Evidence-Based Practice for Rehabilitation Professionals: Concepts and Controversies

What influences the implementation of the New Zealand stroke guidelines for physiotherapists and occupational therapists?

“…It could be argued, for instance, that guideline implementation to provide evidence based practice may be a means of meeting hospital expectations of improved patient outcomes and shorter stays [6,17], but the link could be made more explicit to clinicians. Supportive advocates to encourage guideline implementation is also a proposed strategy [6,18].…”

Advancing evidence-based practice in primary care physiotherapy : Guideline implementation, clinical practice, and patient preferences

“…However, the notion of what counts as evidence has evolved over the past few decades [21]. Today many researchers, as well as clinicians, seem to agree that research evidence alone is insufficient to inform clinical practice.…”

“…Research evidence must be interpreted and applied; to do so, the clinician's experience and expertise are needed. This type of evidence is also called clinical evidence, practice-based evidence, or practice-based or professional knowledge [20,21]. This knowledge is embedded in practice and is more tacit and intuitive, more hands-on, and is often socially constructed in collaboration with colleagues and patients [21].…”

The contribution of conceptual frameworks to knowledge translation interventions in physical therapy

“…evidence drawn from different sources, including quantitative and qualitative research, as well as tacit and clinical knowledge 11 . As a result, knowledge coming from higher-order sources of evidence such as meta-analysis and systematic reviews is often insufficient on its own to guide decision-making related to best practices 12 .…”