Intersection of the elements of evidence-based practice in interdisciplinary stroke rehabilitation: A qualitative study

Abstract

Evidence-based practice (EBP) is a foundational approach to clinical decision-making that integrates scientific research; clinical expertise; and patient preferences, values and circumstances. The purpose of this study was to explore the intersection of the three elements of EBP among an interdisciplinary stroke rehabilitation team. An exploratory qualitative descriptive design was used to examine the intersection of elements through a focus group with the allied health members of an interdisciplinary stroke rehabilitation team. Thematic analysis was applied to the data. Three main themes were developed: the patient as the driver, EBP as a fluid process, and EBP as a collaborative team process. While all three elements intersected during care planning, patient preferences, values, and circumstances were the dominant influence in decision-making. EBP was a dynamic process changing over time and context. Collaboration with the patient and between health professionals was an integral part of the approach. Results demonstrated that EBP is a complex and iterative process. Clinicians require skills in integrating each of the three elements for successful application of EBP in stroke rehabilitation.