Article

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.

Langue : ANGLAIS