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