Evidence-based practice in occupational health: description and application of an implementation effectiveness model.
Work-related muscuoloskeletal disorders (WMSDs) continue to represent the most costly category of occupational diseases. There is a growing body of literature regarding the causal nature of these injuries and effective intervention strategies. In this context, the consistent utilization of evidence-based practice (EBP) to address these problems can be viewed as one indicator of occupational health effectiveness. However, the routine integration of EBP remains elusive in occupational and physical therapy practice, including the occupational health arena. This article describes an implementation effectiveness model from the field of organizational management and applies it to the implementation of EBP within the occupational health practice arena. As a predictive or evaluative tool regarding implementation success, the model can assist clinic managers and clinicians in developing targeted approaches to EBP initiatives within any health care facility.
Sheldon
Michael R
MR
Department of Physical Therapy, University of New England, Portland, ME 04103, USA. msheldon@une.edu
D019317:Evidence-Based Medicine; D006284:Health Plan Implementation / Q000458:organization & administration*; D006801:Humans; D017146:Models, Organizational; D016272:Occupational Health