Perspectives of paediatric occupational therapists on the use of evidence-based practice in Kuwait: a qualitative study.

Abstract

To investigate the perspectives of paediatric occupational therapists on factors relating to the use of evidence-based practice (EBP) in clinical practice/settings. A qualitative approach entailing the use of (face-to-face) semistructured interviews. Collected data were analysed using thematic analysis. Governmental and private hospitals, clinics and schools in Kuwait that offered occupational therapy services. 10 occupational therapists with a minimum of 2 years experience working with children. Occupational therapists' perspectives on the factors relating to the implementation of EBP in clinical practice. Three themes emerged: (1) source of motivation towards EBP; (2) organisational support for EBP use and (3) creativity and flexibility in implementing EBP. Several motivators encouraged therapists to use EBP in their clinical practice, including their personal motivation and clients' outcomes. However, the barriers to EBP implementation are due to the lack of organisational support for EBP. Using creativity and flexibility in practice is essential to overcome challenges. This study identified factors related to the implementation of EBP from the perspective of paediatric occupational therapists in Kuwait. It provides several implications and recommendations for occupational therapy education and practice in the region due to similarities in culture. As therapists' concerns are identified, developing the educational curricula at universities and providing continuous professional development courses in regard to EBP utilisation are important for delivering effective healthcare services.