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題名：臺灣職能治療人員對實證職能治療觀點的調查研究
書刊名：臺灣職能治療研究與實務雜誌
作者：林克忠／黃曼聰／吳菁宜／張自強／蔡佩倫
作者(外文)：Lin, Keh-chung／Huang, Mann-tsong／Wu, Ching-yi／Chang, Tzyh-chyang／Tsai, Pei-luen
出版日期：2009
卷期：5:2
頁次：頁102-115
主題關鍵詞：實證職能治療；態度；障礙；實務指引；Evidence-based occupational therapy；Attitudes；Barriers；Practice guidelines
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:4
  • 點閱點閱:83
目的：探討臺灣職能治療人員對於實證職能治療的觀感，目前實行實證職能治療的現況以及障礙因素。方法：148位出席2008年第三屆職能治療師公會全國聯合會學術研討會的會員完成問卷填答（回收率45.4%）。以描述性統計記錄人口學資料，將資料整理分析出12個應用實證職能治療的最主要障礙，以及5個在臨床工作上推廣實證職能治療的方法。結果：多數填答者對實證職能治療的歡迎程度為中等，並認同實證職能治療有助於對個案的照顧。填答者對於了解和使用實證相關資料庫的程度為中等（57.6%知道實證醫學系統評論資料庫[The Cochrane Database of Systematic Reviews]）。85.1%的填答者在工作場所可以連用和實證醫學相關的資料庫，95.0%可以連用網際網路。本研究發現實行實證職能治療的主要障礙為人員缺乏時間。填答者認為將實證職能治療應用在臨床治療上最合適的方法為使用同事或他人發展的實證治療指引或方案。結論：為落實臺灣的實證職能治療，應協助從業人員有效使用電子資料庫資源，並透過同儕討論來尋求臨床實務指引，以克服推廣實證職能治療的障礙。
Objective: The aim of this study was to determine the attitudes of occupational therapy practitioners towards evidence-based occupational therapy (EBOT) and identify the barriers to implementation of evidence-based practice in Taiwan. Methods: A total of 148 delegates of the 3rd Occupational Therapists' Union of Taiwan (45.4% response rate) completed a questionnaire. The demographic data were analyzed using descriptive statistics. We identified 12 barriers to EBOT and proposed five approaches to improving the situations. Results: Overall, the majority of the respondents welcomed EBOT in the moderate level and agreed that its practice improves patient care. They had a moderate level of awareness of electronic databases of evidence-based literature (57.6% knew of the Cochrane Database of Systematic Reviews). As high as 85.1% and 95.0% had access to databases of EBOT and the world wide web, respectively. The major perceived barrier to practicing EBOT was lack of personal time. The respondents felt the most appropriate way to moving towards EBOT was using evidence-based guidelines or proposals developed by colleagues. Conclusion: In order to implement EBOT in Taiwan and overcome the barriers, actions should be taken to facilitate effective and efficient use of electronic databases and develop guidelines of evidence-based practice.
期刊論文
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2.Barnitt, R.、Salmond, R.(2000)。Fitness for purpose of occupational therapy graduates: Two different perspectives。The British Journal of Occupational Therapy，63(9)，443-448。  new window
3.Dysart, A. M.、Tomlin, G. S.(2002)。Factors related to evidence-based practice among U.S. occupational therapy clinicians。The American Journal of Occupational Therapy，56，275-284。  new window
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7.莊宜靜、曾美惠、陳威勝、楊國德、黃曼聰、梁文隆(20070600)。職能治療專業人員對實證治療之知識、態度及執行能力之初探。醫學教育，11(2)，130-138。new window  延伸查詢new window
8.Al-Ansary, L. A.、Khoja, T. A.(2002)。The place of evidence-based medicine among primary health care physicians in Riyadh region, Saudi Arabia。Family Practice，19(5)，537-542。  new window
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10.Baker, R.、Carney, T. A.、Cobbe, S.、Farmer, A.、Feder, G.、Fox, K. A. A., et al.(1996)。North of England evidence based guidelines development project: Summary version of evidence based guideline for the primary caremanagement of stable angina。British Medical Journal，312，827-832。  new window
11.Bennett, S.、Tooth, L.、McKenna, K.、Rodger, S. A.、Strong, J.、Ziviani, J. M. et al.(2003)。Perceptions of evidence-based practice: A survey of Australian occupational therapists。Australian Occupational Therapy Journal，50，13-22。  new window
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16.Eccles, M.、Clapp, Z.、Grimshaw, J.、Adams, P. C.、Higgins, B.、Purves, I., et al.(1996)。North of England evidence based guidelines development project: Methods of guideline development。British Medical Journal，312，760-762。  new window
17.Hugenholtz, N. I.、Schaafsma, F. G.、Schreinemakers, J. F.、van Dijk, F. J.、Nieuwenhuijsen, K.(2008)。Occupational physicians' perceived value of evidence-based medicine intervention in enhancing their professional performance。Scandinavian Journal of Work, Environment and Health，34，189-197。  new window
18.Humphris, D.、Littlejohns, P.、Victor, C.、O'halloran, P.、Peacock, J.(2000)。Implementing evidencebased practice: Factors that influence the use of research evidence by occupational therapists。British Journal of Therapy and Rehabilitation，63，516-522。  new window
19.Kenny, S. E.、Shankar, K. R.、Rintala, R.、Lamont, G. L.、Lloyd, D. A.(1997)。Evidence-based surgery: Interventions in a regional paediatric surgical unit。Archives of Disease in Childhood，76，50-53。  new window
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25.畢柳鶯、連倚南(19970600)。全民健保制度與復健醫療發展--以臺灣中區為例看復健醫療資源分佈及其未來走向。復健醫學會雜誌，25(1)，65-72。  延伸查詢new window
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圖書
1.Straus, S. E.、Richardson, W. S.、Glasziou, P.、Haynes, R. B.(2005)。Evidence-based medicine: How to practice and teach EBM。New York。  new window
其他
1.台北市職能治療師公會(2008)。「實證職能治療 (二)實證探究」在職敎育課程，http://www.taot.org.tw/modules/news/article.php?storyid=28， 2008/12/10。  延伸查詢new window
2.台灣大學職能治療學系(2008)。臺灣大學職能治療學系課程表，http:// homepage.ntu.edu.tw/~otntu/courseOO.htm， 2008/12/10。  延伸查詢new window
3.成功大學圖書館(2008)。「Cochrane Library」敎育訓練會講義，http://140.116.65.3/index.php?op=ViewArticle& articleId=32&blogId= 1， 2008/12/10。  new window
4.國家衛生硏究院(2008)。實證臨床指引平台，http://ebpg.nhri.org.tw/， 2008/12/10。  延伸查詢new window
5.義守大學圖書館(2008)。Cochrane Library讀書會課程表，http://www2.edah.org. tw/edh/EBM7content/cochrane%201ibrary%20study.htm， 2008/12/10。  new window
6.中華民國職能治療師公會全國聯合會(2008)。「實證職能治療(二)實證探究」在職敎育課程，http://www.oturoc.org.tw/， 2008/12/10。  延伸查詢new window
 
 
 
 
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