Beliefs, Knowledge, Implementation, and Integration of Evidence-Based Practice Among Primary Health Care Providers: Protocol for a Scoping Review

Filipa Pereira, Mireille Salvi, Henk Verloo, Filipa Pereira, Mireille Salvi, Henk Verloo

Abstract

Background: The adoption of evidence-based practice (EBP) is promoted because it is widely recognized for improving the quality and safety of health care for patients, and reducing avoidable costs. Providers of primary care face numerous challenges to ensuring the effectiveness of their daily practices. Primary health care is defined as: the entry level into a health care services system, providing a first point of contact for all new needs and problems; patient-focused (not disease-oriented) care over time; care for all but the most uncommon or unusual conditions; and coordination or integration of care, regardless of where or by whom that care is delivered. Primary health care is the principal means by which to approach the main goal of any health care services system: optimization of health status.

Objective: This review aims to scope publications examining beliefs, knowledge, implementation, and integration of EBPs among primary health care providers (HCPs).

Methods: We will conduct a systematic scoping review of published articles in the following electronic databases, from their start dates until March 31, 2017: Medical Literature Analysis and Retrieval System Online (MEDLINE) via PubMed (from 1946), Embase (from 1947), Cumulative Index to Nursing and Allied Health Literature (CINAHL; from 1937), the Cochrane Central Register of Controlled Trials (CENTRAL; from 1992), PsycINFO (from 1806), Web of Science (from 1900), Joanna Briggs Institute (JBI) database (from 1998), Database of Abstracts of Reviews of Effects (DARE; from 1996), Trip medical database (from 1997), and relevant professional scientific journals (from their start dates). We will use the predefined search terms of, "evidence-based practice" and, "primary health care" combined with other terms, such as, "beliefs", "knowledge", "implementation", and "integration". We will also conduct a hand search of the bibliographies of all relevant articles and a search for unpublished studies using Google Scholar, ProQuest, Mednar, and WorldCat. We will consider publications in English, French, Spanish, and Portuguese.

Results: The electronic database searches were completed in April 2017. Retrieved articles are currently being screened, and the entire study is expected to be completed by November 2017.

Conclusions: This systematic scoping review will provide a greater understanding of the beliefs, knowledge, implementation, and integration of EBPs among primary HCPs. The findings will inform clinical practice and help to draw a global picture of the EBP research topics that are relevant to primary care providers.

Keywords: beliefs; evidence-based practice; implementation; knowledge; primary healthcare; primary healthcare providers.

Conflict of interest statement

Conflicts of Interest: None declared.

©Filipa Pereira, Mireille Salvi, Henk Verloo. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 01.08.2017.

