Barriers and facilitators of evidence‐based physiotherapy practice in Iran: A qualitative study

Author:

ShahAli Shabnam1ORCID,Kajbafvala Mehrnaz1,Fetanat Sadaf1,Karshenas Fahimeh1,Farshbaf Marzieh1,Hegazy Fatma23ORCID,Shahabi Saeed4ORCID

Affiliation:

1. Iranian Center of Excellence in Physiotherapy, Rehabilitation Research Center Department of Physiotherapy School of Rehabilitation Sciences Iran University of Medical Sciences Tehran Iran

2. Department of Physiotherapy College of Health Sciences University of Sharjah Sharjah United Arab Emirates

3. Faculty of Physical Therapy Cairo University Cairo Egypt

4. Health Policy Research Center Institute of Health Shiraz University of Medical Sciences Shiraz Iran

Abstract

AbstractBackgroundTo facilitate evidence‐based practice (EBP) in physiotherapy in Iran and guide future improvements, it is crucial to identify what barriers and facilitators exist in the current system from the physiotherapist's perspective. Therefore, the purpose of this study was to explore the barriers and facilitators of EBP in physiotherapy in Iran.MethodsThis qualitative study was conducted using a phenomenological approach from January to July 2023 in Iran. The sampling process started with a purposive approach, and then an attempt was made to identify and interview more potential samples with the snowball approach. Thematic analysis was used to analyse the collected qualitative data.Results44 individuals, including 37 physiotherapists and seven faculty members, participated in this study. Several barriers and facilitators to evidence‐based physiotherapy practice in Iran were found and then put into three themes: (1) individual factors, (2) practice environment factors, and (3) extra‐organisational factors. The most common barriers were time/workload pressures, financial incentives, lack of motivation, weakness in English, managers' pressures, inadequate awareness among patients, infrastructure limitations, poor economic situation, Internet restrictions, inappropriateness of the educational curriculum, difficult access to scientific research, and lack of insurance coverage for up‐to‐date therapies.ConclusionsAlthough most of the participants had a very positive view of physiotherapy based on scientific evidence, various obstacles have prevented this approach from being well implemented in Iran. Therefore, it is necessary to move towards minimising the existing barriers at the individual, practice environment, and extra‐organisational levels by adopting effective multilateral policies.

Funder

Shiraz University of Medical Sciences

Publisher

Wiley

Subject

Nursing (miscellaneous),Rehabilitation,Physical Therapy, Sports Therapy and Rehabilitation,Orthopedics and Sports Medicine,Chiropractics,Rheumatology

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