Facilitating interprofessional evidence-based practice in paediatric rehabilitation: development, implementation and evaluation of an online toolkit for health professionals.
OBJECTIVE
Lack of time, competencies, resources and supports are documented as barriers to evidence-based practice (EBP). This paper introduces a recently developed web-based toolkit designed to assist interprofessional clinicians in implementing EBP within a paediatric rehabilitation setting.


METHODS
EBP theory, models, frameworks and tools were applied or adapted in the development of the online resources, which formed the basis of a larger support strategy incorporating interactive workshops, knowledge broker facilitation and mentoring.


RESULTS
The highly accessed toolkit contains flowcharts with embedded information sheets, resources and templates to streamline, quantify and document outcomes throughout the EBP process. Case examples relevance to occupational therapy and physical therapy highlight the utility and application of the toolkit in a clinical paediatric setting. Workshops were highly rated by learners for clinical relevance, presentation level and effectiveness. Eight evidence syntheses have been created and 79 interventions have been evaluated since the strategy's inception in January 2011.


CONCLUSIONS
The toolkit resources streamlined and supported EBP processes, promoting consistency in quality and presentation of outputs. The online toolkit can be a useful tool to facilitate clinicians' use of EBP in order to meet the needs of the clients and families whom they support. Implications for Rehabilitation A comprehensive online EBP toolkit for interprofessional clinicians is available to streamline the EBP process and to support learning needs regardless of competency level. Multi-method facilitation support, including interactive education, e-learning, clinical librarian services and knowledge brokering, is a valued but cost-restrictive supplement to the implementation of online EBP resources. EBP resources are not one-size-fits-all; targeted appraisal tools, models and frameworks may be integrated to improve their utility for specific sectors, which may limit them for others.
a Therapy Department , Sunny Hill Health Centre for Children , Vancouver , BC , Canada .|b Department of Occupational Science & Occupational Therapy , The University of British Columbia , Vancouver , BC , Canada , and.|c Child & Family Research Institute , Vancouver , BC , Canada.
Stephanie M N
SM
Glegg
a Therapy Department , Sunny Hill Health Centre for Children , Vancouver , BC , Canada .|b Department of Occupational Science & Occupational Therapy , The University of British Columbia , Vancouver , BC , Canada , and.
Roslyn
R
Livingstone
a Therapy Department , Sunny Hill Health Centre for Children , Vancouver , BC , Canada .|b Department of Occupational Science & Occupational Therapy , The University of British Columbia , Vancouver , BC , Canada , and.
Ivonne
I
Montgomery
D055317:Evidence-Based Practice / Q000592:standards*; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel / Q000193:education*; D006295:Health Resources / Q000706:statistics & numerical data*; D006801:Humans; D020407:Internet / Q000706:statistics & numerical data*; D009788:Occupational Therapy / Q000193:education; D010372:Pediatrics; D026741:Physical Therapy Modalities / Q000193:education; D017410:Practice Guidelines as Topic
Education; evidence-based practice; knowledge translation; online; paediatric practice; practice change