The challenge of evidence-based practice to occupational therapy: a literature review
Author: Welch, Amanda
Source: The Journal of Clinical Governance, Volume 10, Number 4, 1 December 2002 , pp. 169-176(8)
Publisher: Radcliffe Publishing Ltd.
Abstract:The principles of clinical governance and evidencebased practice apply as guidelines for good practice to all practitioners working in health and social care. The ability to explicitly articulate the rationale and evidence base underpinning practice is paramount to ensure effective use of finite resources. Nevertheless, the move towards evidence-based practice is proving a challenge for occupational therapy and many health professions. Consequently a theory-practice gap prevails that fails to encompass evidence-based practice within practitioners' core skills and attributes. Research into the theory-practice gap has shown that therapists feel that their skills in accessing and implementing evidence are inadequate. This, combined with high clinical workloads, lack of time and managerial support, is inhibiting the move forward from debate to action. Current provisions in the form of study days have been shown to be ineffective in changing practice. Practice-based collaborative learning strategies that support therapists in developing the required research skills and knowledge are advocated but require active support at a policy, management and individual level.
Document Type: Research Article
Affiliations: Newcastle upon Tyne Hospitals NHS Trust, Royal Victoria Infirmary, Newcastle upon Tyne, UK
Publication date: 2002-12-01