Article

Evidence-based practice is commonly accepted as a means of improving
patient outcomes; however, there is little understanding of the processes
required to successfully implement it into prosthetic and orthotic practice.
OBJECTIVES: To discuss factors affecting adoption of evidence-based practice and
present a theoretical framework for its implementation into prosthetic and
orthotic practice. DISCUSSION: Numerous factors that affect adoption of
evidence-based practice are discussed, ranging from individual factors to those
that can be attributed to administrative and environmental issues. Specific
factors are likely to be context specific and are influenced by the manner in
which evidence-based practice is introduced into the working environment. It is
argued that successful implementation of evidence-based practice requires
consideration of numerous interrelated factors. A formal translating research
into practice model is presented as a means of developing a strategic plan that
considers all relevant factors and maximizes acceptance of evidence-based
practice into prosthetics and orthotics clinical practice. CONCLUSIONS: The use
of a theoretical model for implementation of evidence-based practice is likely to
improve its adoption by prosthetic and orthotic clinicians. Clinical relevance
The demand for prosthetists/orthotists to utilize evidence-based practice is
increasing. Lack of strategic planning throughout the implementation phase is
likely to compromise adoption of evidence-based practices by clinicians.

Langue : ANGLAIS