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báo cáo khoa học: "Determinants of research use in clinical decision making among physical therapists providing services post-stroke: a cross-sectional study"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Determinants of research use in clinical decision making among physical therapists providing services post-stroke: a cross-sectional study | Salbach et al. Implementation Science 2010 5 77 http www.implementationscience.eom content 5 1 77 Implementation Science IMPLEMENTATION SCIENCE RESEARCH ARTICLE Open Access Determinants of research use in clinical decision making among physical therapists providing services post-stroke a cross-sectional study 1 2 1.2 3 Nancy M Salbach Sara JT Guilcher Susan B Jaglal 1 David A Davis Abstract Background Despite evidence of the benefits of research use in post-acute stroke rehabilitation where compliance with clinical practice guidelines has been associated with functional recovery and patient satisfaction the rate of reliance on the research literature in clinical decision making among physical therapists is low. More research examining factors that motivate physical therapists to consider research findings in neurological practice is needed to inform efforts to intervene. The objective of this study was to identify practitioner organizational and research characteristics associated with research use among physical therapists providing services post-stroke. Methods A cross-sectional mail survey of physical therapists providing services to people with stroke in Ontario Canada was conducted. The survey questionnaire contained items to evaluate practitioner and organizational characteristics and perceptions of research considered to influence evidence-based practice EBP as well as the frequency of using research evidence in clinical decision making in a typical month. Ordinal regression was used to identify factors associated with research use. Results The percentage of respondents reporting research use in clinical decision making 0 to 1 2 to 5 or 6 times in a typical month was 33.8 52.9 and 13.3 respectively n 263 . Academic preparation in the principles of EBP research participation service as a clinical instructor self-efficacy to implement EBP a positive attitude towards research perceived organizational support of research use and Internet access to bibliographic