References

    1. Heiwe S, Kajermo KN, Tyni-Lenné R, Guidetti S, Samuelsson M, Andersson I, Wengström Y. Evidence-based practice: attitudes, knowledge and behaviour among allied health care professionals. Int J Qual Health Care. 2011 Apr;23(2):198–209. doi: 10.1093/intqhc/mzq083.
    1. Melnyk BM, Gallagher-Ford L. Implementing the new essential evidence-based practice competencies in real-world clinical and academic settings: moving from evidence to action in improving healthcare quality and patient outcomes. Worldviews Evid Based Nurs. 2015 Apr;12(2):67–9. doi: 10.1111/wvn.12089.
    1. Sackett DL, Rosenberg WM, Gray JA, Haynes RB, Richardson WS. Evidence based medicine: what it is and what it isn't. BMJ. 1996 Jan 13;312(7023):71–2.
    1. Institute of Medicine . The Future of Nursing: Leading Change, Advancing Health. Washington, DC: National Academies Press; 2011.
    1. Hughes R. Patient safety and quality: an evidence-based handbook for nurses. AHRQ Publication No. 08-0043. 2008 Mar;:1403. Rockville, MD.
    1. Goulet C, Lampron A, Morin D, Héon M. [Evidence-based practice. Part 1: origins, definitions, critiques, obstacles, advantages and impact] Rech Soins Infirm. 2004 Mar;(76):12–8.
    1. Melnyk B. Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice. Philadelphia, PA: Wolters Kluwer Health; 2014.
    1. Goulet C, Lampron A, Morin D, Héon M. [Evidence-based practice: Part 2: steps in the process] Rech Soins Infirm. 2004 Mar;(76):19–29.
    1. Levin RF, Feldman HR. The EBP controversy: misconception, misunderstanding, or myth. Res Theory Nurs Pract. 2006;20(3):183–6.
    1. Zeitz K, McCutcheon H. Evidence-based practice: to be or not to be, this is the question! Int J Nurs Pract. 2003 Oct;9(5):272–9.
    1. McEvoy MP, Williams MT, Olds TS, Lewis LK, Petkov J. Evidence-based practice profiles of physiotherapists transitioning into the workforce: a study of two cohorts. BMC Med Educ. 2011 Nov 29;11:100. doi: 10.1186/1472-6920-11-100.
    1. Wilkinson SA, Hough J, Hinchliffe F. An Evidence-based approach to influencing evidence-based practice in allied health. J Allied Health. 2016;45(1):41–8.
    1. Taylor AC, Bond GR. Employment specialist competencies as predictors of employment outcomes. Community Ment Health J. 2014 Jan;50(1):31–40. doi: 10.1007/s10597-012-9554-6.
    1. Brownstein JN, Hirsch GR, Rosenthal EL, Rush CH. Community health workers “101” for primary care providers and other stakeholders in health care systems. J Ambul Care Manage. 2011;34(3):210–20. doi: 10.1097/JAC.0b013e31821c645d.
    1. Van Lerberghe W. The world health report 2008: primary health care: now more than ever. World Health Organization; 2008. [2017-06-18]. .
    1. Witmer A, Seifer SD, Finocchio L, Leslie J, O'Neil EH. Community health workers: integral members of the health care work force. Am J Public Health. 1995 Aug;85(8 Pt 1):1055–8.
    1. Adashi EY, Geiger HJ, Fine MD. Health care reform and primary care--the growing importance of the community health center. N Engl J Med. 2010 Jun 03;362(22):2047–50. doi: 10.1056/NEJMp1003729.
    1. Swider SM. Outcome effectiveness of community health workers: an integrative literature review. Public Health Nurs. 2002;19(1):11–20.
    1. Swinkels A, Albarran JW, Means RI, Mitchell T, Stewart MC. Evidence-based practice in health and social care: where are we now? J Interprof Care. 2002 Nov;16(4):335–47. doi: 10.1080/1356182021000008265.
    1. Ubbink DT, Vermeulen H, Knops AM, Legemate DA, Oude RK, Heineman MJ, Roos YB, Fijnvandraat CJ, Heymans HS, Simons R, Levi M. Implementation of evidence-based practice: outside the box, throughout the hospital. Neth J Med. 2011 Feb;69(2):87–94.
