台灣地區推行實證職能治療之障礙因子初探

The Barriers of Implementing Evidence-based Practice in Occupational Therapy in Taiwan-A Preliminary Study

莊宜靜(I-Ching Chuang) ； 曾美惠(Mei-Hui Tseng) ； 陳威勝(Wei-Sheng Chen) ； 楊國德(Kwok-Tak Yeung) ； 梁文隆(Wen-Lung Liang)

《Journal of Medical Education》 11卷1期 (2007/03) Pp. 58-68

https://doi.org/10.6145/jme.200703_11(1).0007

摘要

目的：實證治療目前已是世界各國的趨勢。在國外已有不少文獻探討推行實證職能治療之阻礙因素，然而在台灣目前尚無研究探討此問題。因此，本研究之主要目的為探討台灣職能治療從業人員推行實證職能治療之障礙。方法：研究對象為高雄市及台灣省職能治療師公會之會員，填寫基本資料與the Barriers to Research Scale問卷。結果：研究對象共有288 位職能治療師。治療師認為影響實證職能治療之推行之前2 名障礙因子，依序為：工作上缺乏足夠的時間執行新的構想以及機構缺乏適當的設備去執行新的治療方法。而前10名障礙因子中，機構環境(setting)因素佔5項，治療師(clinician)因素佔3項，研究(research)因素和研究成果呈現(presentation)因素各佔1項。不同背景特色（學歷、工作年資、工作角色、全／兼職）之治療師所感受到的障礙因子之排序也各有不同。結論：本研究結果發現機構環境因素為推行實證職能治療的最主要障礙，因此，推行實證職能治療之前提是機構之決策者需瞭解實證治療的重要性與價值。此外，與治療師因素相關的障礙也建議教育工作者，加強實證職能治療課題之教導與運用，以提升學生畢業後在臨床工作上執行實證職能治療之能力。

關鍵字

實證治療 ； 研究障礙 ； 職能治療

並列摘要

Objective: Evidence-based practice (EBP) has been a world-wide trend and has been promoted in Taiwan for more than 10 years. Despite a large amount of literature on the barriers of implementing EBP in western countries, there is a lack of studies on the barriers of implementing EBP in Taiwan. The purpose of this study was to investigate the possible barriers of EBP in Taiwan. Methods: Two hundred and eighty eight members of Kaohsiung city and Taiwan province occupational therapist unions were recruited. They completed a questionnaire on demographic information and the Barriers to Research Scale. Results: Top two barriers were 'there is insufficient time on the job to implement new ideas' and 'the facilities are inadequate for implementation'. Five out of the top 10 barriers were related to 'setting', three to 'clinician', one to 'research' and the other to 'presentation'. The barriers of EBP for occupational therapists with different backgrounds in academic qualification, years since working, work role, and employment status were different. Conclusion: The results of the study showed that the most important barriers of EBP were related to the 'setting' dimension. Thus, the major premise of evidence-based practice was that the decision maker needs to acknowledge the importance and the value of EBP. Furthermore, based on the barriers identified related to clinician dimension, it is essential for the educators to emphasize the course and practice of EBP in order to improve the ability of students to implement EBP at work after graduation.

並列關鍵字

evidence-based practice ； research barriers ； occupational therapy

參考文獻

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