Reflections of older people about their experience of fall prevention exercise in the community- a qualitative study exploring evidence-based practice
Abstract Background Evidence-based practice (EBP) ensures that clinicians use effective interventions to achieve desired outcomes, thereby contributing to the best quality of care. The perspective of the participants is fundamental in EBP, as they have their own individual and meaningful rationale f...
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| Format: | Article |
| Language: | English |
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BMC
2020-11-01
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| Series: | BMC Public Health |
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| Online Access: | http://link.springer.com/article/10.1186/s12889-020-09630-4 |
| _version_ | 1818159797101395968 |
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| author | Hilde Worum Daniela Lillekroken Kirsti Skavberg Roaldsen Birgitte Ahlsen Astrid Bergland |
| author_facet | Hilde Worum Daniela Lillekroken Kirsti Skavberg Roaldsen Birgitte Ahlsen Astrid Bergland |
| author_sort | Hilde Worum |
| collection | DOAJ |
| description | Abstract Background Evidence-based practice (EBP) ensures that clinicians use effective interventions to achieve desired outcomes, thereby contributing to the best quality of care. The perspective of the participants is fundamental in EBP, as they have their own individual and meaningful rationale for participating in fall prevention. This study aims to explore community-dwelling older people reflections about their reflections about EBP in physiotherapy based on their experiences of a fall prevention exercise program. Methods We conducted semi-structured interviews with 16 community-dwelling older people (men = 7; women = 9). Data were analyzed using thematic analysis. Results The analysis revealed three themes: 1) the tension between knowing and doing, 2) the power of the therapist-participant relationship and the process of putting knowledge into action, and 3) research is interwoven with successful therapy and is an integral component of it. EBP was considered as a collective negotiation and learning process of creating knowledge for clinical practice. The negotiation between different types of knowledge must be performed in a transparent dialogue and through interactive collaboration between the persons involved. The participants appreciated that the research findings indicate that practice gives results. Conclusions EBP was understood and utilized as a seal of approval and a “guarantee of high quality” treatment, and its effects varied based on older people’s preferences, needs, and skills. The therapist’s relational competence appeared to be crucial for the negotiation of various sources of knowledge relative to the older people’s preferences. |
| first_indexed | 2024-12-11T15:51:41Z |
| format | Article |
| id | doaj.art-0e80ced2b0524e3fbbbb60e568bc576c |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-11T15:51:41Z |
| publishDate | 2020-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-0e80ced2b0524e3fbbbb60e568bc576c2022-12-22T00:59:33ZengBMCBMC Public Health1471-24582020-11-0120111610.1186/s12889-020-09630-4Reflections of older people about their experience of fall prevention exercise in the community- a qualitative study exploring evidence-based practiceHilde Worum0Daniela Lillekroken1Kirsti Skavberg Roaldsen2Birgitte Ahlsen3Astrid Bergland4Department of Physiotherapy, Faculty of Health Sciences, Oslo Metropolitan UniversityDepartment of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan UniversityDepartment of Physiotherapy, Faculty of Health Sciences, Oslo Metropolitan UniversityDepartment of Physiotherapy, Faculty of Health Sciences, Oslo Metropolitan UniversityDepartment of Physiotherapy, Faculty of Health Sciences, Oslo Metropolitan UniversityAbstract Background Evidence-based practice (EBP) ensures that clinicians use effective interventions to achieve desired outcomes, thereby contributing to the best quality of care. The perspective of the participants is fundamental in EBP, as they have their own individual and meaningful rationale for participating in fall prevention. This study aims to explore community-dwelling older people reflections about their reflections about EBP in physiotherapy based on their experiences of a fall prevention exercise program. Methods We conducted semi-structured interviews with 16 community-dwelling older people (men = 7; women = 9). Data were analyzed using thematic analysis. Results The analysis revealed three themes: 1) the tension between knowing and doing, 2) the power of the therapist-participant relationship and the process of putting knowledge into action, and 3) research is interwoven with successful therapy and is an integral component of it. EBP was considered as a collective negotiation and learning process of creating knowledge for clinical practice. The negotiation between different types of knowledge must be performed in a transparent dialogue and through interactive collaboration between the persons involved. The participants appreciated that the research findings indicate that practice gives results. Conclusions EBP was understood and utilized as a seal of approval and a “guarantee of high quality” treatment, and its effects varied based on older people’s preferences, needs, and skills. The therapist’s relational competence appeared to be crucial for the negotiation of various sources of knowledge relative to the older people’s preferences.http://link.springer.com/article/10.1186/s12889-020-09630-4CollaborationEngagementFall preventionImpactKnowledge translationPatient and public involvement |
| spellingShingle | Hilde Worum Daniela Lillekroken Kirsti Skavberg Roaldsen Birgitte Ahlsen Astrid Bergland Reflections of older people about their experience of fall prevention exercise in the community- a qualitative study exploring evidence-based practice BMC Public Health Collaboration Engagement Fall prevention Impact Knowledge translation Patient and public involvement |
| title | Reflections of older people about their experience of fall prevention exercise in the community- a qualitative study exploring evidence-based practice |
| title_full | Reflections of older people about their experience of fall prevention exercise in the community- a qualitative study exploring evidence-based practice |
| title_fullStr | Reflections of older people about their experience of fall prevention exercise in the community- a qualitative study exploring evidence-based practice |
| title_full_unstemmed | Reflections of older people about their experience of fall prevention exercise in the community- a qualitative study exploring evidence-based practice |
| title_short | Reflections of older people about their experience of fall prevention exercise in the community- a qualitative study exploring evidence-based practice |
| title_sort | reflections of older people about their experience of fall prevention exercise in the community a qualitative study exploring evidence based practice |
| topic | Collaboration Engagement Fall prevention Impact Knowledge translation Patient and public involvement |
| url | http://link.springer.com/article/10.1186/s12889-020-09630-4 |
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