Abstract
Evidence-based medicine (EBM) is a central theme in health practice and training. The understanding of EBM technical terms and the familiarity with EBM resources were surveyed in four different health professional categories. A self-administered questionnaire on the familiarity with EBM terminology and resources was proposed to 218 health professionals (physicians, translational researchers, nurses, and others) working in the oncology field. Relationships between variable and familiarity were examined: Pearson χ 2 or exact Fisher test was used for the categorical variables and one-way ANOVA for the continuous ones. The odds of familiarity for subjects, who had followed or not at least one EBM course, were estimated fitting a multiple logistic regression model adjusted for age, gender, and profession. All subjects completed the questionnaire. The majority of health personnel seemed to lack a sound knowledge of key EBM terms and sources. Physicians showed the highest knowledge of terms, nurses the lowest. Physicians also declared the largest familiarity with the widest variety of resources, followed by others and the researchers. The most popular resource was PLNG, the Italian Guideline System. People who attended at least one EBM course showed consistently higher percentages of knowledge, but the association was irrelevant for nurses. The main perceived barrier to implement EBM in practice was a lack of personal time. Familiarity of health professionals with EBM terminology and resources is still limited to the medical field and needs to be improved. Increasing education may be pivotal, even if different approaches should be developed for different professional categories.
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References
Sackett DL, Rosenberg WM, Gray JA, Haynes RB, Richardson WS (1996) Evidence based medicine: what it is and what it isn't. BMJ 312(7023):71–72
Godlee F (2007) Milestones on the long road to knowledge. BMJ 334(Suppl 1):s2
Haynes RB, Devereaux PJ, Guyatt GH (2002) Physicians’ and patients’ choices in evidence based practice. BMJ 324(7350):1350
Landry MD, Sibbald WJ (2001) From data to evidence: evaluative methods in evidence-based medicine. Respir Care 46(11):1226–1235
Davies KS (2011) Evidence-based medicine: UK doctors’ attitudes and understanding. Int J Evid Based Healthc 9(3):265–273
Al-Kubaisi NJ, Al-Dahnaim LA, Salama RE (2010) Knowledge, attitudes and practices of primary health care physicians towards evidence-based medicine in Doha, Qatar. East Mediterr Health J 16(11):1189–1197
Musa HM (2010) Knowledge, perceptions, attitude and educational needs of physicians to evidence based medicine in South-Western Saudi Arabia. Saudi Med J 31(3):308–312
Abeysena C, Jayawardana P, Wickremasinghe R, Wickramasinghe U (2010) Evidence-based medicine knowledge, attitudes, and practices among doctors in Sri Lanka. J Evid Based Med 3(2):83–87
Sahapong S, Manmart L, Ayuvat D, Potisat S (2009) Information use behavior of clinicians in evidence-based medicine process in Thailand. J Med Assoc Thai 92(3):435–441
Al Omari M, Khader Y, Jadallah K, Dauod AS, Al-Shdifat AA, Khasawneh NM (2009) Evidence-based medicine among hospital doctors in Jordan: awareness, attitude and practice. J Eval Clin Pract 15(6):1137–1141
Ahmadi-Abhari S, Soltani A, Hosseinpanah F (2008) Knowledge and attitudes of trainee physicians regarding evidence-based medicine: a questionnaire survey in Tehran, Iran. J Eval Clin Pract 14(5):775–779
Hoare KJ, Steele J, Ram FS, Arroll B (2008) Evidence-based resource use by practice nurses in the Greater Auckland region of New Zealand. N Z Med J 121(1283):51–58
Sherriff KL, Wallis M, Chaboyer W (2007) Nurses’ attitudes to and perceptions of knowledge and skills regarding evidence-based practice. Int J Nurs Pract 13(6):363–369
Oliveri RS, Gluud C, Wille-Jørgensen PA (2004) Hospital doctors’ self-rated skills in and use of evidence-based medicine—a questionnaire survey. J Eval Clin Pract 10(2):219–226
Al-Baghlie N, Al-Almaie SM (2004) Physician attitudes towards evidence-based medicine in eastern Saudi Arabia. Ann Saudi Med 24(6):425–428
McColl A, Smith H, White P, Field J (1998) General practitioner’s perceptions of the route to evidence based medicine: a questionnaire survey. BMJ 316(7128):361–365
Gertsman B (2008) Basic biostatistics: statistics for public health practice. Jones & Bartlett Pub, London
Altman DG (2000) Statistics in medical journals: some recent trends. Stat Med 19(23):3275–3289
Horton NJ, Switzer SS (2005) Statistical methods in the journal. N Engl J Med 353(18):1977–1979
Swift L, Miles S, Price GM, Shepstone L, Leinster SJ (2009) Do doctors need statistics? Doctors’ use of and attitudes to probability and statistics. Stat Med 28(15):1969–1981
Chiu YW, Weng YH, Lo HL, Hsu CC, Shih YH, Kuo KN (2010) Comparison of evidence-based practice between physicians and nurses: a national survey of regional hospitals in Taiwan. J Contin Educ Health 30(2):132–138
McCoy JM, Byers JF (2006) Using evidence-based performance improvement in the community hospital setting. J Healthc Qual 28(6):13–17
EF Education First (2011) EF English Proficiency Index (EF EPI). http://www.ef-italia.it/epi. Accessed April 2012
Young JM, Glasziou P, Ward JE (2002) General practitioners’ self ratings of skills in evidence based medicine: validation study. BMJ 324(7343):950–951
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This study was supported by grants funded by the University of Genoa.
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Ugolini, D., Casanova, G., Ceppi, M. et al. Familiarity of Physicians, Translational Researchers, Nurses, and Other Health Professionals with Evidence-Based Medicine Terms and Resources. J Canc Educ 29, 514–521 (2014). https://doi.org/10.1007/s13187-014-0631-0
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DOI: https://doi.org/10.1007/s13187-014-0631-0