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Development of evidence-based practice in occupational health services in Sweden: a 3-year follow-up of attitudes, barriers and facilitators
KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics. Unit of Intervention and Implementation Research for Worker Health, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden; Department of Medical Sciences, Occupational and Environmental Medicine, Uppsala University, Uppsala, Sweden.ORCID iD: 0000-0002-7099-5352
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2017 (English)In: International Archives of Occupational and Environmental Health, ISSN 0340-0131, E-ISSN 1432-1246, Vol. 90, no 4, 335-348 p.Article in journal (Refereed) Published
Abstract [en]

The Swedish government initiated an investigation of how to secure and develop the competence of the occupational health services. The primary aim of the present study was to investigate whether the development of evidence-based practice (EBP) in the Swedish occupational health services in relation to attitudes, knowledge and use improved during the first 3 years of the government's initiative. The study has a mixed methods design combining questionnaires and interviews with data collection at baseline and at 3-year follow-up. The response rate was 66% at baseline and 63% at follow-up. The results show that practitioners' knowledge of EBP was moderate at baseline and improved at follow-up (p = 0.002; 95% CI 0.01; 0.21). Practitioners experienced lower levels of organizational and managerial support for EBP at follow-up (p < 0.001; 95% CI 0.18; 0.38). The results revealed that managers viewed responsibility for implementing EBP as a matter for individual practitioners rather than as an organizational issue. Occupational health service managers and practitioners are generally positive to EBP. However, the findings emphasize the need to educate managers in how to support EBP at the organizational level by creating an infrastructure for EBP in the OHS.

Place, publisher, year, edition, pages
Springer, 2017. Vol. 90, no 4, 335-348 p.
Keyword [en]
Evidence-based practice, Quality of occupational health services, Scientific knowledge, Clinical expertise, Questionnaire, Interviews
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:kth:diva-206674DOI: 10.1007/s00420-017-1200-8ISI: 000399224600003PubMedID: 28204870ScopusID: 2-s2.0-8501293448OAI: oai:DiVA.org:kth-206674DiVA: diva2:1094506
Note

QC 20170510

Available from: 2017-05-10 Created: 2017-05-10 Last updated: 2017-05-10Bibliographically approved

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