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Titre : | Promoting Evidence-Based Practice: The Influence of Novel Structural Change to Accelerate Translational Rehabilitation (2023) |
Auteurs : | Miriam Rafferty ; Laura Stoff ; Justin D. Smith ; Piper Hansen ; Melissa Briody ; Carmen Diaz ; Leslie O'Donnell ; Allen W. Heinemann ; C. Hendricks Brown ; Richard L. Lieber |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 104, n° 8, 2023) |
Article en page(s) : | p. 1289-1299 |
Note générale : | https://doi.org/10.1016/j.apmr.2023.02.014 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Centres de rééducation et de réadaptation ; Communication interdisciplinaire ; Équipe soignante ; Hôpitaux ; Médecine physique et de réadaptation ; Pratique factuelle (EBP) ; Recherche en réadaptation ; Recherche médicale translationnelle ; Science de la mise en oeuvre ; Système de santé apprenant ; Téléréadaptation |
Résumé : | Objective To evaluate changes in clinicians? use of evidence-based practice (EBP), openness toward EBP, and their acceptance of organizational changes after a rehabilitation hospital transitioned to a new facility designed to accelerate clinician-researcher collaborations. Design Three repeated surveys of clinicians before, 7-9 months, and 2.5 years after transition to the new facility. Setting Inpatient rehabilitation hospital. Participants Physicians, nurses, therapists, and other health care professionals (n=410, 442, and 448 respondents at Times 1, 2, and 3, respectively). Interventions Implementation of physical (architecture, design) and team-focused (champions, leaders, incentives) changes in a new model of care to promote clinician-researcher collaborations. Main Outcome Measures Adapted versions of the Evidence-Based Practice Questionnaire (EBPQ), the Evidence-Based Practice Attitudes Scale (EBPAS), and the Organizational Change Recipients? Beliefs Scale (OCRBS) were used. Open-ended survey questions were analyzed through exploratory content analysis. Results Response rates at Times 1, 2, and 3 were 67% (n=410), 69% (n=422), and 71% (n=448), respectively. After accounting for familiarity with the model of care, there was greater reported use of EBP at Time 3 compared with Time 2 (adjusted meant2=3.51, standard error (SE)=0.05; adj. meant3=3.64, SE=0.05; P=.043). Attitudes toward EBPs were similar over time. Acceptance of the new model of care was lower at Time 2 compared with Time 1, but rebounded at Time 3 (adjusted meant1=3.44, SE=0.04; adj. meant2=3.19, SE=0.04; P<.0001 adj. meant3="3.51," se="0.04;" p analysis of open-ended responses suggested that clinicians optimism for the model care was greater over time but continued quality improvement should focus on cultivating communication between and researchers. conclusions accelerating clinician-researcher collaborations in a rehabilitation setting requires sustained effort successful implementation beyond novel physical changes. organizations must be responsive to changing concerns adapt sustain collaborative translational medicine allow sufficient probably years such transitions occur.> |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999323001491 |