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Ambitions and obstacles for evidence-based municipal primary healthcare - a mixed- methods study
Department of Health Sciences, Lund University, Lund, Sweden; Health and Social Care Administration, Municipality of Helsingborg, Helsingborg, Sweden.
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation. Department of Health Sciences, Lund University, Lund, Sweden; Health and Social Care Administration, Municipality of Östersund, Östersund, Sweden.ORCID iD: 0000-0002-1087-8656
Department of Health Sciences, Lund University, Lund, Sweden.
Department of Health Sciences, Lund University, Lund, Sweden.
2025 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 32, no 1, article id 2451265Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Research is limited on registered healthcare professionals (RHCP) usage of research and evidence-based practice (EBP) in Swedish municipal primary healthcare work.

AIM/OBJECTIVES: The aim of this study was to increase the understanding of experiences, attitudes, and conditions of usage of research and implementation of EBP among RHCPs in a Swedish municipality setting. Further, the study aimed to explore whether those attitudes and conditions were associated with RHCP basing their work on research.

MATERIAL AND METHODS: The study was a mixed- methods study of a convergent design with five dialogue meetings and a web-based survey. Participants were RHCP recruited from one large size municipality.

FINDINGS: Registered healthcare professionals struggled between personal and organisational conditions to use research and work according to EBP. They were torn between personal ambitions and lack of skills to use research, whereas having an advanced level education was significantly associated with basing work on research. Lack of organisational resources and support made usage of research and implementation of EBP difficult.

CONCLUSION: There is a need to strengthen the RHCP competence in using research evidence in clinical practice. Managemental support, education and clinical goals could improve the conditions for usage of research and implementation of EBP.

Place, publisher, year, edition, pages
Taylor & Francis, 2025. Vol. 32, no 1, article id 2451265
Keywords [en]
Evidence-based practice, health promotion, integrated care, registered healthcare professionals, research usage, team-based
National Category
Occupational Therapy
Identifiers
URN: urn:nbn:se:umu:diva-234904DOI: 10.1080/11038128.2025.2451265ISI: 001398791600001PubMedID: 39819264Scopus ID: 2-s2.0-85216043796OAI: oai:DiVA.org:umu-234904DiVA, id: diva2:1935531
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2020-01575Lund UniversityAvailable from: 2025-02-07 Created: 2025-02-07 Last updated: 2025-02-07Bibliographically approved

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