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Evidence-based physiotherapy and clinical guidelines: attitudes, knowledge and implementation among clinical educators

2022-11Journal article Open access
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dc.contributor.authorAraújo, Fábio A.
dc.contributor.authorCarvalhais, Alice
dc.contributor.authorStas, Hélène
dc.contributor.authorLopes, Sofia
dc.contributor.authorBrochado, Gabriela
dc.date.accessioned2023-05-30T11:06:29Z
dc.date.available2023-05-30T11:06:29Z
dc.date.issued2022-11
dc.description.abstractABSTRACT - Introduction – Evidence-based physiotherapy (EBP) is now well established in the teaching curricula, leading to expectations that students will have opportunities to implement EBP steps during internships. However, the position of clinical educators towards EBP can act against this educational process. Aims – Our aims were to describe for the first time EBP domains in clinical Portuguese educators and to quantify associations between individual exposures with EBP-related outcomes. Methods – A cross-sectional mail survey to clinical educators from the physiotherapy course of CESPU was conducted. Two mailings were sent to 289 contacts (separately and three weeks apart). Sociodemographic and postgraduate information was collected as exposure variables and a questionnaire on EBP domains was created. Results – There was a positive attitude towards EBP (all five questions ≥87%). Although 25% of the sample received no training in EBP, almost all of the participants reported knowing how to ‘ask’, ‘search’, and ‘critically appraise’. Only 60% of educators used clinical guidelines and less than half could integrate their recommendations into practice. Complementary training between 16h-30h/per year was positively associated with different aspects of EBP (all documented at p≤0.009), with decreasing trends in the strength of the associations after those intermediate values. Discussion – Although the picture of EBP domains among clinical educators seemed quite regular in comparison with other samples, only 60% of them declared using clinical guidelines in their practice (vs. 86%). Conclusions – Clinical educators in physiotherapy seem to have a positive attitude towards EBP with high levels of previous training in the area. However, the use of Clinical Guidelines and how to integrate their recommendation into practice both need to be promoted. The target range for complementary training seems to be between 16-30h/per year. Out of this scenario, there appears to exist an excessive focus on the component of ‘clinical expertise’ of EBP.pt_PT
dc.description.abstractRESUMO - Introdução – A prática baseada em evidência (PBE) encontra-se bem estabelecida na formação dos estudantes de fisioterapia e, por isso, é esperado que eles venham a ter oportunidade de a aplicar durante os estágios clínicos. No entanto, o posicionamento dos educadores clínicos relativamente à PBE pode impedir este processo educacional. Objetivos – Descrever pela primeira vez domínios da PBE em educadores clínicos Portugueses e quantificar as associações entre as suas características individuais e a PBE. Métodos – Um levantamento de dados transversal através de email foi realizado em educadores clínicos do curso de fisioterapia da CESPU. Dois emails foram enviados a 289 contactos (separados temporalmente em três semanas). Informação socio-demográfica e pós-graduada foi recolhida como variáveis de exposição. Foi criado um questionário relativo aos diferentes domínios da PBE. Resultados – Observou-se uma atitude positiva quanto à PBE (cinco questões avaliadas ≥87%). Apesar de 25% dos clínicos não terem recebido formação em PBE, quase todos reportaram saber “questionar”, “procurar” e “avaliar criticamente”. Apenas 60% reportaram usar guidelines clínicas. Treino complementar entre 16h-30h/ano esteve associado de forma positiva com diferentes aspetos da PBE (p≤0,009), com tendências decrescentes na força da associação após esses valores intermédios. Discussão – As estimativas de PBE encontradas em educadores clínicos parecem similares às previamente reportadas, mas apenas 60% dos educadores declarou usar guidelines clínicas na sua prática (comparativamente a 86%). Conclusões – Educadores clínicos em fisioterapia parecem possuir uma atitude positiva relativamente à PBE e demonstram níveis elevados de treino nesta área. No entanto, o uso de guidelines clínicas no contexto clínico da fisioterapia necessita ser promovido. O nível ideal de treino complementar parece encontrar-se entre as 16-30h/ano, pois à medida que essas horas aumentam uma maior atenção à componente de expertise clínica da PBE parece ocorrer.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationAraújo FA, Carvalhais A, Stas H, Lopes S, Brochado G. Evidence-based physiotherapy and clinical guidelines: attitudes, knowledge and implementation among clinical educators. Saúde & Tecnologia. 2022;(27):61-7.pt_PT
dc.identifier.doi10.25758/set.582pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.21/16179
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherInstituto Politécnico de Lisboa, Escola Superior de Tecnologia da Saúde de Lisboapt_PT
dc.relation.publisherversionhttps://journals.ipl.pt/stecnologia/article/view/582pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectPhysiotherapypt_PT
dc.subjectRehabilitationpt_PT
dc.subjectEducationpt_PT
dc.subjectEvidence-based practicept_PT
dc.subjectKnowledge translationpt_PT
dc.subjectPractice guidelinept_PT
dc.subjectFisioterapiapt_PT
dc.subjectMedicina de reabilitaçãopt_PT
dc.subjectEducaçãopt_PT
dc.subjectGuideline práticapt_PT
dc.subjectPrática baseada em evidênciapt_PT
dc.subjectTranslação de conhecimentopt_PT
dc.titleEvidence-based physiotherapy and clinical guidelines: attitudes, knowledge and implementation among clinical educatorspt_PT
dc.title.alternativeFisioterapia baseada em evidência e guidelines clínicas: atitudes, conhecimentos e implementação em educadores clínicospt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage67pt_PT
oaire.citation.issue27pt_PT
oaire.citation.startPage61pt_PT
oaire.citation.titleSaúde & Tecnologiapt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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