liu.seSearch for publications in DiVA
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Practitioner experiences from the structured implementation of evidence-based practice in primary care physiotherapy: A qualitative study
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences.ORCID iD: 0000-0001-9116-8156
University Health Care Research Centre, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Linköping University, Faculty of Medicine and Health Sciences.
Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Orthopaedics in Linköping.
Show others and affiliations
2019 (English)In: Journal of Evaluation In Clinical Practice, ISSN 1356-1294, E-ISSN 1365-2753, Vol. 25, no 4, p. 622-629Article in journal (Refereed) Published
Abstract [en]

Rationale, Aims, and Objectives

To provide best available care, the practitioners in primary health care (PHC) must have adequate knowledge about effective interventions. The implementation of such interventions is challenging. A structured implementation strategy developed by researchers at Linköping University, Sweden, was used for the implementation of an evidence‐based assessment and treatment programme for patients with subacromial pain among physiotherapists in PHC. To further develop strategies for implementation of evidence‐based practices, it was deemed important to study the implementation from the practitioners' perspective. The aim of this study was to explore the practitioners' experiences from the implementation.

Methods

A qualitative design with focus group discussions was applied. The implementation in terms of perceptions of process and outcome was evaluated by focus group discussions with, in total, 16 physiotherapists in the target group. Data were analysed using the method qualitative content analysis.

Results

The components of the strategy were viewed positively, and the applicability and evidence base behind the programme were appreciated. The programme was perceived to be adopted, and the practitioners described a changed behaviour and increased confidence in handling patients with subacromial pain. Both patient‐ and provider‐related challenges to the implementation were mentioned.

Conclusions

The practitioners' experiences from the implementation were mainly positive. A strategy with collaboration between academy and practice, and with education and implementation teams as facilitators, resulted in changes in practice. Critical voices concerned interprofessional collaboration and that the programme was focused explicitly on the shoulder, not including other components of physical function.

Place, publisher, year, edition, pages
Wiley-Blackwell Publishing Inc., 2019. Vol. 25, no 4, p. 622-629
Keywords [en]
exercise; implementation; physiotherapy; primary health care; qualitative study; shoulder pain
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:liu:diva-155031DOI: 10.1111/jep.13034ISI: 000474663700012PubMedID: 30246293Scopus ID: 2-s2.0-85053702144OAI: oai:DiVA.org:liu-155031DiVA, id: diva2:1295222
Available from: 2019-03-11 Created: 2019-03-11 Last updated: 2023-12-28Bibliographically approved

Open Access in DiVA

fulltext(323 kB)696 downloads
File information
File name FULLTEXT01.pdfFile size 323 kBChecksum SHA-512
607013c3e3034a29d81a22091c2afcea6cfd7edd6197357fe7f2c23cbb0fc410b19dd1941a69d1f54022b3000de5cb65d290a51f53b284961a4d61079e02e725
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMedScopus

Authority records

Carlfjord, SiwJohansson, KajsaHolmgren, TheresaÖberg, Birgitta

Search in DiVA

By author/editor
Carlfjord, SiwJohansson, KajsaHolmgren, TheresaÖberg, Birgitta
By organisation
Division of Community MedicineFaculty of Medicine and Health SciencesDivision of PhysiotherapyDepartment of Orthopaedics in Linköping
In the same journal
Journal of Evaluation In Clinical Practice
Health Care Service and Management, Health Policy and Services and Health Economy

Search outside of DiVA

GoogleGoogle Scholar
Total: 696 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 352 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf