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

South African Journal of Physiotherapy

 
 
Field Value
 
Title Barriers to evidence-based physiotherapy practice for stroke survivors in Ghana
 
Creator Quartey, Jonathan Kwakye, Samuel
 
Subject — Evidence-based practice; self-efficacy; barriers; stroke
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.
 
Publisher AOSIS
 
Contributor
Date 2018-05-31
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format text/html application/epub+zip application/xml application/pdf
Identifier 10.4102/sajp.v74i1.423
 
Source South African Journal of Physiotherapy; Vol 74, No 1 (2018); 11 pages 2410-8219 0379-6175
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://sajp.co.za/index.php/sajp/article/view/423/652 https://sajp.co.za/index.php/sajp/article/view/423/651 https://sajp.co.za/index.php/sajp/article/view/423/653 https://sajp.co.za/index.php/sajp/article/view/423/654
 
Coverage — — —
Rights Copyright (c) 2018 Jonathan Quartey, Samuel Kwakye https://creativecommons.org/licenses/by/4.0
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