Original Research

Barriers to evidence-based physiotherapy practice for stroke survivors in Ghana

Jonathan Quartey, Samuel Kwakye
South African Journal of Physiotherapy | Vol 74, No 1 | a423 | DOI: https://doi.org/10.4102/sajp.v74i1.423 | © 2018 Jonathan Quartey, Samuel Kwakye | This work is licensed under CC Attribution 4.0
Submitted: 30 August 2017 | Published: 31 May 2018

About the author(s)

Jonathan Quartey, Department of Physiotherapy, University of Ghana, Ghana
Samuel Kwakye, Department of Physiotherapy, Police Hospital, Cantonments, Accra, Ghana


Share this article

Bookmark and Share

Abstract

Background: Physiotherapy has evolved over the years, and this has led to an increasing demand in using evidence as a basis for making clinical decisions because evidence-based interventions for stroke have been shown to be effective. However, the inability to carry out any of the evidence-based practice (EBP) processes may constitute a barrier to its application in practice.

Aim: To determine the barriers to EBP of physiotherapy services for stroke survivors in Ghana.

Methods: A cross-sectional study that involved 121 physiotherapists of the Ghana Physiotherapy Association providing services to stroke survivors. Physiotherapists completed a self-administered questionnaire. Logistic regressions were used to examine relationships between socio-demographic and practice characteristics of respondents and each practitioner factor. A logistic regression was used to identify the association between organisational characteristics and each organisational factor that facilitates EBP.

Results: Self-efficacy ratings for performing EBP were below 50% for critical appraisal of the literature and interpretation of statistics. All the participants stated that they had organisational challenges, which tend to affect the implementation of evidence-based physiotherapy practice for stroke. The five most reported barriers to updating knowledge on EBP included lack of organisational mandate (56.2%), insufficient time (46.3%), lack of information resources (43%), lack of understanding of statistics (35.5%) and lack of interest (33.1%).

Conclusion: Lack of adequate resources, lack of organisational support and low self-efficacy to perform EBP activities constitute barriers to implementing EBP for stroke survivors.

Clinical implications: Findings of the study reinforce the need to develop a supportive organisational infrastructure to increase research integration in physiotherapy practice.


Keywords

Evidence-based practice; self-efficacy; barriers; stroke

Metrics

Total abstract views: 76
Total article views: 49


Crossref Citations

No related citations found.