Barriers and bridges: qualitative insights into the implementation of evidence-based practice among occupational therapists.

Abstract

To explore factors influencing Evidence-Based Practice (EBP) implementation and integration into practice among occupational therapists (OTs) in Israel. This qualitative study recruited licensed OTs from varied practice settings through personal outreach and snowball sampling. Five focus groups, each including 5-6 participants, were conducted <i>via</i> video conferencing using a semi-structured interview guide. All discussions were analyzed using thematic analysis. Twenty-nine OTs, with 2 - 17 years of experience, participated. Two main categories emerged: "Intrinsic or extrinsic motivation for EBP implementation" and "Lived experience of EBP implementation". Key factors included intrinsic motivation (e.g., time management, learning) and extrinsic motivation (e.g., employer expectations, professional-team meetings, manager's example). Many participants reported insufficient EBP implementation evoking negative emotions. Participants who engaged in EBP implementation reported positive emotions and perceived benefits. This qualitative study offered nuanced insights into OTs' experiences, attitudes, and emotional responses toward EBP implementation. OT's motivation and lived experience play central roles with EBP implementation, which was linked to emotions and perceived benefits beyond the clinical outcomes. Enhancing EBP implementation may require individual and organizational strategies. Addressing barriers, fostering motivation, and providing resources are crucial for successful EBP adoption in occupational therapy.