Descriptive and Content Analysis of Questionnaires Used to Assess Evidence-Based Practice Among Dietitians: A Systematic Review - 18/12/23
, Annie Lapointe, PhD 3, Bernard Burnand, MD, PhD 4, Sophie Desroches, RD, PhD 1, 3Abstract |
Background |
Evidence-based practice (EBP) is described as the integration of the following 3 main dimensions in health professionals’ decision making: best currently available research evidence, professional expertise, and patient’s values and circumstances. Barriers to EBP at an individual level have been assessed using questionnaires. Knowing which EBP dimensions are actually explored in these questionnaires is essential to promote EBP and its adoption.
Objective |
The aim of this review was to identify and describe questionnaires that have been used among dietitians to evaluate knowledge, skills, attitudes, and/or behaviors related to EBP, and to perform a content analysis of these, drawn on the EBP dimensions explored.
Methods |
Questionnaires were identified through a systematic review in MEDLINE, Embase and the Cumulative Index to Nursing and Allied Health Literature (last search was November 2022). Eligibility criteria were studies using, evaluating, or developing questionnaires meant to evaluate knowledge, skills, attitudes, and/or behaviors related to EBP among dietitians. The content analysis was conducted to identify the EBP dimensions explored (ie, research evidence, professional expertise, and/or patient’s values and circumstances). Questionnaire items were categorized as follows: 1 sole EBP dimension, a combination of dimensions, or no identifiable dimension.
Results |
Thirty reports (25 studies) were included. The analysis of the 847 items extracted from the 25 questionnaires used showed that the main EBP dimension explored was the integration of research evidence into decision making, found in 75% of items, solely or in combination with another dimension. Professional expertise was explored in 18% of the items, patient’s values and circumstances were found in 3%, and the combination of these 3 dimensions was found in <1%.
Conclusions |
The important imbalance of explored EBP dimensions in the questionnaires used may lead to a partial and misleading evaluation that prevents efficient strategies to foster EBP. There is an important need to develop more integrative and accurate evaluations of EBP targeting dietitians to promote and develop high-quality dietetics practice.
Le texte complet de cet article est disponible en PDF.Keywords : Evidence-based practice dimensions, EBP, Questionnaire, Content analysis, Systematic review, Evidence-based dietetic practice
Plan
| STATEMENT OF POTENTIAL CONFLICT OF INTEREST No potential conflict of interest was reported by the authors. |
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| FUNDING/SUPPORT This project was funded by the Geneva School of Health Sciences, University of Applied Sciences Western Switzerland HES-SO, Switzerland. |
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| ACKNOWLEDGEMENTS The authors are grateful to Elisabeth Guadagnolo, research assistant at the University of Applied Sciences and Arts Western Switzerland at the time of the study, for her work to obtain the questionnaires from authors and for data extraction. The authors thank Frédéric Bergeron, librarian at Université Laval, for his help in the development of the search strategy. |
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| AUTHOR CONTRIBUTIONS L. Soguel, S. Desroches, and B. Burnand designed the study. L. Soguel collected the data. L. Soguel and A. Lapointe analyzed the data under S. Desroches supervision. All authors discussed the results. L. Soguel wrote the first draft of the manuscript under the supervision of S. Desroches. All authors critically reviewed and commented on the first and subsequent drafts of the manuscript. |
Vol 124 - N° 1
P. 80-101 - janvier 2024 Retour au numéro
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