras and in the present day. In doing so, this study contributes to an understanding of the geographies of masculinities by demonstrating the locally specific modes of masculine performativity through which black male nurses negotiate their gender in South Africa