Evidence Based Practice Questionnaire 2004

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Evidence Based Practice Questionnaire 2004
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Barriers and Enablers to EBP

• Respondents were asked what they perceived to be
  the enablers and barriers to implementing EBP.
• Themed analysis identified five main categories
• Time
• Resources
• Knowledge
• Personal Reasons
• Other

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Time
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Resources
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• Resources
• Barriers Enablers
• 16 (46) pressures of work 21 (60) support from
  management, colleages, research OT a
  working environment that supported EBP
• 6 (17) lack of quality research 8 (23) journal
  clubs useful for within OT, gaps and lack of EBP
  implementation reliable research support
  practice
• 3 (9) difficulty accessing 6 (17) access to
  computers and computers and e-library
• 3 (9) Use of standardised assessments and
  outcome measures

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Knowledge
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How has EBP changed your practice?

• Confidence and satisfaction
• Questioning Practice
• Gaps in the evidence
• Concrete examples of changes in practice

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Made me feel pressured into doing more increased
awareness of research does increase confidence
Increased confidence that we make a difference to
patients
Better satisfaction at doing the best for patient
group
Confidence Satisfaction
Feel more confident in explaining clinical
reasoning to other professionals if I know the
evidence is there
9 (26) indicated more confidence, job
satisfaction
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Has made me question and justify my everyday
practice
Im beginning to challenge ways of working
now a more reflective practitioner
Questioning Practice
I continually challenge/evaluate and compare
evidence to back up practice
Increased awareness that the evidence I have may
not be the most up-to date
10 (29) of participants identified issues around
the theme of questioning practice
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So much of the information is inconclusive
What evidence is there to show what we do works
Gaps in evidence
In some areas we now have clinical evidence to
back up practice
has made me question my practice, if evidence is
still sketchy it is also prompting me to consider
research and audit
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Seating and positioning use guidelines to
improve positioning
Now using outcome measures to evaluate practice
Concrete Examples N9
We have introduced a behavioural approach to
joint protection based on evidence
We have stopped using hip precautions as no
evidence to support
We have a home programme for early OA of the CMC
this has been put into practice
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Statistical analysis is difficult often due to
our limited knowledge and complexity of the
information
I believe there is a need for OT to increase EBP
in order to prove its worth and gain respect
as an OT it is frustrating to continue working
when we are not sure if it is really effective
Additional Comments
over the past six months I feel I have had more
access to training, support and PDP time to
enable me to use EBP
we are doing a good job in motivating staff to
look at EBP and research, it is not easy as I
think most staff are reluctant due to lack of
knowledge and understanding
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Summary/Conclusions

• Lower response rate than last year 71 vs 60
• Biggest barrier time
• Computer access not as much of an issue
• More emphasis on lack of quality research
• Knowledge and skills development
• Confidence has increased

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Annual Objectives/Action Plan
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Over to you
How can we use the Clinical Effectiveness
meetings to forward our action plans?