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Cited by 375Health Sciences Research and EducationHealth Policy Implementation ScienceClinical practice guidelines implementation

The DOI matches its Crossref record; 47 of the 48 references it cites were found in a registry or an index.

Evidence-Based Practice in physiotherapy: a systematic review of barriers, enablers and interventions

Scurlock-Evans, Laura, Upton, Penney, Upton, Dominic·2014·Physiotherapy
DOI 10.1016/j.physio.2014.03.001
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Abstract

Background Despite clear benefits of the Evidence-Based Practice (EBP) approach to ensuring quality and consistency of care, its uptake within physiotherapy has been inconsistent.Objectives Synthesise the findings of research into EBP barriers, facilitators and interventions in physiotherapy and identify methods of enhancing adoption and implementation.Data sources Literature concerning physiotherapists' practice between 2000 and 2012 was systematically searched using: Academic Search Complete, Cumulative Index of Nursing and Allied Health Literature Plus, American Psychological Association databases, Medline, Journal Storage, and Science Direct. Reference lists were searched to identify additional studies.Study selection Thirty-two studies, focusing either on physiotherapists' EBP knowledge, attitudes or implementation, or EBP interventions in physiotherapy were included.Data extraction and synthesis One author undertook all data extraction and a second author reviewed to ensure consistency and rigour. Synthesis was organised around the themes of EBP barriers/enablers, attitudes, knowledge/skills, use and interventions.Results Many physiotherapists hold positive attitudes towards EBP. However, this does not necessarily translate into consistent, high-quality EBP. Many barriers to EBP implementation are apparent, including: lack of time and skills, and misperceptions of EBP.Limitations Only studies published in the English language, in peer-reviewed journals were included, thereby introducing possible publication bias. Furthermore, narrative synthesis may be subject to greater confirmation bias.Conclusion and implications There is no "one-size fits all" approach to enhancing EBP implementation; assessing organisational culture prior to designing interventions is crucial. Although some interventions appear promising, further research is required to explore the most effective methods of supporting physiotherapists' adoption of EBP.

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Metadata

Authors
Scurlock-Evans, L., Upton, P., & Upton, D.
Affiliations
  • University of Worcester (GB)
  • University of Canberra (AU)
ORCID
Venue
Physiotherapy
Publisher
Elsevier BV
Published
2014-09
Volume
100
Issue
3
Pages
208-219
ISSN
0031-9406 (ISSN-L)
DOI
10.1016/j.physio.2014.03.001
OpenAlex
W2018820089
Cited by
375
References
48
Citations by year
2026: 23 · 2025: 38 · 2024: 33 · 2023: 46 · 2022: 46 · 2021: 36 · 2020: 37 · 2019: 27 · 2018: 26 · 2017: 26 · 2016: 16 · 2015: 14 · 2014: 4
FWCI
3.38
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Physiotherapy (publishedVersion)
  • PubMed (publishedVersion)
  • University of Canberra Research Portal (submittedVersion)
Funders
American Psychological Association
Topics
  • Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
  • Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
Keywords
evidence-based practice, implementation barriers, enabling factors, physiotherapists' attitudes, implementation strategies, organizational culture, quality of care
MeSH terms
Humans, Health Knowledge, Attitudes, Practice, Quality Assurance, Health Care, Physical Therapy Modalities, Evidence-Based Practice

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