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Development of evidence-based practice in occupational health services in Sweden: a 3-year follow-up of attitudes, barriers and facilitators

PURPOSE: The Swedish government initiated an investigation of how to secure and develop the competence of the occupational health services. The primary aim of the present study was to investigate whether the development of evidence-based practice (EBP) in the Swedish occupational health services in...

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Autores principales: Brämberg, Elisabeth Björk, Nyman, Teresia, Kwak, Lydia, Alipour, Akbar, Bergström, Gunnar, Elinder, Liselotte Schäfer, Hermansson, Ulric, Jensen, Irene
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5387008/
https://www.ncbi.nlm.nih.gov/pubmed/28204870
http://dx.doi.org/10.1007/s00420-017-1200-8
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author Brämberg, Elisabeth Björk
Nyman, Teresia
Kwak, Lydia
Alipour, Akbar
Bergström, Gunnar
Elinder, Liselotte Schäfer
Hermansson, Ulric
Jensen, Irene
author_facet Brämberg, Elisabeth Björk
Nyman, Teresia
Kwak, Lydia
Alipour, Akbar
Bergström, Gunnar
Elinder, Liselotte Schäfer
Hermansson, Ulric
Jensen, Irene
author_sort Brämberg, Elisabeth Björk
collection PubMed
description PURPOSE: The Swedish government initiated an investigation of how to secure and develop the competence of the occupational health services. The primary aim of the present study was to investigate whether the development of evidence-based practice (EBP) in the Swedish occupational health services in relation to attitudes, knowledge and use improved during the first 3 years of the government’s initiative. METHODS: The study has a mixed methods design combining questionnaires and interviews with data collection at baseline and at 3-year follow-up. RESULTS: The response rate was 66% at baseline and 63% at follow-up. The results show that practitioners’ knowledge of EBP was moderate at baseline and improved at follow-up (p = 0.002; 95% CI 0.01; 0.21). Practitioners experienced lower levels of organizational and managerial support for EBP at follow-up (p < 0.001; 95% CI 0.18; 0.38). The results revealed that managers viewed responsibility for implementing EBP as a matter for individual practitioners rather than as an organizational issue. CONCLUSIONS: Occupational health service managers and practitioners are generally positive to EBP. However, the findings emphasize the need to educate managers in how to support EBP at the organizational level by creating an infrastructure for EBP in the OHS.
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spelling pubmed-53870082017-04-27 Development of evidence-based practice in occupational health services in Sweden: a 3-year follow-up of attitudes, barriers and facilitators Brämberg, Elisabeth Björk Nyman, Teresia Kwak, Lydia Alipour, Akbar Bergström, Gunnar Elinder, Liselotte Schäfer Hermansson, Ulric Jensen, Irene Int Arch Occup Environ Health Original Article PURPOSE: The Swedish government initiated an investigation of how to secure and develop the competence of the occupational health services. The primary aim of the present study was to investigate whether the development of evidence-based practice (EBP) in the Swedish occupational health services in relation to attitudes, knowledge and use improved during the first 3 years of the government’s initiative. METHODS: The study has a mixed methods design combining questionnaires and interviews with data collection at baseline and at 3-year follow-up. RESULTS: The response rate was 66% at baseline and 63% at follow-up. The results show that practitioners’ knowledge of EBP was moderate at baseline and improved at follow-up (p = 0.002; 95% CI 0.01; 0.21). Practitioners experienced lower levels of organizational and managerial support for EBP at follow-up (p < 0.001; 95% CI 0.18; 0.38). The results revealed that managers viewed responsibility for implementing EBP as a matter for individual practitioners rather than as an organizational issue. CONCLUSIONS: Occupational health service managers and practitioners are generally positive to EBP. However, the findings emphasize the need to educate managers in how to support EBP at the organizational level by creating an infrastructure for EBP in the OHS. Springer Berlin Heidelberg 2017-02-15 2017 /pmc/articles/PMC5387008/ /pubmed/28204870 http://dx.doi.org/10.1007/s00420-017-1200-8 Text en © The Author(s) 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Article
Brämberg, Elisabeth Björk
Nyman, Teresia
Kwak, Lydia
Alipour, Akbar
Bergström, Gunnar
Elinder, Liselotte Schäfer
Hermansson, Ulric
Jensen, Irene
Development of evidence-based practice in occupational health services in Sweden: a 3-year follow-up of attitudes, barriers and facilitators
title Development of evidence-based practice in occupational health services in Sweden: a 3-year follow-up of attitudes, barriers and facilitators
title_full Development of evidence-based practice in occupational health services in Sweden: a 3-year follow-up of attitudes, barriers and facilitators
title_fullStr Development of evidence-based practice in occupational health services in Sweden: a 3-year follow-up of attitudes, barriers and facilitators
title_full_unstemmed Development of evidence-based practice in occupational health services in Sweden: a 3-year follow-up of attitudes, barriers and facilitators
title_short Development of evidence-based practice in occupational health services in Sweden: a 3-year follow-up of attitudes, barriers and facilitators
title_sort development of evidence-based practice in occupational health services in sweden: a 3-year follow-up of attitudes, barriers and facilitators
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5387008/
https://www.ncbi.nlm.nih.gov/pubmed/28204870
http://dx.doi.org/10.1007/s00420-017-1200-8
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