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Related Experiment Video

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Instruments to Assess Evidence-Based Practice Among Health Care Professionals: A Systematic Review.

Anderson Martins da Silva1,2, Daniela Pereira Valentim1, Adriana Leite Martins2

  • 1Universidade Cidade de São Paulo, São Paulo, Brazil.

Health Education & Behavior : the Official Publication of the Society for Public Health Education
|June 2, 2023
PubMed
Summary

This review found that most instruments measuring Evidence-Based Practice (EBP) in health professionals are reliable and valid. The Fresno Test is highlighted as a complete option, with seven instruments deemed suitable for use.

Keywords:
formative evaluationhealth educationhealthcaremeasurement

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Area of Science:

  • Health Professions Education
  • Measurement Science
  • Clinical Practice Improvement

Background:

  • Numerous studies report on measurement instruments assessing Evidence-Based Practice (EBP) among health professionals.
  • Evaluating the quality and applicability of these instruments is crucial for advancing healthcare.
  • Standardized assessment tools are essential for tracking and improving EBP adoption.

Purpose of the Study:

  • To systematically review and evaluate the measurement properties of instruments used to assess Evidence-Based Practice (EBP) in health professionals.
  • To summarize the characteristics and quality of existing EBP measurement tools.
  • To identify reliable and valid instruments for assessing EBP in diverse health disciplines.

Main Methods:

  • A comprehensive search was conducted across four databases using keywords related to "evidence-based practice," "evaluation," and "measurement properties."
  • Studies were included if they described instruments assessing EBP in health professionals, provided full-text publications, and analyzed measurement properties.
  • Methodological quality was assessed using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist.

Main Results:

  • Out of 6,429 initially identified records, 92 studies were eligible for analysis, identifying 40 new instruments, primarily for nursing and physical therapy.
  • Validity was tested in 73% of instruments, and reliability (internal consistency) in 90%.
  • Responsiveness was evaluated in only 30% of the instruments, indicating a potential gap in assessing change over time.

Conclusions:

  • The majority of identified instruments demonstrate good reliability and validity for measuring Evidence-Based Practice (EBP) in health professionals.
  • The Fresno Test is considered a comprehensive and suitable instrument for assessing EBP.
  • Seven instruments were classified as suitable for the target audience based on the COSMIN checklist, offering reliable options for EBP assessment.