    1. Scurlock-Evans L, Upton P, Upton D. Evidence-based practice in physiotherapy: a systematic review of barriers, enablers and interventions. Physiotherapy. 2014 Sep;100(3):208–19. doi: 10.1016/j.physio.2014.03.001.
    1. Estrada N. Exploring perceptions of a learning organization by RNs and relationship to EBP beliefs and implementation in the acute care setting. Worldviews Evid Based Nurs. 2009;6(4):200–9. doi: 10.1111/j.1741-6787.2009.00161.x.
    1. Glegg SM, Holsti L. Measures of knowledge and skills for evidence-based practice: a systematic review. Can J Occup Ther. 2010 Oct;77(4):219–32. doi: 10.2182/cjot.2010.77.4.4.
    1. Friesen-Storms JH, Moser A, van der Loo S, Beurskens AJ, Bours GJ. Systematic implementation of evidence-based practice in a clinical nursing setting: a participatory action research project. J Clin Nurs. 2015 Jan;24(1-2):57–68. doi: 10.1111/jocn.12697.
    1. Verloo H, Desmedt M, Morin D. Beliefs and implementation of evidence-based practice among nurses and allied healthcare providers in the Valais hospital, Switzerland. J Eval Clin Pract. 2017 Feb;23(1):139–148. doi: 10.1111/jep.12653.
    1. Melnyk BM, Fineout-Overholt E, Feinstein NF, Sadler LS, Green-Hernandez C. Nurse practitioner educators' perceived knowledge, beliefs, and teaching strategies regarding evidence-based practice: implications for accelerating the integration of evidence-based practice into graduate programs. J Prof Nurs. 2008;24(1):7–13. doi: 10.1016/j.profnurs.2007.06.023.
    1. Wallen GR, Mitchell SA, Melnyk B, Fineout-Overholt E, Miller-Davis C, Yates J, Hastings C. Implementing evidence-based practice: effectiveness of a structured multifaceted mentorship programme. J Adv Nurs. 2010 Dec;66(12):2761–71. doi: 10.1111/j.1365-2648.2010.05442.x.
    1. Earle-Foley V. Evidence-based practice: issues, paradigms, and future pathways. Nurs Forum. 2011;46(1):38–44. doi: 10.1111/j.1744-6198.2010.00205.x.
    1. Fernández MJ. Evidence for practice--growing slowly but surely. Australas Emerg Nurs J. 2014 Feb;17(1):1. doi: 10.1016/j.aenj.2013.12.001.
    1. Wittmann-Price R, Celia L, Dunn R. Successful implementation of evidence-based nursing practice: the indispensable role of staff development. J Nurses Prof Dev. 2013;29(4):202–4. doi: 10.1097/NND.0b013e31829b2212.
    1. Breimaier HE, Halfens RJG, Lohrmann C. Nurses' wishes, knowledge, attitudes and perceived barriers on implementing research findings into practice among graduate nurses in Austria. J Clin Nurs. 2011 Jun;20(11-12):1744–56. doi: 10.1111/j.1365-2702.2010.03491.x.
    1. Majid S, Foo S, Luyt B, Zhang X, Theng Y, Chang Y, Mokhtar IA. Adopting evidence-based practice in clinical decision making: nurses' perceptions, knowledge, and barriers. J Med Libr Assoc. 2011 Jul;99(3):229–36. doi: 10.3163/1536-5050.99.3.010.
    1. Upton D, Stephens D, Williams B, Scurlock-Evans L. Occupational therapists' attitudes, knowledge, and implementation of evidence-based practice: a systematic review of published research. Br J of Occup Ther. 2014 Jan 15;77(1):24–38. doi: 10.4276/030802214x13887685335544.
    1. Melnyk BM, Fineout-Overholt E, Giggleman M, Cruz R. Correlates among cognitive beliefs, EBP implementation, organizational culture, cohesion and job satisfaction in evidence-based practice mentors from a community hospital system. Nurs Outlook. 2010;58(6):301–8. doi: 10.1016/j.outlook.2010.06.002.
    1. Thorsteinsson HS, Sveinsdóttir H. Readiness for and predictors of evidence-based practice of acute-care nurses: a cross-sectional postal survey. Scand J Caring Sci. 2014 Sep;28(3):572–81. doi: 10.1111/scs.12083.
