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Prosthet Orthot Int. 2011 Mar;35(1):30-8. doi: 10.1177/0309364610389353.

Factors influencing evidence-based practice in prosthetics and orthotics.

Author information

1
Holland Bloorview Kids Rehabilitation Hospital, Research Institute, Toronto, Ontario, Canada. jandrysek@hollandbloorview.ca

Abstract

BACKGROUND:

The importance of evidence-based practice is being recognized across a broad range of healthcare disciplines as a means for improving patient outcomes and also efficiently managing healthcare resources.

OBJECTIVE:

The objective of this work was to obtain information from clinicians about the underlying barriers and facilitators relating to evidence-based practice in prosthetics and orthotics.

STUDY DESIGN:

Cross sectional survey.

METHODS:

An internet survey was developed and distributed to 300 prosthetists and orthotists currently practicing in Canada.

RESULTS:

A principal component factor analysis of the survey results revealed ten primary factors affecting evidence-based practice. These include time constraints, workload and system demands, limited relevant evidence from research, and gaps in skills and knowledge required to perform evidence-based practice.

CONCLUSIONS:

Clinicians value research as a means of improving clinical practice, but they are faced with a number of practical barriers in performing evidence-based practice.

CLINICAL RELEVANCE:

This study provides empirical data about the underlying barriers and facilitators relating to evidence-based practice in prosthetics and orthotics. Such data are essential in order to inform those involved in improving existing clinical practices, including educators, professional organizations, and governing bodies.

PMID:
21515887
DOI:
10.1177/0309364610389353
[Indexed for MEDLINE]

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