Facilitating interprofessional evidence-based practice in paediatric rehabilitation: development, implementation and evaluation of an online toolkit for health professionals

被引:12
作者
Glegg, Stephanie M. N. [1 ,2 ,3 ]
Livingstone, Roslyn [1 ,2 ]
Montgomery, Ivonne [1 ,2 ]
机构
[1] Sunny Hill Hlth Ctr Children, Therapy Dept, Vancouver, BC V5M 3E8, Canada
[2] Univ British Columbia, Dept Occupat Sci & Occupat Therapy, Vancouver, BC V5Z 1M9, Canada
[3] Child & Family Res Inst, Vancouver, BC, Canada
关键词
Education; evidence-based practice; knowledge translation; online; paediatric practice; practice change; STETLER MODEL; KNOWLEDGE; INTERVENTIONS; CHILDREN;
D O I
10.3109/09638288.2015.1041616
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Purpose: Lack of time, competencies, resources and supports are documented as barriers to evidence-based practice (EBP). This paper introduces a recently developed web-based toolkit designed to assist interprofessional clinicians in implementing EBP within a paediatric rehabilitation setting. Methods: EBP theory, models, frameworks and tools were applied or adapted in the development of the online resources, which formed the basis of a larger support strategy incorporating interactive workshops, knowledge broker facilitation and mentoring. Results: The highly accessed toolkit contains flowcharts with embedded information sheets, resources and templates to streamline, quantify and document outcomes throughout the EBP process. Case examples relevance to occupational therapy and physical therapy highlight the utility and application of the toolkit in a clinical paediatric setting. Workshops were highly rated by learners for clinical relevance, presentation level and effectiveness. Eight evidence syntheses have been created and 79 interventions have been evaluated since the strategy's inception in January 2011. Conclusions: The toolkit resources streamlined and supported EBP processes, promoting consistency in quality and presentation of outputs. The online toolkit can be a useful tool to facilitate clinicians' use of EBP in order to meet the needs of the clients and families whom they support.Implications for RehabilitationA comprehensive online EBP toolkit for interprofessional clinicians is available to streamline the EBP process and to support learning needs regardless of competency level.Multi-method facilitation support, including interactive education, e-learning, clinical librarian services and knowledge brokering, is a valued but cost-restrictive supplement to the implementation of online EBP resources.EBP resources are not one-size-fits-all; targeted appraisal tools, models and frameworks may be integrated to improve their utility for specific sectors, which may limit them for others.
引用
收藏
页码:391 / 399
页数:9
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