Deck 6: Managing Barriers to Evidence-Based Practice: An International Imperative

Question 1

Professional practice guidelines in which clinical reasoning is founded on experience that is reinforced through expert opinion and anecdotal evidence is defined as experience-based practice.

Answer 1

True

Question 2

With educational standards changing within occupational therapy programs, a consensus of professional studies report that new graduates have a clear understanding of evidence-based practice and find minimal or no challenges implementing it within their practice.

Answer 2

False

Question 3

When implementing evidence-based practice, the presence of deadlines helps to initiate and stimulate activity levels, as well as provides direction and focus for participants.

Answer 3

True

Question 4

According to research conducted on the topic of evidence-based practice utilization, both new and experienced practitioners identify the same primary barrier to implementation.

Question 5

While experienced practitioners do identify multiple barriers to implementing evidence-based practice, there is evidence that training programs for these professionals are effective at reducing the impact of these barriers.

Question 6

Prior to the mid-1990s, practice techniques for occupational therapy would best be described as:

A) Evidence-based
B) Therapist-based
C) Context-based
D) Experience-based

Question 7

The commitment to become an evidence-based profession involves identification and collaboration on overcoming barriers toward implementation, a priority that is recognized at which highest professional level?

A) International
B) National
C) State
D) Local

Question 8

Occupational therapy (OT) has multiple barriers that inhibit it from being recognized as an evidence-based profession from an international perspective. Which of the following is not a recognized barrier for OT?

A) The status of much of the evidence does not apply to contemporary practice.
B) It is a research-emergent profession.
C) Language barriers exist among an international body of research evidence.
D) There is international diversity in its stage of development and the status of the profession.

Question 9

Policies exist for occupational therapy education and certification, which have requirements at a local, state, or national level (where applicable). Which of the following statements regarding education and certification is not true?

A) There are regional differences in the approaches taken toward occupational therapy education.
B) There are no international standards for the level of education required for occupational therapy practice.
C) There are no international standards for certification required for occupational therapy practice.
D) Licensure requirements within the United States are standardized across all states.

Question 10

A profession that has lacked a consistent history and infrastructure to support individuals who conduct research is defined as a/an:

A) Anecdotal profession
B) Research-emergent profession
C) Developing profession
D) Research-deficient profession

Question 11

Perceived barriers to implementation of evidence-based practice techniques are reported in multiple studies examining both new and experienced practitioners. Which of the following statements is true regarding the findings of these studies?

A) New practitioners identified workplace culture as a barrier, whereas experienced practitioners did not.
B) Experienced practitioners identified lack of technical resources as a barrier, whereas new practitioners did not.
C) Experienced practitioners reported difficulty critically appraising research studies and their statistics, whereas new practitioners did not.
D) Neither experienced nor new practitioners identified a lack of time as a barrier.

Question 12

Critically appraised topics and critically appraised papers are two methods with which occupational therapy is promoting evidence-based practice techniques. Which of the following statements is true regarding these two articles?

A) A critically appraised topic is distinguished from a critically appraised paper in that the critically appraised topic is recognized as having the best available evidence.
B) Both are less rigorous versions of systematic reviews.
C) A critically appraised paper contains a quantitative analytical summary of the findings from the available literature.
D) A critically appraised topic contains only studies of experimental designs.

Question 13

Of international studies that examine perceived barriers for occupational therapists to implement evidence-based practices, the most commonly identified barrier is:

A) Limited resources and funding to support change to evidence-based practice
B) Professional isolation
C) The large volume of published research
D) Lack of time

Question 14

There are multiple strategies that therapists may utilize to overcome barriers to evidence-based practice. Which of the following guidelines for therapists is not an evidence based recommendation?

A) Self-appraising reliance on clinical expertise
B) Developing skills and knowledge
C) Staying focused
D) Finding time for evidence-based practice

Question 15

There are multiple organizational conditions that support implementation of evidence-based practice. Which of the following is not a condition that, if present, supports evidence-based practice?

A) Employee readiness for change
B) Personal and organizational expectations regarding achievement of new knowledge application
C) Employees self-pacing their own implementation
D) Support from managers, organizations, buddies, and peers