Evidence-based practice profiles among bachelor students in four health disciplines: a cross-sectional study

Abstract Background Despite the recognition of integrating evidence-based practice (EBP) in educational programs, there is limited research about bachelor students’ EBP profiles (EBP knowledge, attitudes and behaviour) in the health disciplines nursing, occupational therapy, physiotherapy and radiog...

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Main Authors: Anne Kristin Snibsøer, Birgitte Graverholt, Monica Wammen Nortvedt, Trond Riise, Birgitte Espehaug
Format: Article
Language:English
Published: BMC 2018-09-01
Series:BMC Medical Education
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12909-018-1319-7
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author Anne Kristin Snibsøer
Birgitte Graverholt
Monica Wammen Nortvedt
Trond Riise
Birgitte Espehaug
author_facet Anne Kristin Snibsøer
Birgitte Graverholt
Monica Wammen Nortvedt
Trond Riise
Birgitte Espehaug
author_sort Anne Kristin Snibsøer
collection DOAJ
description Abstract Background Despite the recognition of integrating evidence-based practice (EBP) in educational programs, there is limited research about bachelor students’ EBP profiles (EBP knowledge, attitudes and behaviour) in the health disciplines nursing, occupational therapy, physiotherapy and radiography. The aim of this study was to assess EBP profiles among bachelor students in health disciplines, and explore differences between health disciplines, educational institutions, students’ assessment of EBP teaching and expectations of EBP performance. Methods A survey using the ‘Evidence-Based Practice Profile - Norwegian version’ (EBP2-N) was conducted among final year bachelor students in health disciplines from four educational institutions. The questionnaire consisted of five domains (Relevance, Terminology, Confidence, Practice and Sympathy) and assessed the five steps of EBP. We performed regression analyses to analyse mean differences in domain scores between health disciplines, Cohen’s d to illustrate the magnitude of the largest difference in each domain, Omega squared to describe portion of variance in domain scores, and Spearman’s rho (rs) to assess the monotonic relationship between EBP2-N domains and assessment of EBP teaching and expectations of EBP performance, respectively. Results Students reported highest overall mean score for Relevance, with an estimated standardized mean of 81.2 (CI 95% = 80.4–82.0). The other EBP2–N domains had estimated standardized means of 54 and less. Statistically significant differences (p < 0.03) between health disciplines were observed for all domains. The largest mean difference was found for Relevance with highest score for occupational therapy and lowest for radiography, with an estimated Cohen’s d of 1.11. Moderate positive associations were observed between Relevance scores and students’ assessment of EBP teaching (rs = 0.31), and expectations of EBP performance from teachers (rs = 0.36). We also observed a moderate positive correlation between Confidence and students’ assessment of EBP teaching (rs = 0.46). Conclusion Bachelor students in health disciplines found EBP relevant, but revealed low understanding of EBP terminology, low confidence with EBP skills, and low use of EBP in clinical situations. We observed differences in EBP profiles between health disciplines and between educational institutions. The differences in scores raise questions about the understanding of EBP within disciplines, and the complexity of EBP in educational settings.
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spelling doaj.art-49c5f817a0a54bcabd1dc0f657e30ba72022-12-22T01:00:14ZengBMCBMC Medical Education1472-69202018-09-0118111010.1186/s12909-018-1319-7Evidence-based practice profiles among bachelor students in four health disciplines: a cross-sectional studyAnne Kristin Snibsøer0Birgitte Graverholt1Monica Wammen Nortvedt2Trond Riise3Birgitte Espehaug4Centre for Evidence-Based Practice, Faculty of Health and Social Sciences, Western Norway University of Applied SciencesCentre for Evidence-Based Practice, Faculty of Health and Social Sciences, Western Norway University of Applied SciencesCentre for Evidence-Based Practice, Faculty of Health and Social Sciences, Western Norway University of Applied SciencesDepartment of Global Public Health and Primary Care, University of BergenCentre for Evidence-Based Practice, Faculty of Health and Social Sciences, Western Norway University of Applied SciencesAbstract Background Despite the recognition of integrating evidence-based practice (EBP) in educational programs, there is limited research about bachelor students’ EBP profiles (EBP knowledge, attitudes and behaviour) in the health disciplines nursing, occupational therapy, physiotherapy and radiography. The aim of this study was to assess EBP profiles among bachelor students in health disciplines, and explore differences between health disciplines, educational institutions, students’ assessment of EBP teaching and expectations of EBP performance. Methods A survey using the ‘Evidence-Based Practice Profile - Norwegian version’ (EBP2-N) was conducted among final year bachelor students in health disciplines from four educational institutions. The questionnaire consisted of five domains (Relevance, Terminology, Confidence, Practice and Sympathy) and assessed the five steps of EBP. We performed regression analyses to analyse mean differences in domain scores between health disciplines, Cohen’s d to illustrate the magnitude of the largest difference in each domain, Omega squared to describe portion of variance in domain scores, and Spearman’s rho (rs) to assess the monotonic relationship between EBP2-N domains and assessment of EBP teaching and expectations of EBP performance, respectively. Results Students reported highest overall mean score for Relevance, with an estimated standardized mean of 81.2 (CI 95% = 80.4–82.0). The other EBP2–N domains had estimated standardized means of 54 and less. Statistically significant differences (p < 0.03) between health disciplines were observed for all domains. The largest mean difference was found for Relevance with highest score for occupational therapy and lowest for radiography, with an estimated Cohen’s d of 1.11. Moderate positive associations were observed between Relevance scores and students’ assessment of EBP teaching (rs = 0.31), and expectations of EBP performance from teachers (rs = 0.36). We also observed a moderate positive correlation between Confidence and students’ assessment of EBP teaching (rs = 0.46). Conclusion Bachelor students in health disciplines found EBP relevant, but revealed low understanding of EBP terminology, low confidence with EBP skills, and low use of EBP in clinical situations. We observed differences in EBP profiles between health disciplines and between educational institutions. The differences in scores raise questions about the understanding of EBP within disciplines, and the complexity of EBP in educational settings.http://link.springer.com/article/10.1186/s12909-018-1319-7Evidence-based practiceStudentsNursingOccupational therapyPhysiotherapyRadiography
spellingShingle Anne Kristin Snibsøer
Birgitte Graverholt
Monica Wammen Nortvedt
Trond Riise
Birgitte Espehaug
Evidence-based practice profiles among bachelor students in four health disciplines: a cross-sectional study
BMC Medical Education
Evidence-based practice
Students
Nursing
Occupational therapy
Physiotherapy
Radiography
title Evidence-based practice profiles among bachelor students in four health disciplines: a cross-sectional study
title_full Evidence-based practice profiles among bachelor students in four health disciplines: a cross-sectional study
title_fullStr Evidence-based practice profiles among bachelor students in four health disciplines: a cross-sectional study
title_full_unstemmed Evidence-based practice profiles among bachelor students in four health disciplines: a cross-sectional study
title_short Evidence-based practice profiles among bachelor students in four health disciplines: a cross-sectional study
title_sort evidence based practice profiles among bachelor students in four health disciplines a cross sectional study
topic Evidence-based practice
Students
Nursing
Occupational therapy
Physiotherapy
Radiography
url http://link.springer.com/article/10.1186/s12909-018-1319-7
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