The uptake of evidence-based practice by occupational therapists in South Africa

Buchanan, Helen

doi:10.1179/otb.2011.64.1.008

Cited by 10 publications

(26 citation statements)

References 41 publications

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“…In this chapter, the findings of this study are examined in relation to these four sources of This conviction has been mirrored by the lack of published literature relating to EBP in developing countries (Buchanan, 2011). This study aimed to explore and reveal which sources of information were available to and used by paediatric occupational therapists to make clinical decisions, in a developing country, Chile.…”

Section: Discussionmentioning

confidence: 99%

“…A study conducted in South Africa confirmed this assertion, stating that most of the progress made in evidence-based occupational therapy worldwide has been led by researchers from developed countries. In this article, Buchanan (2011) suggests that the importance of evidence-based practice in developing countries seems to be limited, which is reflected through the lack of published literature about EBP. The author depicted the actions undertaken in South Africa in order to promote de adoption of EBP framework, identifying the main barriers and enablers of EBP that can be particularly relevant for developing countries.…”

Section: Clinical Reasoning In Occupational Therapymentioning

confidence: 99%

“…The author depicted the actions undertaken in South Africa in order to promote de adoption of EBP framework, identifying the main barriers and enablers of EBP that can be particularly relevant for developing countries. The article concluded by providing recommendations to foster evidence based occupational therapy locally and globally (Buchanan, 2011).…”

Section: Clinical Reasoning In Occupational Therapymentioning

confidence: 99%

“…The adoption of EBP and the achievement of sound CR have been considered important for health practitioners globally, and even more relevant in developing countries (Buchanan, 2011), given their resource constraints and epidemiological profiles, which can be extremely different from developed countries.…”

Section: The Chilean Practice Contextmentioning

confidence: 99%

“…Even though participants' responses revealed that they were actively seeking professional information, the use of research evidence for making decisions in daily practice was not spontaneously reported by any participant. Besides the barriers to adopting EBP that have been widely described in the literature, such as time and resources constraints (Bennett & Bennett, 2000), developing countries and, in particular, nonEnglish-speaking countries, face additional obstacles such us the language in which research is published, together with lack of locally generated research (Buchanan, 2011). In the current study, only two participants described having access to scientific knowledge, which included the use of resources such as pirate websites and Facebook groups.…”

Section: Evidence From Researchmentioning

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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Section: Discussionmentioning

confidence: 99%

Section: Clinical Reasoning In Occupational Therapymentioning

confidence: 99%

Section: Clinical Reasoning In Occupational Therapymentioning

confidence: 99%

Section: The Chilean Practice Contextmentioning

confidence: 99%

Section: Evidence From Researchmentioning

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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Evidence‐based Practice: A Critical Appraisal

Ilott

2012

Occupation Therapy Intl

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Survey Instruments for Knowledge, Skills, Attitudes and Behaviour Related to Evidence‐based Practice in Occupational Therapy: A Systematic Review

Buchanan

Siegfried

Jelsma

2015

Occupation Therapy Intl

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The purpose of this study was to evaluate, through a systematic review, assessment instruments for evidence-based practice (EBP). The specific objectives were to (1) identify survey instruments testing EBP knowledge, skills, attitudes and behaviour; (2) determine the attributes measured by each instrument; (3) evaluate the psychometric properties of the instruments; and (4) evaluate the methodological quality of the instruments. Using the Cochrane approach, searches were conducted in Pubmed, EBSCOHost and Scopus from inception to February 2014. Papers were screened by two independent assessors, and data were extracted by one researcher. Forty papers reporting 34 instruments met the inclusion criteria and were included in the qualitative synthesis. Most instruments measured EBP behaviour (n = 33) and attitudes (n = 21). This review provides a single source of information to enable researchers to select the most robust descriptive instruments to measure EBP learner attributes. Instruments used only with occupational therapists may have resulted in some instruments being missed. For further research, it is recommended that attention is given to developing objective instruments with a focus on knowledge and skills. Copyright © 2015 John Wiley & Sons, Ltd.

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The uptake of evidence-based practice by occupational therapists in South Africa

Cited by 10 publications

References 41 publications

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

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

Evidence‐based Practice: A Critical Appraisal

Survey Instruments for Knowledge, Skills, Attitudes and Behaviour Related to Evidence‐based Practice in Occupational Therapy: A Systematic Review

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