These challenges are NOTHING compared to the challenges of stroke recovery with NO PROTOCOLS. So put on your big person pants and solve the fucking problems. 100% recovery is the only goal in stroke. GET THERE!
Challenges in applying evidence-based practice in stroke rehabilitation: A qualitative description of experiences of health professionals from low, middle, and high-income countries
Keywords: Evidence-based practice; Stroke rehabilitation; International health problems
Purpose:
Evidence-based practice (EBP) is considered central to ethical,
effective service delivery in rehabilitation, and the implementation of
the World Health Organization's Rehabilitation Strategy 2030.
This study aimed to explore and compare the experiences of health
professionals regarding their application of EBP in stroke
rehabilitation in low, middle and high-income countries. Specifically,
we were interested in the influences on evidence-based stroke
rehabilitation in each participant's region and country.
Methods:
Interviews were conducted by videoconference with 12 experienced
rehabilitation professionals from 12 different countries (5 high-income,
2 upper-middle income, 3 lower-middle income, and 2 low-income
countries). The main influences were derived from qualitative
descriptive analysis of the verbatim transcriptions.
Results:
Nine factors that influenced evidence-based stroke rehabilitation were:
(1) the complexity of rehabilitation research; (2) the (ir)relevance of
research to local context; (3) lack of time for EBP; (4) minimal
training in EBP; (5) changing health professional behaviours; (6) poor
access to resources for developing EBP; (7) influence of culture,
patients, and families; (8) language barriers; and (9) lack of access to
research evidence. Economic constraints contributed to many of these
challenges; but not all challenges related to the economic
classification of a country.
Conclusion(s):
These results show that there is a need for global approach to share
knowledge about EBP especially scientific evidence and innovative
thinking about its application to clinical practice.
Impact:
This research will impact current rehabilitation practices by providing
insight to the barriers to evidence-based practice. Collaborations both
informal and formal can be used globally to help improve rehabilitation
services.
Funding acknowledgements: Not funded.
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