Volume : 08, Issue : 10, October – 2021

Title:

11.BARRIERS FACED BY PHYSIOTHERAPISTS IN EVIDENCE BASED PRACTICE IMPLEMENTATION – A CROSS SECTIONAL STUDY IN PAKISTAN

Authors :

Sabiha Arshad, Muhammad Waqas Sharif, Hafiza Saira Wajid

Abstract :

Background: Evidence based physiotherapy (EBP) is an emerging science in health care delivery system. The delivery of prime quality services has become a big challenge within the health care system these days.
Objectives: Primary objective of my study was to determine the present barriers in using and implementing the EBP faced by Physical therapists practicing in Lahore.
Materials and methods: Non-probability Convenience sampling technique was used. It was an analytical cross-sectional study with sample size of 235 participants. The data was encoded and analyzed by SPSS version 16. Percentages, bar charts, tables were used to show results.
Results: This graph shows the “generalize setting” was barrier according to 42.6%- moderate extent and 26.4% a great extent. “Publication of reports” was reported by 40.4% to a little extent, while 36.6% said it was a moderate barrier and 10.6% considered it as a great one. “Administration” was said by 34.0% and 38.7% PTs response great extent and moderate respectively.
Conclusion: This study shows that generalize settings, publication of reports and Administration was considered as barriers for evidenced practice and its usage in their clinical practice.
Key words: Barriers, Evidence Based, Clinical Practice, Physiotherapist, strategies, implementation

Cite This Article:

Please cite this article in press Sabiha Arshad et al, Barriers Faced By Physiotherapists In Evidence Based Practice Implementation – A Cross Sectional Study In Pakistan., Indo Am. J. P. Sci, 2021; 08(10).

Number of Downloads : 10

References:

1. Bohannon RW. Information accessing behaviour of physical therapists. Physiotherapy Theory and Practice 1990; 6(4): 215-25.
2. Burns PB, Rohrich RJ, Chung KC. The levels of evidence and their role in evidence-based medicine. Plastic and reconstructive surgery 2011; 128(1): 305.
3. Carr JH, Mungovan SF, Shepherd RB, Dean CM, Nordholm LA. Physiotherapy in stroke rehabilitation: bases for Australian physiotherapists’ choice of treatment. Physiotherapy Theory and Practice 1994; 10(4): 201-9.
4. Sackett DL, Rosenberg WM, Gray JM, Haynes RB, Richardson WS. This article is based on an editorial from the British Medical Journal on 13th January 1996 (BMJ 1996; 312: 71-2). BMJ 1996; 312: 71-2.
5. Rizzuto C, Bostrom J, Suter WN, Chenitz WC. Predictors of nurses’ involvement in research activities. Western Journal of Nursing Research 1994; 16(2): 193-204.
6. Ciccone CD. Does ambulation immediately following an episode of deep vein thrombosis increase the risk of pulmonary embolism? Physical therapy 2002; 82(1): 84-8.
7. Ciccone CD. Does acetic acid iontophoresis accelerate the resorption of calcium deposits in calcific tendinitis of the shoulder? Physical therapy 2003; 83(1): 68-74.
8. Cranney M, Warren E, Barton S, Gardner K, Walley T. Why do GPs not implement evidence-based guidelines? A descriptive study. Family practice 2001; 18(4): 359-63.
9. Ely JW, Osheroff JA, Ebell MH, et al. Obstacles to answering doctors’ questions about patient care with evidence: qualitative study. Bmj 2002; 324(7339): 710.
10. Fairhurst K, Huby G. From trial data to practical knowledge: qualitative study of how general practitioners have accessed and used evidence about statin drugs in their management of hypercholesterolaemia. Bmj 1998; 317(7166): 1130-4.
11. Flores G, Lee M, Bauchner H, Kastner B. Pediatricians’ attitudes, beliefs, and practices regarding clinical practice guidelines: a national survey. Pediatrics 2000; 105(3): 496-501.
12. Freeman AC, Sweeney K. Why general practitioners do not implement evidence: qualitative study. Bmj 2001; 323(7321): 1100.
13. Haynes B, Haines A. Barriers and bridges to evidence based clinical practice. Bmj 1998; 317(7153): 273-6.
14. Kajermo KN, Nordström G, Krusebrant Å, Björvell H. Barriers to and facilitators of research utilization, as perceived by a group of registered nurses in Sweden. Journal of advanced nursing 1998; 27(4): 798-807.
15. Kraemer TJ, Beckstead J. Establishing the reliability of using the cross cultural adaptability inventory with physical therapist students. Journal of Physical Therapy Education 2003; 17(1): 27.
16. Kadam P, Bhalerao S. Sample size calculation. International journal of Ayurveda research 2010; 1(1): 55.
17. Salbach NM, Jaglal SB, Korner-Bitensky N, Rappolt S, Davis D. Practitioner and organizational barriers to evidence-based practice of physical therapists for people with stroke. Physical therapy 2007; 87(10): 1284-303.
18. Quartey J, Kwakye S. Barriers to evidence-based physiotherapy practice for stroke survivors in Ghana. The South African journal of physiotherapy 2018; 74(1).
19. Alrowayeh HN, Buabbas AJ, Alshatti TA, AlSaleh FM, Abulhasan JF. Evidence-Based Physical Therapy Practice in the State of Kuwait: A Survey of Attitudes, Beliefs, Knowledge, Skills, and Barriers. JMIR medical education 2019; 5(1): e12795.
20. Khammarnia M, Haj Mohammadi M, Amani Z, Rezaeian S, Setoodehzadeh F. Barriers to implementation of evidence based practice in Zahedan teaching hospitals, Iran, 2014. Nursing research and practice 2015; 2015.
21. Shifaza F, Evans D, Bradley H. Nurses’ perceptions of barriers and facilitators to implement EBP in the Maldives. Advances in Nursing 2014; 2014.
22. Ramírez-Vélez R, Correa-Bautista JE, Muñoz-Rodríguez DI, et al. Evidence-based practice: beliefs, attitudes, knowledge, and skills among Colombian physical therapists. Colombia Médica 2015; 46(1): 33-40.
23. Silva TM, Costa L, Costa LO. Evidence-Based Practice: a survey regarding behavior, knowledge, skills, resources, opinions and perceived barriers of Brazilian physical therapists from São Paulo state. Brazilian journal of physical therapy 2015; (AHEAD): 00-.
24. Scurlock-Evans L, Upton P, Upton D. Evidence-based practice in physiotherapy: a systematic review of barriers, enablers and interventions. Physiotherapy 2014; 100(3): 208-19.