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Changes in physiotherapists' perceptions of evidence-based practice after a year in the workforce: A mixed-methods
Maureen McEvoy1, Julie Luker1, Caroline Fryer1
1Allied Health and Human Performance Unit, University of South Australia, Adelaide, Australia.
Plos One
|December 21, 2020
Summary
New physiotherapists showed decreased confidence and perceived relevance of evidence-based practice (EBP) after their first year. Workplace factors significantly influence early career EBP integration and attitudes.
Area of Science:
- Health Professions Education
- Physiotherapy Practice
- Evidence-Based Practice Research
Background:
- Limited research exists on health professional graduates' evidence-based practice (EBP) knowledge, attitudes, and behaviors during workforce transition.
- This study specifically investigated changes in EBP domains among physiotherapists during their initial year of professional practice.
Purpose of the Study:
- To evaluate the evolution of knowledge, attitudes, and behaviors related to evidence-based practice (EBP) in physiotherapists after completing one year of employment.
- To understand the lived experiences of early-career physiotherapists in applying EBP within their first professional role.
Main Methods:
- A mixed-methods design incorporating quantitative psychometric questionnaires and qualitative interviews.
- Participants completed the Evidence-Based Practice Profile and Knowledge of Research Evidence Competencies questionnaires at two time points.
- Thematic analysis was used for qualitative interview data to explore participants' experiences with EBP in their first year.
Main Results:
- Fifty participants completed the study, revealing significant decreases in perceived Relevance (p<0.001) and Confidence (p<0.001) in EBP after one year.
- Medium effect sizes indicated notable reductions in Relevance (0.69) and Confidence (0.57).
- Qualitative data identified seven themes detailing the challenges and influences on EBP use in the early professional year.
Conclusions:
- Physiotherapists' confidence and perceived relevance of EBP significantly decline after their first year in practice.
- Workplace culture, competing clinical demands, motivators, patient expectations, and resource availability interplay to affect early-career EBP adoption.
- Positive role models actively engaging in evidence-based discussions were found to be inspiring for early-career professionals.
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