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physioscience 2022; 18(01): 6-16
DOI: 10.1055/a-1347-0561
Originalarbeit

Barrieren und Förderfaktoren in der evidenzbasierten Praxis (EBP) der Physiotherapie – Eine Bestandsaufnahme und Eruierung von Barrieren und Förderfaktoren zur Anwendung von EBP mit Physiotherapeut*innen der deutschsprachigen Schweiz

Barriers and Supporting Factors to Evidence-based Practice (EBP) in Physiotherapy – An Evaluation of the Current Situation and Identification of Barriers and Supporting Factors in the Use of EBP with Physiotherapists from the German-speaking Part of Switzerland
Livia Freitag
1   Rehabilitation Research Laboratory (2rLab), Rehabilitation and Exercise Science Group, Department of Business Economics, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland, Landquart/Manno, Switzerland
,
Erich Hohenauer
1   Rehabilitation Research Laboratory (2rLab), Rehabilitation and Exercise Science Group, Department of Business Economics, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland, Landquart/Manno, Switzerland
2   Department of Neurosciences and Movement Science, University of Fribourg, Fribourg, Switzerland
3   International University of Applied Sciences THIM, Landquart, Switzerland
4   Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Brussels, Belgium
,
Carlina Deflorin
1   Rehabilitation Research Laboratory (2rLab), Rehabilitation and Exercise Science Group, Department of Business Economics, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland, Landquart/Manno, Switzerland
,
André Christoph Böni
1   Rehabilitation Research Laboratory (2rLab), Rehabilitation and Exercise Science Group, Department of Business Economics, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland, Landquart/Manno, Switzerland
5   Department of Health, Bern University of Applied Sciences, Berne, Switzerland
,
Ron Clijsen
1   Rehabilitation Research Laboratory (2rLab), Rehabilitation and Exercise Science Group, Department of Business Economics, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland, Landquart/Manno, Switzerland
3   International University of Applied Sciences THIM, Landquart, Switzerland
4   Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Brussels, Belgium
5   Department of Health, Bern University of Applied Sciences, Berne, Switzerland
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Zusammenfassung

Hintergrund Die Akademisierung der Gesundheitsberufe führte in der Physiotherapie zu einem Wechsel von primär erfahrungsbasiertem zu evidenzbasiertem Arbeiten. Obwohl das Konzept der evidenzbasierten Praxis (EBP) in der Physiotherapie weitgehend akzeptiert ist, zeigen sich Probleme bei der Umsetzung in die Praxis.

Ziel Identifikation potentieller Barrieren und unterstützender Faktoren für die Umsetzung der evidenzbasierten Praxis in der Physiotherapie.

Methode Anhand eines Onlinefragebogens mit 49 Fragen wurden Physiotherapeut*innen (n = 138) zur evidenzbasierten Praxis befragt. Die Resultate des Fragebogens wurden deskriptiv wiedergegeben.

Ergebnisse Physiotherapeut*innen mit Masterabschluss arbeiten im Arbeitsalltag evidenzbasierter als Physiotherapeut*innen mit anderen Abschlüssen und zeigen eine höhere Bereitschaft, evidenzbasierte Praxis anwenden zu wollen. Unsicherheiten wurden vorwiegend beim Formulieren von Fragestellungen sowie bei der Suche und kritischen Bewertung von wissenschaftlichen Artikeln festgestellt. Eine Aus- oder Weiterbildung zur evidenzbasierten Praxis führt zu mehr Sicherheit bei deren Anwendung. Klinische Entscheidungswege basieren vorwiegend auf der eigenen Praxiserfahrung, dem Befinden von Patient*innen und auf Informationen aus Fachzeitschriften. Zeitmangel, sich während der Arbeit weiterzubilden, stellt die Hauptbarriere dar. Zusammengefasste Forschungsergebnisse publiziert auf einem evidenzbasierten Internetportal, per E-Mail-Versand oder in einer Fachzeitschrift sind die meistgenannten Förderfaktoren für die Anwendung evidenzbasierter Praxis.

Schlussfolgerung Fach- und Hochschulen sowie Arbeitgeber*innen spielen eine wichtige Rolle bei der Vermittlung von Kenntnissen und der Umsetzung von evidenzbasierter Praxis in der Physiotherapie.

Abstract

Background The academization of the health care professions has led to a change in physiotherapy from primarily experience-based to evidence-based work. Although the concept of evidence-based practice (EBP) is widely accepted in physiotherapy, the implementation in practice presents various challenges.

Objective To identify potential barriers and supporting factors for the implementation of evidence-based practice in physiotherapy.

Method Using an online questionnaire with 49 questions, physiotherapists (n = 138) were surveyed about evidence-based practice. The results were presented descriptively.

Results Physiotherapists with a master degree are able and willing to work more on the basis of evidence-based practice in comparison to physiotherapists with other degrees. Insecurities were mainly found in formulating scientific questions and in searching and critically evaluating articles of science. An education in evidence-based practice leads to greater confidence in its use. Clinical decision-making processes are mainly based on own practical experience, patients’ preferences and information from professional journals. The lack of time during work was stated as the main barrier to evidence-based practice. Summarized research results on an evidence-based internet portal, by e-mail or in a professional journal are the most frequently mentioned supporters for the implementation of scientific findings.

Conclusion Universities of applied sciences and employers play an important role in the transfer of knowledge and the implementation of evidence-based practice in physiotherapy.

Schlüsselwörter

evidenzbasierte Praxis - Physiotherapeut*innen - Best Practice - Ausbildung

Key words

evidence-based practice - physical therapists - best practice - education

Supplement



Publication History

Received: 18 December 2020

Accepted: 29 June 2021

Article published online:
03 October 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • Literatur

