Evidence-based practice: a survey of working professional in the hospital physiotherapy area: a cross-sectional study
DOI:
https://doi.org/10.5585/conssaude.v18n4.14364Keywords:
Evidence-based practice, Physical therapy, Hospital environmentAbstract
Introduction: The Evidence-Based Practice (EBP) consists of a combination of the therapist's experience, the best evidence available and the patient's preference / adaptation. The hospital physiotherapist possesses knowledge on therapeutic procedures validated by researches with proof of the effectiveness of his techniques. His/her presence is indispensable in sectors such as adult ICU, neonatal ICU, and infirmaries. Because it is a primary area for the rehabilitation of hospitalized patients, it is necessary to identify whether the professionals, who work in the various sectors of the hospital environment, are able to offer the best available service using the principles of the PBE.
Objective: To describe the behavior, knowledge, abilities, opinions and self-reported barriers related to PBE of hospital physioterapists at a public state hospital in Santa Catarina, Brazil.
Methods: An adapted electronic questionnaire was used that identified behavior, knowledge, skills, opinions and barriers in self-reported EBP by participants.
Results: The response rate to the questionnaire was 72.72% (16 respondents). The most used professional updating medium were scientific articles (56.3%), the most accessed basis was Scielo (93.8%), followed by Pubmed (81,3%). Physical therapists (87,5%) report that they know the meaning of the term PBE, seek to implant the best scientific evidence in clinical practice (75,0%), thus helping the quality of health services (56,3%). The most reported barriers were the language of the articles, lack of quality of evidence, difficulty in obtaining the full article, lack of time, difficulty in understanding statistical data, interpretation of results, and lack of training in PBE.
Conclusion: Hospital physioterapists report positive attitudes regarding the use of EBP, are interested in deepening their knowledge about the subject in order to use the best scientific evidence in clinical practice aiming at quality in patient care. On the other hand, some barriers make it difficult to implement EBP in the daily care routine.
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References
Silva TM, Garcia NA, Costa LOP. Prática baseada em evidência: como efetivamente utilizar na prática clínica. In: Oliveira GDSC, Macedo RR, editors. Porto Alegre: Artmed; 2016.
Claudino R, Simões NP, Silva T. Evidence-Based Practice: a survey of Brazilian physical therapists from the dermatology subdiscipline. Braz J Phys Ther. 2018, [citado 2019 maio 07] http://doi.org/10.1016/j.bjpt.2018.10.002.
Silva TM, Costa LCM, Garcia NA, Costa LOP. What do physical therapists think about Evidence-Based Practice? A systematic review. Man Therapy. 2015;20 (3):388-401.
Hebert et al. Practical Evidence-Based physiotherapy. 2nd ed. United Kingdom: Butterworth-Heinemann; 2011.
Haynes B, Haines A, Barriers and bridges to evidence based clinical practice. BMJ 1998;317 (7153): 273-6.
Alves NA. A importância da atuação do fisioterapeuta no ambiente hospitalar. Ensaios e Ciência: Ciências Biológicas, agrárias e da Saúde. 2012;16 (6):173-184.
COFFITO. Acórdão nº 472, de 20 de maio de 2016 – Dispõe sobre o trabalho do Fisioterapeuta no período de 24 horas em CTIs. Acessado em 19 novembro de 2018.
Sarmento, GJV. Fisioterapia respiratória no paciente crítico: rotinas clínicas. 2 ed. São Paulo: Manole; 2007.
Sommers J et al. Physiotherapy in the intensive care unit: An evidence-based, expert driven, practical statement and rehabilitation recommendations. Clin Rehabil. 2015;29 (11):1051–63.
Silva TM, Costa LC, Costa LO. Evidence-Based Practice: a survey regarding behavior, knowledge, skills, resources, opinions and perceived barriers of Brazilian physical therapists from Sao Paulo state. Brazilian journal of physical therapy. 2015;19 (4):294-303.
Queiroz PS, Santos MJD. Facilidades e habilidades do fisioterapeuta na procura, interpretação e aplicação do conhecimento científico na prática clínica: um estudo piloto easiness and skillfulness of physical therapists in searching, interpreting and applying scientific knowledge in clinical practice: a pilot study. Fisioter Mov. 2013; 26 (1):13-23.
Kume J, Tandel R, Indelicato J. Application of the Evidence-Based Practice Model by Physical Therapy Clinical Practitioners. J Allied Health. 2019 Fall;48 (3):e79-e85.
Alshehri MA, Alalawi A, Alhasan H, Stokes E. Physiotherapists' behaviour, attitudes, awareness, knowledge and barriers in relation to evidence-based practice implementation in Saudi Arabia: a cross-sectional study. Int J Evid Based Healthc. 2017;15 (3):127-14.
Yahui HC, Swaminathan N. Knowledge, attitudes, and barriers towards evidence-based practice among physiotherapists in Malaysia. Hong Kong Physiother J. 2017; 37:10-18.
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 Med Educ. 2019;5 (1):e12795.
Fujimoto S, Kon N, Takasugi J, Nakayama T. Attitudes, knowledge and behavior of Japanese physical therapists with regard to evidence-based practice and clinical practice guidelines: a cross-sectional mail survey. J Phys Ther Sci. 2017;29 (2):198-208.
Silva AM, Comper ML, Costa LdCM, Padula RS. Instrumentos para avaliar a prática baseada em evidências na fisioterapia: uma revisão sistemática. Conscientiae saúde (Impr). 2015;14 (2):321-7.
Tilson JK. Validation of the modified Fresno test: assessing physical therapists' evidence based practice knowledge and skills. BMC medical education. 2010;10 (1):38.
Virtuoso JF, Haupenthal A, Pereira ND, Martins C, Knabben R, Andrade A. A produção de conhecimento em fisioterapia: análise de periódicos nacionais (1996 a 2009). Fisioterapia em Movimento. 2011;24 (1):173-80.
Vinha DRD. Fisioterapia baseada em evidências: uma experiência prática de ensino. Tuiuti: Ciência e Cultura. 2002; 26:87-108.
Jang MH, Shin MJ, Shin YB. Pulmonary and Physical Rehabilitation in Critically Ill Patients. Acute Crit Care. 2019;34 (1):1-13.
Hilu L, Gisi ML. Produção científica no Brasil – um comparativo entre as universidades públicas e privadas. X Congresso Nacional de Educação – EDUCERE / I Seminário Internacional de Representações Sociais, Subjetividade e Educação – SIRSSE. Anais.... 2011 [citado 2020 maio 16] https://educere.bruc.com.br/CD2011/pdf/5221_3061.pdf.
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