Original Research
Barriers to evidence-based physiotherapy practice for stroke survivors in Ghana
Submitted: 30 August 2017 | Published: 31 May 2018
About the author(s)
Jonathan Quartey, Department of Physiotherapy, University of Ghana, GhanaSamuel Kwakye, Department of Physiotherapy, Police Hospital, Cantonments, Accra, Ghana
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.
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Crossref Citations
1. Twenty-five years after the introduction of Evidence-based Medicine: knowledge, use, attitudes and barriers among physiotherapists in Italy — a cross-sectional study
Greta Castellini, Davide Corbetta, Simone Cecchetto, Silvia Gianola
BMJ Open vol: 10 issue: 6 first page: e037133 year: 2020
doi: 10.1136/bmjopen-2020-037133