    1. González-Torrente S, Pericas-Beltrán J, Bennasar-Veny M, Adrover-Barceló R, Morales-Asencio JM, De Pedro-Gomez J. Perception of evidence-based practice and the professional environment of primary health care nurses in the Spanish context: a cross-sectional study. BMC Health Serv Res. 2012 Jul 31;12:227. doi: 10.1186/1472-6963-12-227.
    1. Al Omari M, Khader Y, Jadallah K, Dauod AS, Al-Shdifat AAK. Awareness, attitude and practice of evidence-based medicine among primary health care doctors in Jordan. J Eval Clin Pract. 2009 Dec;15(6):1131–6. doi: 10.1111/j.1365-2753.2009.01223.x.
    1. Arksey H, O'Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol. 2005 Feb;8(1):19–32. doi: 10.1080/1364557032000119616.
    1. Levac D, Colquhoun H, O'Brien KK. Scoping studies: advancing the methodology. Implement Sci. 2010;5:69. doi: 10.1186/1748-5908-5-69.
    1. Colquhoun HL, Letts LJ, Law MC, MacDermid JC, Missiuna CA. A scoping review of the use of theory in studies of knowledge translation. Can J Occup Ther. 2010 Dec;77(5):270–9. doi: 10.2182/cjot.2010.77.5.3.
    1. Shamseer L, Moher D, Clarke M, Ghersi D, Liberati A, Petticrew M, Shekelle P, Stewart LA, PRISMA- P. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation. BMJ. 2015 Jan 02;349:g7647.
    1. Daudt HML, van Mossel C, Scott SJ. Enhancing the scoping study methodology: a large, inter-professional team's experience with Arksey and O'Malley's framework. BMC Med Res Methodol. 2013 Mar 23;13:48. doi: 10.1186/1471-2288-13-48.
    1. Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JP, Clarke M, Devereaux PJ, Kleijnen J, Moher D. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. J Clin Epidemiol. 2009 Oct;62(10):e1–34. doi: 10.1016/j.jclinepi.2009.06.006.
    1. Higgins JP, Green S. Cochrane handbook for systematic reviews of interventions. Chichester, England: Wiley-Blackwell; 2008.
    1. Leung K, Trevena L, Waters D. Systematic review of instruments for measuring nurses' knowledge, skills and attitudes for evidence-based practice. J Adv Nurs. 2014 Oct;70(10):2181–95. doi: 10.1111/jan.12454.
    1. Dixon-Woods M, Agarwal S, Jones D, Young B, Sutton A. Synthesising qualitative and quantitative evidence: a review of possible methods. J Health Serv Res Policy. 2005 Jan;10(1):45–53.
    1. Souto RQ, Khanassov V, Hong QN, Bush PL, Vedel I, Pluye P. Systematic mixed studies reviews: updating results on the reliability and efficiency of the Mixed Methods Appraisal Tool. Int J Nurs Stud. 2015 Jan;52(1):500–1. doi: 10.1016/j.ijnurstu.2014.08.010.
    1. Aguayo-Albasini JL, Flores-Pastor B, Soria-Aledo V. [GRADE system: classification of quality of evidence and strength of recommendation] Cir Esp. 2014 Feb;92(2):82–8. doi: 10.1016/j.ciresp.2013.08.002.
    1. Hsieh H, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005 Nov;15(9):1277–88. doi: 10.1177/1049732305276687.
    1. Pace R, Pluye P, Bartlett G, Macaulay AC, Salsberg J, Jagosh J, Seller R. Testing the reliability and efficiency of the pilot Mixed Methods Appraisal Tool (MMAT) for systematic mixed studies review. Int J Nurs Stud. 2012 Jan;49(1):47–53. doi: 10.1016/j.ijnurstu.2011.07.002.
    1. Letts L, Wilkins S, Law M, Stewart D, Bosch J, Westmorland M. Critical Review Form - Qualitative Studies (Version 2.0) 2007. [2017-06-18]. .
    1. Guyatt GH, Oxman AD, Sultan S, Glasziou P, Akl EA, Alonso-Coello P, Atkins D, Kunz R, Brozek J, Montori V, Jaeschke R, Rind D, Dahm P, Meerpohl J, Vist G, Berliner E, Norris S, Falck-Ytter Y, Murad MH, Schünemann HJ. GRADE guidelines: 9. Rating up the quality of evidence. J Clin Epidemiol. 2011 Dec;64(12):1311–6. doi: 10.1016/j.jclinepi.2011.06.004.

Source: PubMed

Szponzorok és közreműködők

Egészségi állapot

Kábítószer-beavatkozások

3
Iratkozz fel