Arbetsterapeuters erfarenheter av evidensbaserad praktik inom kommunal hälso- och sjukvård i norra Sverige
Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
Aim: The aim of this qualitative study was to describe occupational therapists' experiences of evidence based practice (EBP) in municipal healthcare in northern Sweden. Method: Ten interviews were conducted with a qualitative interview method with occupational therapists working in municipal healthcare in three municipalities in northern Sweden. Collected data were analyzed using qualitative content analysis which resulted in three categories: EBP contributed to increased security and safer interventions in clinical work, Support from management and colleagues promoted implementation of EBP in clinical work and Driving functions are needed for vertical proliferation of EBP. Results: The occupational therapists stated that documentation was a way to ensure occupational therapy measures within the profession and the organization. The documentation was experienced as a verification of the occupational therapy skills and constituted a basis for decisions of measures. As a decisive factor for successful implementation of EBP and continuous improvement in municipal health care the occupational therapists experienced a need of daily dialogues and knowledge based exchanges with colleagues within the profession. Management support, with the provision of time and facilitators (individuals with special features) was experienced as a precondition to effectively drive EBP. Although municipal health care lacked access to scientific databases, occupational therapists experienced alternative paths to evidence and initial contacts with the academy contributed to increased opportunities for EBP in municipal health care. Conclusion: The results show that various forms of support had a central role in EBP for occupational therapists in municipal health care. Experiences of support occupational therapists stated came from management and colleagues, as well as from access to evidence and proven experience. Implementation of EBP was experienced as a long-term process that toke time and relied on the support functions, and on a management that prioritized EBP. This indicates that more research is needed in this area in order to obtain a deeper knowledge and understanding of how the identified factors and functions may be supported for the successful implementation of EBP in municipal health care.
Place, publisher, year, edition, pages
2016. , 31 p.
Medicin, Evidensbaserad praktik, kommunal hälso- och sjukvård, stöd, evidence-based practice, municipal healthcare, support
IdentifiersURN: urn:nbn:se:ltu:diva-55694Local ID: c87e16fc-7680-4247-8852-8652e7c2026cOAI: oai:DiVA.org:ltu-55694DiVA: diva2:1029078
Subject / course
Student thesis, at least 15 credits
Occupational Therapist, bachelor’s level
Validerat; 20160619 (global_studentproject_submitter)2016-10-042016-10-04Bibliographically approved