Implementing evidence-based practice: A context analysis to examine use of task-based approaches to upper-limb rehabilitation. (May 2018)

• Record Type: Journal Article
• Authors: Radomski, Mary Vining; Anheluk, Mattie; Arulanantham, Christine; Finkelstein, Marsha; Flinn, Nancy
• Is Part Of: British journal of occupational therapy. Volume 81:Number 5(2018)
• Page Start: 285
• Page End: 289
• Publication Date: 2018-05
• Subjects: Evidence-based practice -- context analysis -- task-based training -- stroke; Occupational therapy -- Periodicals; 615.8515
• DOI: 10.1177/0308022617752068
• Languages: English
• ISSNs: 0308-0226

Abstract

Statement of context: Many occupational therapists experience challenges in implementing evidence-based practice, which may be best approached as a context-specific enterprise. Critical reflection on practice: This practice analysis article reports the results of analyzing 24 home programs that occupational therapists issued to rehabilitation inpatients with stroke upon their discharge home. Home programs did not reflect a task-based approach to upper-limb recovery, even though this is supported by established evidence. Examination of contextual factors provides a framework to facilitate evidence implementation. Implications for practice: Occupational therapists may optimize evidence-based practice implementation by first evaluating and addressing practice-specific contextual factors.