title: Organisational support for evidence-based practice: occupational therapists perceptions.
abstract: BACKGROUND
  Barriers to the use of evidence-based practice extend beyond the individual clinician and often include organisational barriers. Adoption of systematic organisational support for evidence-based practice in health care is integral to its use. This study aimed to explore the perceptions of occupational therapy staff regarding the influence of organisational initiatives to support evidence-based practice on workplace culture and clinical practice.
  
  
  METHODS
  This study used semi-structured interviews with 30 occupational therapists working in a major metropolitan hospital in Brisbane, Australia regarding their perceptions of organisational initiatives designed to support evidence-based practice.
  
  
  RESULTS
  Four themes emerged from the data: (i) firmly embedding a culture valuing research and EBP, (ii) aligning professional identity with the Research and Evidence in Practice model, (iii) experiences of change: pride, confidence and pressure and (iv) making evidence-based changes to clinical practices.
  
  
  CONCLUSIONS
  Organisational initiatives for evidence-based practice were perceived as influencing the culture of the workplace, therapists' sense of identity as clinicians, and as contributing to changes in clinical practice. It is therefore important to consider organisational factors when attempting to increase the use of evidence in practice.
authors: School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia.
authors: Sally
authors: S
authors: Bennett
authors: 4 Degrees Qualitative Research Consultancy, Queensland, Australia.
authors: Shelley
authors: S
authors: Allen
authors: Princess Alexandra Hospital, Brisbane, Queensland, Australia.
authors: Elizabeth
authors: E
authors: Caldwell
authors: Princess Alexandra Hospital, Brisbane, Queensland, Australia.
authors: Mary
authors: M
authors: Whitehead
authors: School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia.
authors: Merrill
authors: M
authors: Turpin
authors: School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia.|Princess Alexandra Hospital, Brisbane, Queensland, Australia.
authors: Jennifer
authors: J
authors: Fleming
authors: Princess Alexandra Hospital, Brisbane, Queensland, Australia.
authors: Ruth
authors: R
authors: Cox
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D055317:Evidence-Based Practice / Q000592:standards*; D006801:Humans; D007407:Interviews as Topic; D007857:Leadership; D008875:Middle Aged; D000072087:Occupational Therapists / Q000523:psychology* / Q000592:standards; D009788:Occupational Therapy / Q000379:methods / Q000592:standards*; D036301:Qualitative Research; D011793:Queensland; D055815:Young Adult
keywords: knowledge translation; organisational culture; research