The barriers perceived to prevent the successful implementation of evidence-based practice by speech and language therapists

O’Connor, Siobhán; Pettigrew, Catharine M.

doi:10.3109/13682820802585967

Cited by 13 publications

(19 citation statements)

References 8 publications

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“…The majority of the study respondents demonstrated positive attitudes toward EBP, consistent with findings from previous research. 8,[10][11][12] However, the findings suggest that there are a number of barriers that limit the implementation of EBP in Nepal. The greatest barrier identified was the lack of adequate time and workload release, similar to findings reported from previous studies.…”

Section: Discussionmentioning

confidence: 73%

“…The greatest barrier identified was the lack of adequate time and workload release, similar to findings reported from previous studies. 7,9,10,[12][13][14][15][16] Another barrier identified by 52.9% of the respondents was the lack of sufficient resources, which was also identified by Majid in Singapur and by Chemjong in her study of Nepalese nurses. 7,9 Respondents ranked all seven potential motivators that were listed on the survey as important for promoting EBP.…”

Section: Discussionmentioning

confidence: 99%

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Perceptions and Attitudes towards Evidence Based Practice among Nurses and Nursing Students in Nepal

Karki

Acharya

Budhwani

et al. 2017

Kathmandu Univ. Med. J.

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BackgroundAs the evidence based practice (EBP) movement expands, there is a need for health leaders and educators in each country to assess the extent to which health professional students and practitioners are prepared to locate, evaluate, and apply evidence to guide their practice. ObjectiveThe study objective was to explore nurses' and nursing students' perceptions and attitudes towards EBP. MethodThis was a descriptive cross-sectional survey administered to all 273 nurses and nursing students from Nepal who attended an EBP conference. The survey instrument that was used by Majid in Singapore was adapted for use in this study with permission from the author. ResultIn total, 121 nurses participated in the study. The majority (93%) of respondents reported that they had no previous training in EBP. The respondents' perceptions of their EBP knowledge and skills were variable, but most of them demonstrated positive attitudes toward EBP. Respondents identified a number of barriers that limit the implementation of EBP in Nepal. The greatest barriers were lack of time and resources, difficulty understanding research articles and translating the findings to practice, and limited autonomy to change practice based on evidence. ConclusionAlthough respondents had positive attitudes towards EBP, their knowledge and skills were limited and barriers to implementation existed. Nursing faculty can use the findings to guide implementation of EBP into curricula, and nursing administrators and clinicians can use the findings to guide practice to promote EBP. Evidence-based nursing, evidence-based practice, nursing research KEY WORDS

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Section: Discussionmentioning

confidence: 73%

Section: Discussionmentioning

confidence: 99%

Perceptions and Attitudes towards Evidence Based Practice among Nurses and Nursing Students in Nepal

Karki

Acharya

Budhwani

et al. 2017

Kathmandu Univ. Med. J.

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“…1,[3][4][5][6]10,[12][13][14][15][16]20,21,23,[28][29][30][31][32] Our review did not identify any other papers addressing knowledge broker experiences in rehabilitation. Although several studies 3,13,20,24 have suggested that knowledge brokers could help to close the knowledge-practice gap in health care, the effectiveness of such initiatives requires additional study.…”

Section: Discussionmentioning

confidence: 93%

“…We identified search terms through an iterative process that began with reviewing seminal 24 and emerging literature on knowledge translation, knowledge sharing, and research adoption [26][27][28][29][30][31][32][33][34][35] to determine the potential diversity in the literature with respect to knowledge brokering terms and approaches. Our aim was to identify and use search terms that maintained a focus on the exchange and acquisition components of knowledge and learning that are common to all definitions of knowledge brokers (see Box 1), without narrowing the search so much that potentially relevant papers would be missed.…”

Section: Search Strategymentioning

confidence: 99%

What Do We Know about Knowledge Brokers in Paediatric Rehabilitation? A Systematic Search and Narrative Summary

