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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.
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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: 2019-07-30Bibliographically approved

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The full text will be freely available from 2019-09-24 10:37
Available from 2019-09-24 10:37

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Authority records BETA

Carlfjord, SiwJohansson, KajsaHolmgren, TheresaÖberg, Birgitta

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Carlfjord, SiwJohansson, KajsaHolmgren, TheresaÖberg, Birgitta
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Division of Community MedicineFaculty of Medicine and Health SciencesDivision of PhysiotherapyDepartment of Orthopaedics in Linköping
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Journal of Evaluation In Clinical Practice
Health Care Service and Management, Health Policy and Services and Health Economy

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