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Best practise use in stroke rehabilitation

MENON DK; BITENSKY NK; STRAUS S
DISABIL REHABIL , 2010, vol. 32, n° 8, p. 646-649
Doc n°: 145643
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.3109/09638280903214640
Descripteurs : AF21 - ACCIDENTS VASCULAIRES CEREBRAUX

This article explores the use of best practises among stroke
rehabilitation professionals, salient barriers that influence their knowledge
uptake/application and effective knowledge translation (KT) strategies that meet
the needs of this clinician group. METHOD: Relevant literature on evidence-based
practise in stroke rehabilitation and the use of KT strategies among
rehabilitation professionals is summarised and discussed. RESULTS: Although
adherence to rehabilitation guidelines translates into improved patient outcomes,
best practises are not routinely applied by clinicians when treating individuals
with a stroke. Lack of protected work time to search and appraise the research
literature is by far the largest organisational barrier to knowledge
uptake/application. Personal barriers, such as the lack of confidence and skills
to interpret, synthesise and apply research findings, also limit clinicians'
uptake of best practises. Studies involving rehabilitation professionals found
that active KT strategies were more effective than passive strategies to produce
change in their evidence-based knowledge and practise behaviours. As such,
interactive e-learning resources are likely to be a relevant KT solution to meet
rehabilitation professionals' specific learning needs, guide their clinical
decision-making and ultimately increase their best practise behaviours.
CONCLUSION: We have the knowledge of best practises in stroke rehabilitation, a
means to disseminate that knowledge internationally through interactive
e-learning resources, and information about effective KT interventions. With
these opportunities in place, rehabilitation professionals can expand their
capacity by adopting stroke best practises and producing better outcomes for
patients.

Langue : ANGLAIS

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