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What Information Do Neuropsychologists Use to Guide their Clinical Decisions? A Survey on Knowledge and Application of Evidence-Based Practice in a French-Speaking Population.
Archives of Clinical Neuropsychology ( IF 2.6 ) Pub Date : 2023-08-07 , DOI: 10.1093/arclin/acad057
Sacha Blause 1 , Ezio Tirelli 1 , Grégoire Wauquiez 2 , Stéphane Raffard 3 , Vincent Didone 1 , Sylvie Willems 1
Affiliation  

OBJECTIVE Evidence-based practice (EBP) is an approach that encourages clinicians to base their practice on evidence to improve the quality of patient care and reduce uncertainty in their clinical decisions. However, the state of knowledge and practice of neuropsychologists in French-speaking countries is still unknown. This study aimed to find out what these neuropsychologists know about EBP and whether they use it. METHOD A questionnaire with 39 questions for French-speaking neuropsychologists was distributed. The questions focused on neuropsychologists' knowledge and use of EBP and information that guide their clinical decisions. RESULTS A total of 392 respondents started the survey. The data show that only 35% correctly defined EBP and there was confusion between this practice and the strict use of research data. In practice, their decisions are influenced by multiple factors, including the patient's difficulties and advice from peers. Regarding the research, a significant proportion of the sample stated that they did not search the scientific literature frequently. Barriers to accessing scientific information and ineffective article-reading behavior were highlighted. CONCLUSION A lack of knowledge of EBP among French-speaking neuropsychologists was observed. Furthermore, the factors influencing their decision-making do not clearly fit the definitions of EBP. Information-seeking behaviors show several weaknesses and barriers to the integration of scientific evidence into practice. These results are like those of other studies conducted among psychologists or in other health professions. We will discuss possible courses of action that could be implemented to improve the knowledge and use of EBP.

中文翻译:

神经心理学家使用哪些信息来指导他们的临床决策?法语人群循证实践知识和应用调查。

客观循证实践(EBP)是一种鼓励临床医生将其实践建立在证据的基础上的方法,以提高患者护理质量并减少临床决策的不确定性。然而,法语国家神经心理学家的知识和实践状况仍然未知。这项研究旨在了解这些神经心理学家对 EBP 的了解以及他们是否使用它。方法 向法语神经心理学家分发了一份包含 39 个问题的调查问卷。问题集中于神经心理学家对 EBP 的了解和使用以及指导其临床决策的信息。结果 共有 392 名受访者开始了调查。数据显示,只有 35% 的人正确定义了 EBP,这种做法与严格使用研究数据之间存在混淆。在实践中,他们的决定受到多种因素的影响,包括患者的困难和同伴的建议。关于这项研究,很大一部分样本表示他们不经常搜索科学文献。强调了获取科学信息的障碍和无效的文章阅读行为。结论 法语神经心理学家对 EBP 缺乏了解。此外,影响他们决策的因素并不明显符合 EBP 的定义。信息寻求行为显示出将科学证据融入实践的一些弱点和障碍。这些结果与心理学家或其他健康专业人士进行的其他研究的结果类似。我们将讨论可以实施的可能的行动方案,以提高 EBP 的知识和使用。
更新日期:2023-08-07
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