Perceptions and practices of physicians’ towards evidence-based medicine and physicians perceived barriers in Jeddah, Saudi Arabia

Baig, Mukhtiar; Sayedalamin, Zaid; Almouteri, Osama; Algarni, Mohammed; Allam, Hassan

doi:10.12669/pjms.321.8841

Cited by 20 publications

(23 citation statements)

References 13 publications

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“…Similar findings were found with family physicians in Kuwait [ 23 ], who frequently relied on their own judgements (68.6%) and medical books (52.8%) to make clinical decisions. These findings are supported by the results reported by other regional studies conducted in Saudi Arabia and Qatar [ 29 ]. Furthermore, previous studies regarding EBM in pharmacy practice have shown that in Jordan [ 7 ], pharmacists relied mostly on their own judgements in giving pharmaceutical information (80%), in addition to medical representatives’ information (72%) and medical textbooks (54.5%), rather than EBM processes.…”

Section: Discussionsupporting

confidence: 91%

“…Similarly, in the interviews, the unavailability of supportive resources for practising EBM was mentioned as the main barrier, besides the lack of higher management support for a formal decision to incorporate EBM into practice, in which all barriers would be eliminated accordingly. Similar barriers were found in many other professions, including medicine [ 29 ], nursing [ 5 ] and physical therapy [ 30 ].…”

Section: Discussionsupporting

confidence: 62%

“…However, the respondents expressed a willingness to learn. Previous studies among physicians have also reported a low level of knowledge of EBM-related terms [ 7 , 12 , 29 ]. A good EBM practitioner should be able to read and evaluate research critically, both of which depend on understanding statistical terms clearly so that the best current clinical evidence can be selected.…”

Section: Discussionmentioning

confidence: 99%

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The readiness of hospital pharmacists in Kuwait to practise evidence-based medicine: a cross-sectional study

Buabbas

Alsaleh

Alshawaf³

et al. 2018

BMC Med Inform Decis Mak

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BackgroundThe evolving role of pharmacists in providing pharmaceutical care, as part of the healthcare team, challenges them to acquire up-to-date knowledge of medicines to make the best clinical decisions. The volume of medical literature is on the increase, and it is important to utilise these resources to optimise patients’ therapeutic outcomes. This study aimed at assessing the readiness of government hospital pharmacists in practising evidence-based medicine (EBM) in Kuwait in regards to their attitude, knowledge and skills, as well as the perceived barriers and facilitators.MethodsThis descriptive cross-sectional study used pre-tested self-reported questionnaires to collect information from pharmacists working at government hospitals in Kuwait. In addition, one-to-one, face-to-face semi-structured interviews were conducted with the chief pharmacists of all health regions in Kuwait to discuss and identify the barriers and facilitators of implementing EBM in the hospitals. Quantitative and qualitative analytical measures were undertaken for the data acquired from the questionnaires and interviews, respectively.ResultsA total of 176 pharmacists (of 445) working in secondary and tertiary government hospitals in Kuwait agreed to take part in the study, giving a response rate of 40%. Over half of the study sample (n = 94, 53.4%) had good confidence in performing online database searches. Approximately 50% of the pharmacists were familiar with searching the Internet for medical resources, asking answerable clinical questions and retrieving research evidence. However, 67% of the pharmacists (n = 118) were neither able to apply research evidence to patient care nor capable of identifying knowledge gaps in practice. Barriers to EBM practice were identified, which included limited access to EBM resources (75%), a lack of time and patient overload (71.6%). The interview results confirmed the willingness of the hospital pharmacists to adopt EBM in their practice if necessary resources such as computers and internet connection were provided.ConclusionThe hospital pharmacists in Kuwait showed good attitude and willingness towards EBM, however, they need to acquire adequate knowledge and skills for applying it in “real life” practise. Using the current results, clinical implications were recommended to demonstrate how to overcome the barriers, wherein hospital pharmacists could be ready to practice EBM.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 62%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The readiness of hospital pharmacists in Kuwait to practise evidence-based medicine: a cross-sectional study

Buabbas

Alsaleh

Alshawaf³

et al. 2018

BMC Med Inform Decis Mak

View full text Add to dashboard Cite

show abstract

“…al, and in Saudi Arabia by Baig et. al, found that while clinicians have a very positive attitude towards EBM, they also have low proficiency to apply elements of EBM to patient care 14,15 . Al Wahaibi conducted a study in Oman that cited many clinicians who felt that barriers to practicing EBM existed, such as access to evidence resources or time constraints that prevent them from fully applying EBM in clinical practice 16 .…”

Section: Introductionmentioning

confidence: 99%

Examining aptitude and barriers to Evidence Based Medicine among trainees at an ACGME-I accredited program