  • 1 Schoeb V, Rau B, Nast I. et al. How do patients, politicians, physiotherapists and other health professionals view physiotherapy research in Switzerland? A qualitative study. Physiother Res Int 2014; 19: 79-92
    CrossrefPubMedSearch in Google Scholar
  • 2 Herbert R, Jamtvedt G, Hagen KB. et al. Practical Evidence-Based Physiotherapy-E-Book. 2nd Ed.. London: Elsevier Health Sciences; 2011
    Search in Google Scholar
  • 3 Sackett DL, Rosenberg WM, Gray JA. et al. Evidence based medicine: what it is and what it isnʼt. BMJ 1996; 312: 71-72
    CrossrefPubMedSearch in Google Scholar
  • 4 Anthamatten Buchard P. La pratique fondée sur les résultats probants en physiothérapie: Position des physiothérapeutes valaisans francophones. Kinésithérapie, la Revue 2009; 9: 50-57
    CrossrefPubMedSearch in Google Scholar
  • 5 Dannapfel P, Peolsson A, Nilsen P. What supports physiotherapistsʼ use of research in clinical practice? A qualitative study in Sweden. Impl Sci 2013; 8: 31
    CrossrefPubMedSearch in Google Scholar
  • 6 Kumar S, Grimmer-Somers K, Hughes B. The ethics of evidence implementation in health care. Physiother Res Int 2010; 15: 96-102
    CrossrefPubMedSearch in Google Scholar
  • 7 Scurlock-Evans L, Upton P, Upton D. Evidence-based practice in physiotherapy: a systematic review of barriers, enablers and interventions. Physiotherapy 2014; 100: 208-219
    CrossrefPubMedSearch in Google Scholar
  • 8 Dizon JM, Grimmer-Somers K, Kumar S. The physical therapy profile questionnaire (PTPQ): development, validation and pilot testing. BMC Res Notes 2011; 4: 362
    CrossrefPubMedSearch in Google Scholar
  • 9 Turner P, Mjolne I. Journal provision and the prevalence of journal clubs: a survey of physiotherapy departments in England and Australia. Physiother Res Int 2001; 6: 157-169
    CrossrefPubMedSearch in Google Scholar
  • 10 Bithell C. Evidence-based Physiotherapy: Some thoughts on “best evidence”. Elsevier 2000: 58-59
    CrossrefPubMed
  • 11 Young WH. An experimental study of the Delphi technique. Education Research and Perspectives anct Australian J Higher Edu Nedlands 1978; 5: 57-62
    PubMedSearch in Google Scholar
  • 12 Straus SE, Richardson W, Glasziou P. et al. How to practice and teach EBM. 5th Ed.. Edinburgh: Esevier; 2005
    Search in Google Scholar
  • 13 Nilsagård Y, Lohse G. Evidence-based physiotherapy: A survey of knowledge, behaviour, attitudes and prerequisites. Advanc Physiother 2010; 12: 179-186
    CrossrefPubMedSearch in Google Scholar
  • 14 Barnard S, Wiles R. Evidence-based Physiotherapy: Physiotherapistsʼ attitudes and experiences in the Wessex area. Physiotherapy 2001; 87: 115-124
    CrossrefPubMedSearch in Google Scholar
  • 15 Salbach NM, Jaglal SB, Korner-Bitensky N. et al. Practitioner and organizational barriers to evidence-based practice of physical therapists for people with stroke. Phys Ther 2007; 87: 1284-1303
    CrossrefPubMedSearch in Google Scholar
  • 16 Page J, Raithel J, Luomajoki H. et al. Evidence-Based Practice: Einstellungen, Kompetenzen und Barrieren bei Ergo-und Physiotherapeuten. physioscience 2010; 176: 161-167
    Thieme ConnectPubMedSearch in Google Scholar
  • 17 Olsen NR, Bradley P, Lomborg K. et al. Evidence based practice in clinical physiotherapy education: a qualitative interpretive description. BMC Med Educ 2013; 13: 52
    CrossrefPubMedSearch in Google Scholar
  • 18 Gorgon EJ, Barrozo HG, Mariano LG. et al. Research evidence uptake in a developing country: a survey of attitudes, education and self-efficacy, engagement, and barriers among physical therapists in the Philippines. J Eval Clin Pract 2013; 19: 782-790
    CrossrefPubMedSearch in Google Scholar
  • 19 Bernhardsson S, Johansson K, Nilsen P. et al. Determinants of guideline use in primary care physical therapy: a cross-sectional survey of attitudes, knowledge, and behavior. Phys Ther 2014; 94: 343-354
    CrossrefPubMedSearch in Google Scholar
  • 20 Jette DU, Bacon K, Batty C. et al. Evidence-based practice: beliefs, attitudes, knowledge, and behaviors of physical therapists. Phys Ther 2003; 83: 786-805
    CrossrefPubMedSearch in Google Scholar
  • 21 Salbach NM, Veinot P, Jaglal SB. et al. From continuing education to personal digital assistants: what do physical therapists need to support evidence-based practice in stroke management?. J Eval Clin Pract 2011; 17: 786-793
    CrossrefPubMedSearch in Google Scholar
  • 22 Couper M, Kapteyn A, Schonlau M. et al. Noncoverage and nonresponse in an Internet survey. Soc Science Res 2007; 36: 131-148
    CrossrefPubMedSearch in Google Scholar
  • 23 Bandilla W, Kaczmirek L, Blohm M. et al Coverage und Nonresponse-Effekte bei Online-Bevölkerungsumfragen. Wiesbaden: VS Verlag für Sozialwissenschaften; 2009.
    CrossrefPubMed
  • 24 Bethlehem J. Selection bias in web surveys. Inter Statis Rev 2010; 78: 161-188
    CrossrefPubMedSearch in Google Scholar
  • 25 Atif A, Richards D, Bilgin A. Estimating Non-Response Bias in a Web-Based Survey of Technology Acceptance: A Case Study of Unit Guide Information Systems. Conference Paper: Australasian Conference on Information System. Geelong, Australia 2012
    PubMed
  • 26 Rüesch P, Bänziger A, Dutoit L. et al Prognose Gesundheitsberufe Ergotherapie, Hebammen und Physiotherapie 2025. Winterthur: ZHAW Department Gesundheit; 2014.
    CrossrefSearch in Google Scholar