Barriers to the use of evidence-based medicine: knowledge and skills, attitude, and external factors

Guyatt GH Haynes RB Jaeschke RZ User’s guides to the medical literature: XXV. Evidence-based medicine: principles for applying the user’s guides to patient care JAMA 2000 284 10 1290 1296 10979117 10.1001/jama.284.10.1290 1:STN:280:DC%2BD3cvjvVGqug%3D%3D

Dawes M Summerskill W Glasziou P Sicily statement on evidence-based practice BMC Med Educ 2005 5 1 1 15634359 10.1186/1472-6920-5-1

Greenhalgh T Is my practice evidence-based? BMJ 1996 313 7063 957 958 8892405 10.1136/bmj.313.7063.957 1:STN:280:DyaK2s%2FkslCrtw%3D%3D

van Dijk N Hooft L Wieringa-de Waard M. What are the barriers to residents’ practicing evidence-based medicine? A systematic review Acad Med 2010 85 7 1163 1170 20186032 10.1097/ACM.0b013e3181d4152f

Te Pas E, van Dijk N, Bartelink ME, Wieringa-de Waard M. Factors influencing the EBM behaviour of GP trainers: a mixed method study. Med Teach. 2012. doi:10.3109/0142159X.2012.733044.

Oude Rengerink K Thangaratinam S Barnfield G How can we teach EBM in clinical practice? An analysis of barriers to implementation of on-the-job EBM teaching and learning Med Teach 2011 33 3 e125 e130 21345051 10.3109/0142159X.2011.542520

Shaneyfelt T Baum KD Bell D Instruments for evaluating education in evidence-based practice: a systematic review JAMA 2006 296 9 1116 1127 16954491 10.1001/jama.296.9.1116 1:CAS:528:DC%2BD28XptlKit74%3D

Maassen G The use of positively and negatively phrased items and the fit of a factor solution Qual Quant 1991 25 1 91 101 10.1007/BF00138759

Field A Discovering statistics using SPSS 2005 London Sage Publications Ltd

Streiner DL Norman GR Health Measurement Scales 2007 New York Oxford University Press

Zwolsman SE van Dijk N Verhoeven AA de Ruijter W Wieringa-de Waard M. How learning style affects evidence-based medicine: a survey study BMC Med Educ 2011 11 81 21982307 10.1186/1472-6920-11-81

McColl A Smith H White P Field J General practitioner’s perceptions of the route to evidence based medicine: a questionnaire survey BMJ 1998 316 7128 361 365 9487174 10.1136/bmj.316.7128.361 1:STN:280:DyaK1c7kvVWmtg%3D%3D

Fritsche L Greenhalgh T Falck-Ytter Y Neumayer HH Kunz R Do short courses in evidence based medicine improve knowledge and skills? Validation of Berlin questionnaire and before and after study of courses in evidence based medicine BMJ 2002 325 7376 1338 1341 12468485 10.1136/bmj.325.7376.1338 1:STN:280:DC%2BD38jgsF2itQ%3D%3D

Bandura A Social foundations of thought and action: a social cognitive theory 1986 New Jersey Prentice-Hall

Hatala R Guyatt G Evaluating the teaching of evidence-based medicine JAMA 2002 288 9 1110 1112 12204080 10.1001/jama.288.9.1110

Shuval K Berkovits E Netzer D Evaluating the impact of an evidence-based medicine educational intervention on primary care doctors’ attitudes, knowledge and clinical behaviour: a controlled trial and before and after study J Eval Clin Pract 2007 13 4 581 598 17683300 10.1111/j.1365-2753.2007.00859.x

Wright SM Kern DE Kolodner K Howard DM Brancati FL Attributes of excellent attending-physician role models N Engl J Med 1998 339 1986 1993 9869671 10.1056/NEJM199812313392706 1:STN:280:DyaK1M%2FnslCjsA%3D%3D

Coomarasamy A Khan KS What is the evidence that postgraduate teaching in evidence based medicine changes anything? A systematic review BMJ 2006 329 7473 1017 10.1136/bmj.329.7473.1017

Tonelli MR Integrating clinical research into clinical decision making Ann Ist Super Sanita 2011 47 1 26 30 21430335

Zwolsman S Te Pas E Hooft L Wieringa-de Waard M Dijk N Barriers to GPs’ use of evidence-based medicine: a systematic review Br J Gen Pract 2012 62 600 e511 21

Kahn K Ryan G Beckett M Bridging the gap between basic science and clinical practice: a role for community clinicians Implement Sci 2011 6 34 21463516 10.1186/1748-5908-6-34

Grol R Grimshaw J From best evidence to best practice: effective implementation of change in patient’s care Lancet 2003 362 9391 1225 1230 14568747 10.1016/S0140-6736(03)14546-1