Physiotherapists and evidence based practice: an opportunity or threat to the profession?

Abstract

The profession of physiotherapy in the UK is undergoing a period of change. Prominent among these aspects of change is the movement to evidence based practice (EBP). EBP is a central element of policy in the National Health Service (NHS). It is being implemented in physiotherapy as a means of securing contracts with purchasers but also as a means of contesting challenges from alternative practitioners and health professionals to the areas of work that physiotherapists view as their territory. Using data collected from a qualitative study of 56 physiotherapists of different grades working in different sectors of the NHS, this paper explores physiotherapists' views of EBP and the impact that they expect it to have on professional boundaries and on the status and practice of physiotherapy. The study indicated that physiotherapists' views may differ according to their position in the profession. Senior physiotherapists appeared to view the development of EBP as a threat to the profession which would decrease professional autonomy and the status of the profession. In contrast, junior and superintendent physiotherapists appeared to view EBP as an opportunity for strengthening the profession. The impact EBP will have on the profession of physiotherapy and its relationships with a range of health professionals is as yet unknown as are the responses that physiotherapists are likely to have to this development. This study identifies the areas in which conflicts are likely to be played out. A focus for future research analysing the impact of EBP is suggested