Background and Purpose. Physiotherapists’ use of research evidence with clinical decision-making has interested researchers world-wide since 1980; however, little is known about such practices in Australia. The present survey sought information on Australian physiotherapists’ perceptions of the importance of research, and barriers to uptake of evidence in clinical practice, when compared with an international cohort from 2001. Method. An Australian-relevant version of an English (UK) National Health Service (NHS) survey instrument was used to canvass 453 physiotherapists, randomly selected from the South Australian Physiotherapy Registration Board 2004-2005 records. The first survey was mailed in August 2005, a reminder was sent two weeks later to non-responders and a follow-up survey was sent in April 2006 to non-responders whose addresses had changed since 2005. Results. There was a 51% response rate. Of the non-responders, 12% were not contactable at their listed address, highlighting the mobility of Australian physiotherapists. Most respondents had undertaken research as students (59.5%) or as students and clinicians (11.5%). Of these, 37.1% were encouraged to embark on more research, and 20.5% were discouraged. The significant predictors of positive perceived importance of research were: previous research experience; being positive about undertaking further research; working in hospitals and holding a postgraduate degree. Clinicians working privately were significantly less likely than managers to be positive about research importance. The only significant predictor for not perceiving barriers to uptake of evidence was being positive about undertaking future research. Conclusions. The study identified constraints on uptake of evidence into practice that were related to accessing, reading and interpreting published research, and implementing findings. Found consistently across employment categories were barriers relating to lack of time, uncertainty about what the research reported, scepticism about the value of research and being isolated from peer support and literature sources. The responses indicated a positive shift towards evidence uptake since the 2001 NHS survey, suggesting an influence of increased exposure to information on evidence-based practice. A greater focus on research whilst training, the application of educational strategies for empowerment, better knowledge transfer and upskilling within the workplace, and ensuring dedicated time and organizational support for research activities are indicated. Copyright © 2007 John Wiley & Sons, Ltd. (Source: Physiotherapy Research International)
Perspectives on research evidence and clinical practice: a survey of australian physiotherapists
Passive intervertbral motion tests for diagnosis of lumbar instability.
Authors: Abbott JH
PMID: 17326744 [PubMed - in process] (Source: Aust J Physiother)
Patient specific functional scale.
Authors: Brentnall D
PMID: 17326743 [PubMed - in process] (Source: Aust J Physiother)
Hydrotherapy improves pain, knee strength, and quality of life in women with fibromyalgia.
Authors: Busch A
PMID: 17326742 [PubMed - in process] (Source: Aust J Physiother)
Community physiotherapy results in effective self-management of knee pain.
Authors: Fransen M, McLachlan A
PMID: 17326741 [PubMed - in process] (Source: Aust J Physiother)
Physiotherapy interventions improve tennis elbow with superior long-term outcomes to corticosteroid injections.
Authors: Vasseljen O
PMID: 17326740 [PubMed - in process] (Source: Aust J Physiother)
Position of undergraduate students’ thumbs during mobilisation is poor: an observational study.
Conclusion: This study has occupational health and safety implications for physiotherapy students.
PMID: 17326739 [PubMed - in process] (Source: Aust J Physiother)
The quantity of early upright mobilisation performed following upper abdominal surgery is low: an observational study.
Conclusion: This is the first study to quantify upright mobilisation following upper abdominal surgery. The results show that the quantity of upright mobilisation performed is low. Given that uptime predicted length of stay, increasing early upright mobilisation may have a positive effect on reducing length of stay following upper abdominal surgery.
PMID: 17326738 [PubMed - in process] (Source: Aust J Physiother)
Faulty proprioceptive information disrupts motor imagery: an experimental study.
Conclusion: Faulty proprioceptive input disrupted this motor imagery task, which suggests it can disrupt the model of the limb that the brain uses for movement.
PMID: 17326737 [PubMed - in process] (Source: Aust J Physiother)
The Mapleson C circuit clears more secretions than the Laerdal circuit during manual hyperinflation in mechanically-ventilated patients: a randomised cross-over trial.
Conclusion: Although more secretions were cleared using the Mapleson C compared with the Laerdal circuit in this study, this had no consequence in terms of oxygenation and compliance only trended to improve. As the study was underpowered the clinical significance of these findings is not clear.
PMID: 17326736 [PubMed - in process] (Source: Aust J Physiother)
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