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Are physical therapists in Viet Nam ready to implement evidence-based practice? A survey

机译：越南的物理治疗师准备好实施循证实践吗？一项调查

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Evidence-based practice (EBP) enhances healthcare services and keeps providers current with best practices. EBP has been adopted and spread worldwide. However, people will not apply it if they do not know, understand, or believe it. Few studies have considered EBP application in Viet Nam. This study explores whether Vietnamese physical therapists’ attitude, knowledge, skills toward EBP and barriers to its use make them ready to implement its practice. A survey questionnaire was sent directly to physical therapists in governmental healthcare organizations in Ho Chi Minh City, Viet Nam, from July to October, 2017. It consisted of 41 closed- and open-ended questions related to knowledge, attitude, behaviors, frequency of use, and barriers of EBP and the demographic characteristics of participants. Descriptive statistics and significant correlations were determined from Chi-Square statistics or odds ratios between the variables. The return rate was 93% (421 out of 453). Eliminated were 40 responses inconsistent with inclusion criteria. The 381 eligible participants were more female (62%) than male, about 53% had vocational degrees, less than 1% had M.S. degrees. Participants reported a positive attitude toward EBP. An incongruity existed between knowledge/ skills of EBP and the frequency of using its 5 steps. English competence was the most critical barrier to applying EBP. The significant associations between attitude and knowledge, and demographical attributes indicated that younger therapists with lower educational degrees had less knowledge of EBP and they rarely employed the application and analytical steps 4 and 5. The incongruity between knowledge and use of EBP may result from the lack of EBP in academic education. The skills of reading professional articles in the English language and understanding and applying the steps of EBP should be emphasized in academic physical therapy programs. Additionally, policy makers should consider the number of patients a day per physical therapist which impacts EBP use and the quality of healthcare service.
机译：循证实践（EBP）增强了医疗保健服务，并使提供者始终掌握最佳实践。 EBP已被采用并传播到世界各地。但是，如果人们不了解，不理解或不相信它，则不会应用它。很少有研究考虑过在越南实施EBP。这项研究探讨了越南物理治疗师对EBP的态度，知识，技能以及使用EBP的障碍是否使他们准备好实施EBP。 2017年7月至10月，调查问卷直接发送给越南胡志明市政府医疗机构的物理治疗师。该问卷包括41个与知识，态度，行为，性行为频率有关的封闭式和开放式问题。 EBP的使用，障碍以及参与者的人口统计学特征。根据卡方统计或变量之间的比值比确定描述性统计量和显着相关性。回报率为93％（453个中的421个）。消除了40项与纳入标准不一致的回答。 381名符合条件的参与者中，女性（62％）比男性多，具有职业学位的约53％，具有医学硕士学位的不到1％。度。与会者报告对EBP持积极态度。 EBP的知识/技能与使用其5个步骤的频率之间存在不一致。英语能力是应用EBP的最关键障碍。态度和知识之间的显着关联以及人口统计学特征表明，文化程度较低的年轻治疗师对EBP的了解较少，他们很少采用应用和分析步骤4和5。EBP的知识和使用之间的不一致可能是由于缺乏EBP在学术教育中的地位。在学术物理治疗计划中应强调阅读英语专业文章，理解和应用EBP步骤的技能。此外，决策者应考虑每位理疗师每天的患者人数，这会影响EBP的使用和医疗服务的质量。

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