Mahmoud

Laws

Kamal

et al. 2020

Preprint

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Background Evidence-based medicine (EBM) promotes critical thinking and produces better patients’ outcome. Accreditation Council for Graduate Medical Education (ACGME) competencies require trainees to locate, appraise and apply clinical evidence to patients care. Despite the emphasis that ACGME place on EBM, few organizations provide adequate training in EBM. This is even more critical in regions where medical trainees matriculate from diverse backgrounds of undergraduate medical education, where EBM may not be emphasized nor taught at all. EBM practice has a history of research in the West, however, EBM has not been widely studied in the Middle East. Methods Clinicians and trainees at Hamad Medical Corporation (HMC) matriculate from many countries in the Middle East and North Africa (MENA) and Asia. Trainees’ various backgrounds in medical education hypothesize different levels and experiences of EBM. To assess trainees EBM attitudes and knowledge in the internal medicine department at HMC in Doha, Qatar, we surveyed residents and fellows using a two-part survey. The first part was adapted from the evidence-based practice inventory by Kaper to assess trainees’ attitudes and perceptions of EBM. Trainees were also asked to complete the ACE tool to assess their knowledge proficiency regarding different elements of EBM. The results from the two were analyzed. Results The average score on the ACE tool among the participants was around 9 out of 15. Most participants rated themselves as beginners or intermediate in their EBM capabilities. Higher ACE scores were observed from participants with educational background from South Asia, and among those with more favorable attitudes towards EBM. Participants also reported reasonable capabilities of doing EBM and favorable atmosphere at work for EBM implementation. Lack of knowledge, resources and time were the most reported barriers for doing EBM. Conclusions Earlier adoption of EBM education and practices leads to increased competence and it should be taught and evaluated in the undergraduate and GME programs. This's especially true since it's known that EBM practices lead to better patient outcomes. In a setting where matriculating clinicians arrive from heterogeneous educational backgrounds and EBM experiences, it is important to assess and continuously implement EBM training.

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“…al, and in Saudi Arabia by Baig et. al, found that while clinicians have a very positive attitude towards EBM, they have low pro ciency to apply elements of EBM to patient care 15,16 . Al Wahaibi conducted a study in Oman where many clinicians indicated they felt that many barriers to practicing EBM existed, such as access to evidence resources or time constraints that prevent them from fully applying EBM in clinical practice 17 .…”

Section: Introductionmentioning

confidence: 99%

Examining aptitude and barriers to Evidence Based Medicine among trainees at an ACGME-I accredited program

Mahmoud

Laws

Kamal

et al. 2020

Preprint

View full text Add to dashboard Cite

Background The aims of Evidence-Based medicine (EBM) are to promote critical thinking and produces better patients’ outcome1. Accreditation Council for Graduate Medical Education (ACGME) competencies require trainees to locate, appraise and apply clinical evidence to patients’ care. Despite the emphasis that ACGME place on EBM, few organizations provide adequate training in EBM. This is even more critical in regions where medical trainees matriculate from diverse backgrounds of undergraduate medical education, where EBM may not be emphasized nor taught at all. EBM practice has a history of research in the West, however, EBM has not been widely studied in the Middle East. Methods Clinicians and trainees at Hamad Medical Corporation (HMC) matriculate from many countries in the Middle East and North Africa (MENA) and Asia. Because trainees in Graduate Medical Education (GME) come to HMC from a variety of geographic backgrounds, it is assumed that they also have a variety of experiences and aptitudes in EBM. To assess trainees EBM attitudes and knowledge in the internal medicine department at HMC in Doha, Qatar, the authors surveyed residents and fellows using a two-part survey. The first part was adapted from the evidence-based practice inventory by Kaper to assess trainees’ attitudes and perceptions of EBM. Trainees were also asked to complete the Assessing Competency in Evidence Based Medicine (ACE) tool to evaluate their aptitude in different elements of EBM. The results from the two parts were analyzed.Results The average score on the ACE tool among the participants was 8.9 (±1.6). Most participants rated themselves as beginners or intermediate in their EBM capabilities. Higher ACE scores were observed from participants with educational background from South Asia, and among those with more favorable attitudes towards EBM. Participants also reported reasonable abilities in EBM tasks and a favorable work atmosphere for EBM implementation. Lack of knowledge, resources, and time were the most reported barriers to utilizing EBM. Conclusions Earlier adoption of EBM education and practices leads to increased competence and it should be taught and evaluated in the undergraduate and GME programs. It is hoped that increased emphasis and attention to EBM at earlier stages will have an effect on overall clinician confidence and competence in utilizing EBM in the clinical setting. In a setting where matriculating clinicians arrive from heterogeneous educational backgrounds and EBM experiences, it is important to assess and continuously implement EBM training both cognitively and affectively.

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Perceptions and practices of physicians’ towards evidence-based medicine and physicians perceived barriers in Jeddah, Saudi Arabia

Cited by 20 publications

References 13 publications

The readiness of hospital pharmacists in Kuwait to practise evidence-based medicine: a cross-sectional study

The readiness of hospital pharmacists in Kuwait to practise evidence-based medicine: a cross-sectional study

Examining aptitude and barriers to Evidence Based Medicine among trainees at an ACGME-I accredited program

Examining aptitude and barriers to Evidence Based Medicine among trainees at an ACGME-I accredited program

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