Barriers to evidence-based physiotherapy practice for stroke survivors in Ghana
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 pra...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
AOSIS
2018-05-01
|
| Series: | South African Journal of Physiotherapy |
| Subjects: | |
| Online Access: | https://sajp.co.za/index.php/sajp/article/view/423 |
| _version_ | 1818006424177868800 |
|---|---|
| author | Jonathan Quartey Samuel Kwakye |
| author_facet | Jonathan Quartey Samuel Kwakye |
| author_sort | Jonathan Quartey |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-14T05:01:01Z |
| format | Article |
| id | doaj.art-b7f2369f2a794cdd94afcdf7652e3cbb |
| institution | Directory Open Access Journal |
| issn | 0379-6175 2410-8219 |
| language | English |
| last_indexed | 2024-04-14T05:01:01Z |
| publishDate | 2018-05-01 |
| publisher | AOSIS |
| record_format | Article |
| series | South African Journal of Physiotherapy |
| spelling | doaj.art-b7f2369f2a794cdd94afcdf7652e3cbb2022-12-22T02:10:56ZengAOSISSouth African Journal of Physiotherapy0379-61752410-82192018-05-01741e1e1110.4102/sajp.v74i1.423343Barriers to evidence-based physiotherapy practice for stroke survivors in GhanaJonathan Quartey0Samuel Kwakye1Department of Physiotherapy, University of GhanaDepartment of Physiotherapy, Police Hospital, Cantonments, AccraBackground: 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.https://sajp.co.za/index.php/sajp/article/view/423Evidence-based practiceself-efficacybarriersstroke |
| spellingShingle | Jonathan Quartey Samuel Kwakye Barriers to evidence-based physiotherapy practice for stroke survivors in Ghana South African Journal of Physiotherapy Evidence-based practice self-efficacy barriers stroke |
| title | Barriers to evidence-based physiotherapy practice for stroke survivors in Ghana |
| title_full | Barriers to evidence-based physiotherapy practice for stroke survivors in Ghana |
| title_fullStr | Barriers to evidence-based physiotherapy practice for stroke survivors in Ghana |
| title_full_unstemmed | Barriers to evidence-based physiotherapy practice for stroke survivors in Ghana |
| title_short | Barriers to evidence-based physiotherapy practice for stroke survivors in Ghana |
| title_sort | barriers to evidence based physiotherapy practice for stroke survivors in ghana |
| topic | Evidence-based practice self-efficacy barriers stroke |
| url | https://sajp.co.za/index.php/sajp/article/view/423 |
| work_keys_str_mv | AT jonathanquartey barrierstoevidencebasedphysiotherapypracticeforstrokesurvivorsinghana AT samuelkwakye barrierstoevidencebasedphysiotherapypracticeforstrokesurvivorsinghana |