Awareness of Evidence-Based Practice and Cochrane Library among Allied Health Care Professionals
Keywords:
Evidence based practice, cochrane library, allied health professionals, awareness, knowledgeAbstract
Objective:
This study aimed to assess the awareness and use of evidence-based practice (EBP) and the Cochrane Library among allied health care professionals working in major public sector hospitals in Karachi.
Material and Methods:
A cross-sectional study was conducted among 100 allied health care professionals recruited through convenience sampling from Civil Hospital, Jinnah Postgraduate Medical Centre (JPMC), and Dow University of Health Sciences (DUHS). A structured self-administered questionnaire was used to measure awareness of EBP principles, knowledge of systematic reviews, and use of the Cochrane Library. Descriptive statistics summarized demographic data, while chi-square tests compared awareness levels across demographic groups.
Results:
Overall, 62% of participants reported having heard of EBP, while only 41% demonstrated an understanding of its principles. Awareness of systematic reviews was observed in 48% of respondents. Regarding the Cochrane Library, 35% had heard of it, and only 18% had ever accessed it. The main barriers to use were lack of training (67%) and limited institutional access (58%). Awareness was higher among younger professionals and those with fewer than five years of experience.
Conclusion:
The findings suggest that while allied health professionals in Karachi are moderately aware of EBP, their knowledge and use of the Cochrane Library remain limited. Capacity-building initiatives, institutional support, and integration of EBP training into professional curricula are needed to improve evidence-informed practice in Pakistan.
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References
1. Sackett DL, Rosenberg WM, Gray JA, Haynes RB, Richardson WS. Evidence based medicine: what it is and what it isn't. BMJ. 1996;312(7023):71–2.
2. Higgins JPT, Thomas J, Chandler J, et al., editors. Cochrane handbook for systematic reviews of interventions. 2nd ed. Chichester (UK): John Wiley & Sons; 2019.
3. Dawes M, Summerskill W, Glasziou P, et al. Sicily statement on evidence-based practice. BMC Med Educ. 2005;5:1.
4. Straus SE, Glasziou P, Richardson WS, Haynes RB. Evidence-based medicine: how to practice and teach it. 5th ed. Edinburgh: Elsevier; 2018.
5. Olsen NR, Bradley P, Espehaug B, Nortvedt MW. Impact of a multifaceted and clinically integrated training program in evidence-based practice on knowledge, skills, beliefs and behaviour among clinical instructors in physiotherapy: a non-randomized controlled study. BMC Med Educ. 2015;15:167.
6. Ilic D, Maloney S. Methods of teaching medical trainees evidence-based medicine: a systematic review. Med Educ. 2014;48(2):124–35.
7. Abu-Rish Blakeney E, Pfeifle A, Jones M, et al. Using interprofessional education to enhance evidence-based practice. Ann Behav Sci Med Educ. 2016;22(1):4–9.
8. McEvoy MP, Williams MT, Olds TS. Evidence based practice profiles: differences among allied health professions. BMC Med Educ. 2010;10:69.
9. Alshehri AA, Al-Khowailed MS, Al-Qahtani AM, et al. Awareness, knowledge, and practice of evidence-based medicine among primary care physicians in Saudi Arabia. Int J Med Educ. 2018;9:35–41.
10. Barikani A, Afaghi E, Afshari M. Evidence-based practice and allied health professionals: an Indian perspective. Int J Allied Health Sci Pract. 2015;13(2):7.
11. Oduwole A, Oyewumi A, Odusanya O. Awareness and use of evidence-based practice among allied health professionals in Nigeria. Niger Postgrad Med J. 2019;26(1):21–6.
12. Qureshi R, Latif S, Karim M. Awareness of evidence-based medicine among Pakistani postgraduate medical trainees. J Ayub Med Coll Abbottabad. 2019;31(2):222–6.
13. Jahan F, Siddiqui MA, Qasim R, Ahmed R. Knowledge, attitude and practice of evidence-based medicine among doctors in Karachi. Pak J Med Sci. 2009;25(3):494–7.
14. Dawes M, Sampson U. Knowledge management in clinical practice: a systematic review of health care professionals' knowledge and skills. BMC Health Serv Res. 2003;3:2.
15. Ilic D, Forbes K. Undergraduate medical student perceptions and use of evidence-based practice: a cross-sectional study. BMC Med Educ. 2010;10:19.
16. Albarqouni L, Hoffmann T, Straus S, Olsen NR, Young T, Ilic D. Core competencies in evidence-based practice for health professionals: consensus statement based on a systematic review and Delphi survey. JAMA Netw Open. 2018;1(2):e180281.
17. Flores-Mateo G, Argimon JM. Evidence-based practice in postgraduate healthcare education: a systematic review. BMC Health Serv Res. 2007;7:119.
18. Young T, Rohwer A, Volmink J, Clarke M. What are the effects of teaching evidence-based health care (EBHC)? Overview of systematic reviews. PLoS One. 2014;9(1):e86706.
19. Scurlock-Evans L, Upton P, Upton D. Evidence-based practice in physiotherapy: a systematic review of barriers, enablers and interventions. Physiotherapy. 2014;100(3):208–19.
20. Jette DU, Bacon K, Batty C, Carlson M, Ferland A, Hemingway RD, et al. Evidence-based practice: beliefs, attitudes, knowledge, and behaviors of physical therapists. Phys Ther. 2003;83(9):786–805.
21. McCluskey A, Lovarini M. Providing education on evidence-based practice improved knowledge but did not change behaviour: a before and after study. BMC Med Educ. 2005;5:40.
22. Heiwe S, Kajermo KN, Tyni-Lenné R, Guidetti S, Samuelsson M, Andersson IL, et al. Evidence-based practice: attitudes, knowledge and behaviour among allied health care professionals. Int J Qual Health Care. 2011;23(2):198–209.
23. Ciliska D. Educating for evidence-based practice. J Prof Nurs. 2005;21(6):345–50.
24. Shaneyfelt T, Baum KD, Bell D, et al. Instruments for evaluating education in evidence-based practice: a systematic review. JAMA. 2006;296(9):1116–27.
25. Tilson JK, Kaplan SL, Harris JL, Hutchinson A, Ilic D, Niederman R, et al. Sicily statement on classification and development of evidence-based practice learning assessment tools. BMC Med Educ. 2011;11:78.
26. Flores-Mateo G, Argimon JM. Barriers to implementing evidence-based practice in clinical practice: a systematic review. BMC Health Serv Res. 2007;7:142.
27. Brown CE, Ecoff L, Kim SC, Wickline MA, Rose B, Klimpel K, et al. Multi-institutional study of barriers to research utilization and evidence-based practice among hospital nurses. J Clin Nurs. 2010;19(13-14):1944–51.
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