Evidence Based Practice(EBP) in Physiotherapy: Difference between revisions
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== Introduction == | == Introduction == | ||
Evidence based practice (EBP) is 'the integration of best research evidence with clinical expertise and patient values.<ref name="sackett">Sackett DL, Rosenberg WMC, Gray JAM, Haynes RB, Richardson WS: Evidence based medicine: what it is and what it isn’t. BMJ 1996;312:71-2</ref> [[Evidence Based Practice (EBP)]] describes about the steps involved and the problems with EBP. A recent systematic review analysed What do physical therapists think about evidence-based practice? <ref name="tatiane">Tatiane Mota da Silva, Lucíola da Cunha Menezes Costa, Alessandra Narciso Garcia, Leonardo Oliveira Pena Costa, What do physical therapists think about evidence-based practice? A systematic review, Manual Therapy, Available online 24 October 2014, ISSN 1356-689X, http://dx.doi.org/10.1016/j.math.2014.10.009.fckLR(http://www.sciencedirect.com/science/article/pii/S1356689X1400191X)</ref> and concluded that the barriers most frequently reported were: lack of time, inability to understand statistics, lack of support from employer, lack of resources, lack of interest and lack of generalisation of results. Although the majority of physiotherapists have a positive opinion about EBP, t'''hey consider that they need to improve their knowledge, skills and behaviour towards EBP.''' They also faced barriers that might hinder the implementation of EBP. | Evidence based practice (EBP) is 'the integration of best research evidence with clinical expertise and patient values.<ref name="sackett">Sackett DL, Rosenberg WMC, Gray JAM, Haynes RB, Richardson WS: Evidence based medicine: what it is and what it isn’t. BMJ 1996;312:71-2</ref> [[Evidence Based Practice (EBP)]] describes about the steps involved and the problems with EBP. Physical therapy being the widely recognised health care profession has to upgrade its method of practice to remain alive in the era of scientific research.As the number of physiotherapy trials and systematic reviews increase, we could hope that we are developing a robust evidence base to inform patient care.<ref name="alison">Alison Rushton,Mel Calvert,ChrisWright, Nick Freemantle; | ||
Physiotherapy trials for the 21st century – time to raise the bar?; J R Soc Med 2011: 104: 437–441. DOI 10.1258/jrsm.2011.110109</ref> | |||
== Anecdote to Evidence == | |||
Anecdote and word of mouth have lost credibility and are replaced by scientific scrutiny and the rigour of evidence from carefully controlled and sufficiently powerful trials. The evidence-based practice (EBP) movement has gained ground steadily in physiotherapy over the past decade.Influential researchers and clinicians have argued that physiotherapists have a moral and professional obligation to move away from assessment and treatment methods based on anecdotal testimonies or opinion. <ref name="karen">Karen Grimmer-Somers;Editorial — Incorporating research evidence into clinical practice decisions; Physiotherapy Research International;Volume 12, Issue 2, pages 55–58, June 2007</ref> | |||
== Barriers == | |||
A recent systematic review analysed What do physical therapists think about evidence-based practice? <ref name="tatiane">Tatiane Mota da Silva, Lucíola da Cunha Menezes Costa, Alessandra Narciso Garcia, Leonardo Oliveira Pena Costa, What do physical therapists think about evidence-based practice? A systematic review, Manual Therapy, Available online 24 October 2014, ISSN 1356-689X, http://dx.doi.org/10.1016/j.math.2014.10.009.fckLR(http://www.sciencedirect.com/science/article/pii/S1356689X1400191X)</ref> and concluded that the barriers most frequently reported were: lack of time, inability to understand statistics, lack of support from employer, lack of resources, lack of interest and lack of generalisation of results. Although the majority of physiotherapists have a positive opinion about EBP, t'''hey consider that they need to improve their knowledge, skills and behaviour towards EBP.''' They also faced barriers that might hinder the implementation of EBP. | |||
== References == | == References == | ||
<references /> | <references /> | ||
Revision as of 16:08, 16 November 2014
Original Editor - Sheik Abdul Khadir
Top Contributors - Sheik Abdul Khadir, Scott Buxton, Redisha Jakibanjar, WikiSysop and Vidya Acharya
Introduction [edit | edit source]
Evidence based practice (EBP) is 'the integration of best research evidence with clinical expertise and patient values.[1] Evidence Based Practice (EBP) describes about the steps involved and the problems with EBP. Physical therapy being the widely recognised health care profession has to upgrade its method of practice to remain alive in the era of scientific research.As the number of physiotherapy trials and systematic reviews increase, we could hope that we are developing a robust evidence base to inform patient care.[2]
Anecdote to Evidence[edit | edit source]
Anecdote and word of mouth have lost credibility and are replaced by scientific scrutiny and the rigour of evidence from carefully controlled and sufficiently powerful trials. The evidence-based practice (EBP) movement has gained ground steadily in physiotherapy over the past decade.Influential researchers and clinicians have argued that physiotherapists have a moral and professional obligation to move away from assessment and treatment methods based on anecdotal testimonies or opinion. [3]
Barriers[edit | edit source]
A recent systematic review analysed What do physical therapists think about evidence-based practice? [4] and concluded that the barriers most frequently reported were: lack of time, inability to understand statistics, lack of support from employer, lack of resources, lack of interest and lack of generalisation of results. Although the majority of physiotherapists have a positive opinion about EBP, they consider that they need to improve their knowledge, skills and behaviour towards EBP. They also faced barriers that might hinder the implementation of EBP.
References[edit | edit source]
- ↑ Sackett DL, Rosenberg WMC, Gray JAM, Haynes RB, Richardson WS: Evidence based medicine: what it is and what it isn’t. BMJ 1996;312:71-2
- ↑ Alison Rushton,Mel Calvert,ChrisWright, Nick Freemantle; Physiotherapy trials for the 21st century – time to raise the bar?; J R Soc Med 2011: 104: 437–441. DOI 10.1258/jrsm.2011.110109
- ↑ Karen Grimmer-Somers;Editorial — Incorporating research evidence into clinical practice decisions; Physiotherapy Research International;Volume 12, Issue 2, pages 55–58, June 2007
- ↑ Tatiane Mota da Silva, Lucíola da Cunha Menezes Costa, Alessandra Narciso Garcia, Leonardo Oliveira Pena Costa, What do physical therapists think about evidence-based practice? A systematic review, Manual Therapy, Available online 24 October 2014, ISSN 1356-689X, http://dx.doi.org/10.1016/j.math.2014.10.009.fckLR(http://www.sciencedirect.com/science/article/pii/S1356689X1400191X)
