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 | |
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 | |
Date | 2018-05-31 | |
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 |
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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
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