The process of evidence‐based practice in occupational therapy: Informing clinical decisions

Bennett, Sally; Bennett, John W.

doi:10.1046/j.1440-1630.2000.00237.x

Cited by 148 publications

(132 citation statements)

References 19 publications

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“…The expression "evidence-based medicine" came up in the 1980s to describe the learning based in problems, used by the MacMaster University Medicine School 1 . Evidence-based practice (EBP) and EB health care comprehend the same concepts and principles of the evidence-based medicine, being employed by different professionals and in many health contexts 1 .…”

Section: Introductionmentioning

confidence: 99%

Estudos de revisão sistemática: um guia para síntese criteriosa da evidência científica

Sampaio¹,

Mancini²

2007

Rev. bras. fisioter.

870

156

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Introduction: Aggregation of research evidence to guide clinical practice is one of the main reasons for conducting studies that provide a synthesis of the literature, but it is not the only reason. Systematic reviews are designed to be methodical, explicit and replicable. Such studies may help to guide project development, by indicating new directions for further investigations and identifying which research methods have been used within a given area. Methods: Systematic reviews require straightforward questions, search strategy definition, establishment of study inclusion and exclusion criteria and careful analysis of the selected literature. The development process for reviews of this type includes characterization of each selected study, evaluation of their quality, identification of important concepts, comparison of statistical analyses used and conclusions regarding what the literature tells us about a specific intervention. Such reviews also suggest problems/questions that need further investigation. Systematic review studies follow the structure of original articles. Conclusion: Good systematic reviews are important resources, in the light of the accelerated growth of scientific information. These studies help in producing syntheses of the evidence available in the literature on specific interventions, and may help clinicians and researchers in their work process.

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Section: Introductionmentioning

confidence: 99%

Estudos de revisão sistemática: um guia para síntese criteriosa da evidência científica

Sampaio¹,

Mancini²

2007

Rev. bras. fisioter.

870

156

View full text Add to dashboard Cite

show abstract

“…However, in it's policy statement, the World Confederation for Physical Therapists (2015) suggests that, besides these three traditional sources, "evidence should take into consideration beliefs, values and the cultural context of the local environment" (p.1). Similarly, in the field of Occupational Therapy, a fourth element was incorporated by Bennett and Bennett (2000), who proposed that EBP needs to take into account "the context in which treatment occurs" (p.172).…”

Section: Evidence-based Practice Framework Used By Health Professionsmentioning

confidence: 99%

“…In order to practice based on evidence, access to research knowledge created by the worldwide scientific community, is needed as a key source of information (Bennett & Bennett, 2000;Rycroft-Malone et al, 2004). The fast-paced growth of research evidence demands that therapists keep updated about effective approaches, novel theories and guidelines for optimizing cost-effectiveness of interventions and supporting high quality health care (Hoffmann et al, 2013).…”

Section: Sources Of Information Used In Evidence-based Occupational Tmentioning

confidence: 99%

“…Occupational therapy as a profession has adhered to this global movement, through actively engaging in research knowledge production as well as promoting its adoption among occupational therapy practitioners (Bennett & Bennett, 2000;Doucet et al, 2014;Ilott et al, 2006). …”

Section: Clinical Reasoning In Occupational Therapymentioning

confidence: 99%

“…Practicing based on evidence is a ubiquitous need today, given that research knowledge related to health care is constantly being created and growing exponentially within the globalized world. Simultaneously, clients, governments and health policy makers are demanding proof of the effectiveness of occupational therapy to validate it's role in health service provision (Bennett & Bennett, 2000;Lin et al, 2010;Thomas et al, 2012). It is becoming clearer that a range of sources of information are used by occupational therapists to contribute to sound clinical decisions and promote EBP (Hoffmann et al, 2013;Rycroft-Malone et al, 2004).…”

Section: Introductionmentioning

confidence: 99%

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Sources of information used by paediatric occupational therapists in Chile to make clinical decisions

Rojas¹

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IntroductionEvidence-based practice (EBP) is a global movement that fosters the use of research evidence, clinical expertise, the patient's values and circumstances, and information from the practice context. It aims to support high quality practice through providing and using sound evidence for decision making, thereby enhancing the client's outcomes. Occupational therapists have been challenged to advance the profession and adopt EBP as a global approach. Although EBP has been increasingly promoted and applied in occupational therapy over the last twenty years, there is a scarcity of research conducted in developing countries, and evidence-based occupational therapy is not yet a worldwide reality. Chile, a developing country graduating an increasing number of occupational therapists, provides a useful case for exploring EBP. The aim of this study was to investigate which sources of information are accessed by occupational therapists in Chile, and how knowledge is built and integrated in paediatric practice. MethodsInterpretive description served as the methodological framework for this study. Ten Chilean occupational therapists, who had diverse demographic profiles and worked in a variety of paediatric settings, were recruited. Participants completed in-depth interviews regarding their decision-making in daily practice. Interviews were conducted in Spanish, transcribed verbatim in Spanish, and then translated into English. Data were rigorously coded and analyzed thematically. To enhance credibility of the data analysis, preliminary conceptualizations and interpretations were returned to the participants for their critical DiscussionScarce access to research knowledge, precarious development of a research culture and lack of connection with the global scientific community can lead occupational therapists to rely on information that has not undergone quality evaluation. In Chile, the absence of regulatory bodies represent an additional risk to the profession , as there are no formal procedures to oversee the quality of professional practice, the standards of continuing professional development nor educational programs. Practitioners may benefit from developing a clinical reasoning framework based on evidence to guide their decision-making, in order to improve quality of practice and client outcomes. The establishment of a clinical reasoning framework based on evidence might be particularly relevant at this time, due to the increasing number of educational programs offering occupational therapy training in Chile.

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Rationale and Standards of Evidence in Evidence‐Based Practice

Mudford

McNeill

Walton

et al. 2012

Handbook of Evidence‐Based Practice in Clinical Psychology

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The process of evidence‐based practice in occupational therapy: Informing clinical decisions

Cited by 148 publications

References 19 publications

Estudos de revisão sistemática: um guia para síntese criteriosa da evidência científica

Estudos de revisão sistemática: um guia para síntese criteriosa da evidência científica

Sources of information used by paediatric occupational therapists in Chile to make clinical decisions

Rationale and Standards of Evidence in Evidence‐Based Practice

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