Promoting Evidence-Based Practice: The Influence of Novel Structural Change to Accelerate Translational Rehabilitation.
Miriam Rafferty, Laura Stoff, Justin D Smith and 7 others
PMID 36924817WHAT IT FOUND
Clinicians reported lower acceptance of a new research-integrated hospital model seven to nine months after the move, but scores recovered by two and a half years.
Self-reported use of evidence-based practice increased over time, while attitudes toward evidence-based practice remained stable.
Key findings
01Acceptance of the organizational change dropped significantly seven to nine months after the move compared to before the move, but recovered to baseline levels by two and a half years.
02Self-reported use of evidence-based practice was significantly higher two and a half years after the move compared to seven to nine months after the move.
03Attitudes toward using evidence-based practice did not change significantly over the three time points.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
The study design prevented linking individual responses over time, so it reports on different groups of people at each time point rather than tracking the same clinicians. The authors used abbreviated and adapted versions of the measurement tools, which introduces potential bias. There was no control group, so it is impossible to determine if the changes were due to the move or other factors. The study did not include a validated measure of interdisciplinary communication.
Declared interests
The authors declare salary from the organization studied in the article. One author is a former board member of the American Congress of Rehabilitation Medicine. Other authors report travel support from the organization or other universities.
The easy way to misread this
Do not interpret the increase in self-reported use of evidence-based practice as proof that the organizational change caused better patient care or clinical outcomes. The study only measured clinicians' perceptions of their own behavior, not actual patient results.