Clinical question

Verbeek, Jos; Dijk, Frank Jh van; Malmivaara, Antti; Hulshof, Carel; Räsänen, Kimmo; Kankaanpää, Eila; Mukala, Kriistina

doi:10.5271/sjweh.665

Cited by 53 publications

(7 citation statements)

References 34 publications

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“…There is now extensive literature on the implementation of EBP in different health care settings and disciplines (e.g., Jones et al 2015; Jun et al 2016; Lau et al 2016; Verbeek et al 2002; Zwolsman et al 2012) as well as using EBP for policies and decision-making in health care (Innvaer et al 2002; Vogel et al 2013). However, research is limited with regard to the occupational health services (OHS).…”

Section: Introductionmentioning

confidence: 99%

Development of evidence-based practice in occupational health services in Sweden: a 3-year follow-up of attitudes, barriers and facilitators

Brämberg

Nyman

Kwak

et al. 2017

Int Arch Occup Environ Health

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PurposeThe Swedish government initiated an investigation of how to secure and develop the competence of the occupational health services. The primary aim of the present study was to investigate whether the development of evidence-based practice (EBP) in the Swedish occupational health services in relation to attitudes, knowledge and use improved during the first 3 years of the government’s initiative.MethodsThe study has a mixed methods design combining questionnaires and interviews with data collection at baseline and at 3-year follow-up.ResultsThe response rate was 66% at baseline and 63% at follow-up. The results show that practitioners’ knowledge of EBP was moderate at baseline and improved at follow-up (p = 0.002; 95% CI 0.01; 0.21). Practitioners experienced lower levels of organizational and managerial support for EBP at follow-up (p < 0.001; 95% CI 0.18; 0.38). The results revealed that managers viewed responsibility for implementing EBP as a matter for individual practitioners rather than as an organizational issue.ConclusionsOccupational health service managers and practitioners are generally positive to EBP. However, the findings emphasize the need to educate managers in how to support EBP at the organizational level by creating an infrastructure for EBP in the OHS.

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Section: Introductionmentioning

confidence: 99%

Development of evidence-based practice in occupational health services in Sweden: a 3-year follow-up of attitudes, barriers and facilitators

Brämberg

Nyman

Kwak

et al. 2017

Int Arch Occup Environ Health

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show abstract

“…These factors influence subsequently the quality of health care and advice they give to their clients. Instruction and training seems to be needed for most occupational physicians to increase their searching and critical-appraisal skills [3,9]. A study by Hugenholtz et al demonstrated that an intervention with multi-faceted evidence-based medicine was a useful method to enhance professional performance [5].…”

Section: Discussionmentioning

confidence: 99%

“…Lack of time, limited availability of relevant guidelines and poor EBM skills are the main barriers that prevent occupational physicians from practicing evidence-based medicine [3-7]. In addition, some authors argue that the application of evidence-based methods is hampered because occupational medicine is practiced within a framework of labour law and governmental regulations [7,9]. …”

Section: Introductionmentioning

confidence: 99%

Routine dipstick urinalysis in daily practice of Belgian occupational physicians

Haak¹,

Peremans

2012

Arch Public Health

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BackgroundLittle work has been done to assess the quality of health care and the use of evidence-based methods by occupational physicians in Belgium. Therefore, the main objective is to describe one aspect of occupational health assessments, namely the common use of dipstick urinalysis, and to compare the current practice with international guidelines.MethodsA self-administered questionnaire was mailed to 211 members of the Scientific Association of Occupational Medicine in the Dutch speaking part of Belgium.ResultsA total of 120 occupational physicians responded, giving a response rate of 57%. Dipstick urinalysis was a routine investigation for the vast majority of physicians (69%). All test strips screened for protein and in 90% also for blood. Occupational health services offered clinical tests to satisfy customer wants as international guidelines do not recommend screening for haematuria and proteinuria in asymptomatic adults. A lack of knowledge concerning positive testing and referral criteria was demonstrated in almost half of the study participants.ConclusionsBelgian occupational physicians still routinely perform dipstick testing although there is no evidence to support this screening in healthy workers. To practice evidence-based medicine, occupational physicians need more instruction and training. Development and implementation of more guidelines is not only of use for the individual practitioner, it may also enhance professionalization and efficiency of occupational health care.

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“…In the following issue of the Journal a comment appeared (2), together with the reply of the paper's authors stressing the scientific value of the approach (3). Because the application of the principles of evidence-based medicine is new in the field of occupational health, as Verbeek and his colleagues stated, the topic is worthy of being briefly illustrated by pointing out some components of the evidence-based model used for clinical decisions in medicine (4).…”

Section: Evidence-based Medicine and Evidence-based Occupational Healthmentioning

confidence: 99%

Evidence-based medicine and evidence-based occupational health

Franco¹

2003

Scand J Work Environ Health

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Clinical question

Cited by 53 publications

References 34 publications

Development of evidence-based practice in occupational health services in Sweden: a 3-year follow-up of attitudes, barriers and facilitators

Development of evidence-based practice in occupational health services in Sweden: a 3-year follow-up of attitudes, barriers and facilitators

Routine dipstick urinalysis in daily practice of Belgian occupational physicians

Evidence-based medicine and evidence-based occupational health

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