Taylor¹,

Verrier

Landry

2014

Physiotherapy Canada

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Purpose: To conduct a systematic review of the literature related to the use of knowledge brokers within paediatric rehabilitation, and specifically to determine (1) how knowledge brokers are defined and used in paediatric rehabilitation and (2) whether knowledge brokers in paediatric rehabilitation have demonstrably improved the performance of health care providers or organizations. Methods: The MEDLINE, CINAHL, EMBASE, and AMED databases were systematically searched to identify studies relating to knowledge brokers or knowledge brokering within paediatric rehabilitation, with no restriction on the study design or primary aim. Following review of titles and abstracts, those studies identified as potentially relevant were assessed based on the inclusion criteria that they: (1) examined some aspect of knowledge brokers/brokering in paediatric rehabilitation; (2) included sufficient descriptive detail on how knowledge brokers/brokering were used; and(3) were peer-reviewed and published in English. Results: Of 1513 articles retrieved, 4 met the inclusion criteria, 3 of which referenced the same knowledge broker initiative. Two papers used mixed methods, one qualitative methodology, and one case presentation. Because of the different methods used in the included studies, the findings are presented in a narrative summary. Conclusions: This study provides an overview of the limited understanding of knowledge brokers within paediatric rehabilitation. Knowledge broker initiatives introduced within paediatric rehabilitation have been anchored in different theoretical frameworks, and no conclusions can be drawn as to the optimum combination of knowledge brokering activities and methods, nor about optimal duration, for sustained results.Key Words: evidence-based practice; knowledge translation; pediatrics. RÉ SUMÉObjectif : Procé der à une critique systé matique des publications portant sur l'utilisation des courtiers en connaissances dans le domaine de la ré adaptation pé diatrique et dé terminer plus pré cisé ment (1) comment les courtiers du savoir sont dé finis et utilisé s en ré adaptation pé diatrique et (2) s'ils ont amé lioré de fac¸on dé montrable le rendement de fournisseurs ou d'organisations de soins de santé . Mé thodes : On a effectué une recherche systé matique dans les bases de donné es MEDLINE, CINAHL, EMBASE et AMED pour y trouver des é tudes portant sur les courtiers ou le courtage en connaissances en ré adaptation pé diatrique, sans restriction quant à la conception ou à l'objectif principal de l'é tude. Aprè s une revue des titres et des ré sumé s, les é tudes jugé es é ventuellement pertinentes ont é té é valué es en fonction des critè res d'inclusion suivants: (1) elles portaient sur certains aspects des courtiers ou du courtage en connaissances dans le domaine de la ré adaptation pé diatrique; (2) elles incluaient des dé tails suffisamment descriptifs de la fac¸on d'utiliser les courtiers ou le courtage en connaissances; (3) elles ont é té critiqué es par des pairs et publié es en anglais. R...

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“…Previous research into factors affecting the uptake of EBP in speech pathology has taken a profession-wide approach, irrespective of the client groups they serviced or workplace setting (O'Connor & Pettigrew, 2009;. The importance of examining the context specific influence of EBP on clinical practice in speech pathology has, however, been identified (Cheung, Trembath, Arciuli, & Togher, 2013).…”

Section: Introductionmentioning

confidence: 99%

“Communication is taking a back seat”: An exploration of aphasia management in acute hospital settings

Foster¹

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While in the past the focus of speech pathologists working in the acute hospital setting has been service provision to people with communication disorders and their families, their primary role is now in dysphagia. In the limited literature regarding aphasia management in acute hospital settings, there is a lack of consistency regarding the type and amount of intervention being provided to people with aphasia; however, there is consensus that current practice is inconsistent with bestpractice recommendations. Given that aphasia intervention has been identified as being central to improved communicative outcomes, an increased capacity to effectively communicate healthcare needs, a decrease in hospital negative events, and an increased sense of satisfaction for people with aphasia, this is of concern. Little is known about the reasons underlying this evidence-practice gap.The overall aim of this thesis was to provide an understanding of current acute aphasia management practice and the factors that influence it. Specifically, the research aimed to: (a) provide an in-depth understanding of the current aphasia management pathway in the acute hospital setting; (b) explore acute speech-language pathologists' conceptualisation, experiences, and perceptions of post-stroke aphasia management, and provide a greater understanding of the factors that influence their practice; and, (c) understand the factors that influence acute aphasia management from the perspectives of speech pathologists, people with aphasia, and their close others, through a cultural lens.In order to address the research aims, the empirical aspects of this research were conducted in two Phases. Phase One, an interpretative phenomenological investigation, aimed to provide a deep understanding of aphasia management from the perspective of acute speech pathologists. Semistructured, in-depth interviews were undertaken with 15 Australian speech pathologists working with people with aphasia (one of which was later excluded resulting in a total n=14). Interviews were transcribed verbatim, and data were analysed using a thematic analysis. Key themes identified included: role perception; competing priorities; the de-prioritisation of aphasia; and, the sense of disempowerment experienced by speech pathologists as a result of their relationship with evidencebased practice for acute aphasia management. In addition, a qualitative content analysis was undertaken to describe the current aphasia management pathway. Grounded within the guiding construct, First contact with the profession, the findings represented the significant diversity in the ii pathways of care for people with aphasia and their families in the acute hospital setting. Overall, analysis revealed the complex, diverse, and multi-faceted nature of the phenomenon.Phase Two was designed based on the findings of Phase One. It examined the culture of acute aphasia management by speech pathologists in depth, through the use of focused ethnography in a single acute stroke unit. Three participant triads...

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The barriers perceived to prevent the successful implementation of evidence-based practice by speech and language therapists

Cited by 13 publications

References 8 publications

Perceptions and Attitudes towards Evidence Based Practice among Nurses and Nursing Students in Nepal

Perceptions and Attitudes towards Evidence Based Practice among Nurses and Nursing Students in Nepal

What Do We Know about Knowledge Brokers in Paediatric Rehabilitation? A Systematic Search and Narrative Summary

“Communication is taking a back seat”: An exploration of aphasia management in acute hospital settings

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