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首页> 外文期刊>Safety in health. >Utilisation of research evidence in clinical practice to improve health care delivery- practices, attitudes and challenges faced by physiotherapists in Zimbabwe: a descriptive cross sectional study
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Utilisation of research evidence in clinical practice to improve health care delivery- practices, attitudes and challenges faced by physiotherapists in Zimbabwe: a descriptive cross sectional study

机译：在临床实践中利用研究证据改善卫生保健的提供—津巴布韦物理治疗师所面临的实践，态度和挑战：描述性横断面研究

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Background Decision-making in health care delivery should be based on the best available current, valid and relevant evidence. Healthcare professionals should therefore be well versed with the skills required to make evidence based clinical decisions in patient care. The aims of this study were to investigate the attitudes of physiotherapists towards utilisation of evidence-based practice (EBP) during patient care, identify barriers to the use of EBP and strategies to improve utilisation of EBP. Method A descriptive cross sectional study was conducted using a survey questionnaire. Fifty five questionnaires were administered to randomly selected physiotherapists, working in either private or public hospitals in Zimbabwe. The questionnaire collected information on demographics, utilisation of EBP, factors affecting use of EBP and recommendations. Results The response rate was 91?% ( n =?50). Majority of respondents ( n =?30; 60.0?%) were female, mean age of respondents was 36.4?years (SD?=?9.8) and median years of experience was 8.5 (IQR?=?5–15). A positive attitude towards EBP was displayed by 18 of 31 respondents (58.1?%) from private hospitals and 14 of 19 respondents (73.4?%) from public hospitals. All participants indicated that the knowledge obtained through undergraduate training was their major source of evidence-based information whilst a combined 19 respondents (38.0?%) indicated reading of journals and carrying out research as their main source of evidence. Lack of time was indicated as the major factor influencing utilisation of EBP by respondents. Limited access to online information was reported by 15 of 19 respondents from public hospitals (78.9?%) to be a major factor affecting their EBP. Respondents recommended training for physiotherapists to improve their skills in critical evaluation of research as a way to promote EBP and highlighted the need for organisational support to facilitate access to online sources of EBP in the clinical environment. Conclusion Physiotherapists in Zimbabwe seem to rely on knowledge obtained from undergraduate training to guide them in patient care with a few highlighting the importance of research activities to guide clinical practice and their involvement in them. There is need to for physiotherapists to make time to acquire information on evidence based treatment methods in order to improve the quality of clinical practice and ultimately the standard of health care delivery.
机译：背景卫生保健提供中的决策应基于现有的最佳最新，有效和相关证据。因此，医疗保健专业人员应该精通在患者护理中做出循证临床决策所需的技能。这项研究的目的是调查物理治疗师对患者护理过程中采用循证实践（EBP）的态度，确定使用EBP的障碍和提高EBP利用率的策略。方法使用调查问卷进行描述性横断面研究。对在津巴布韦的私立或公立医院工作的随机选择的理疗师进行了55张问卷调查。问卷收集了有关人口统计学，EBP的利用，影响EBP使用的因素和建议的信息。结果回应率为91％（n = 50）。多数受访者（n = 30; 60.0％）为女性，平均年龄为36.4岁（SD = 9.8），中位工作年限为8.5（IQR = 5-15）。私立医院的31名受访者中有18名（58.1％）对EBP持积极态度，而公立医院的19名受访者中有14名（73.4％）表现出对EBP的积极态度。所有参与者均表示，通过大学培训获得的知识是他们基于证据的信息的主要来源，而共有19名受访者（38.0％）表示阅读期刊和进行研究是他们的主要证据。受访者认为时间不足是影响EBP利用率的主要因素。 19家公立医院中有15名受访者报告在线信息访问受限（占78.9％）是影响其EBP的主要因素。受访者建议对物理治疗师进行培训，以提高他们对研究的严格评估中的技能，以此来促进EBP，并强调需要组织支持以促进在临床环境中访问在线EBP来源。结论津巴布韦的物理治疗师似乎依靠从本科培训中获得的知识来指导他们进行患者护理，其中一些强调了研究活动对指导临床实践及其参与的重要性。需要物理治疗师花时间来获取有关基于证据的治疗方法的信息，以提高临床实践的质量并最终改善医疗服务的标准。

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