Evidence map›Paper›PMID 31628131›Full record

Observational studyBMJ open2019

Motivators and barriers to engagement with evidence-based practice among medical and dental trainees from the UK and Republic of Ireland: a national survey.

Bosun Hong, Eoin Daniel O'Sullivan, Christin Henein, Christopher Mark Jones

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Bosun HongBirmingham Dental Hospital, Birmingham, UK.
Eoin Daniel O'SullivanCochrane UK & Ireland Trainees Advisory Group, Oxford, United Kingdom.ORCID 0000-0002-7709-6595
Christin HeneinCochrane UK & Ireland Trainees Advisory Group, Oxford, United Kingdom.
Christopher Mark JonesCochrane UK & Ireland Trainees Advisory Group, Oxford, United Kingdom c.jones1@leeds.ac.uk.ORCID 0000-0002-4513-4964

Funding

Wellcome Trust 203914/Z/16/Z
6 · The paper itself

Abstract

objectivesTo explore the extent to which doctors and dentists in training within the UK and Republic of Ireland (RoI) engage in and with evidence-based practice (EBP), and to identify motivators and barriers to them doing so.

designAn observational, prepiloted web-based survey developed by a trainee-led focus group.

settingThe survey instrument was disseminated to doctors and dentists in training within the UK and RoI during June 2017 via social media and through deaneries, Royal Colleges and specialty-specific mailing lists.

participantsData from 243 trainees were analysed; 188 doctors from 31 specialties and 55 dentists from 9 specialties. Responses were received from trainees at all stages of postgraduate training though the overall response rate was low. PRIMARY AND SECONDARY OUTCOME MEASURES: The motivators and barriers to, and the extent of, trainee engagement with EBP.

resultsCronbach's α was 0.83. Most trainees (87.6% (n=148) of doctors and 75.1% (n=39) of dentists) consulted the evidence base at least monthly, while 23.1% [n=39 doctors, 12 dentists] of both specialties did so daily. The two most commonly cited barriers to engagement with EBP for both doctors and dentists, respectively, were insufficient time (57.6% (n=95) and 45.1% (n=23)) and a tendency to follow departmental practice (40.6% (n=67) and 45.1% (n=23)). Key motivators for EBP included curiosity, following the example set by senior colleagues and a desire to avoid harm. Most trainees reported high levels of confidence interpreting evidence yet for 26.8% (n=45) of doctors and 36.5% (n=19) of dentists, medical hierarchy would impede them querying a colleague's management plan based on their own reading of the evidence.

conclusionsTime, accepted departmental practice and the behaviour of senior clinicians all highly impact on trainee engagement with EBP. Given the low response rate, the extent to which these data represent the overall population is unclear.

Indexed as

Attitude of Health PersonnelMotivationClinical CompetenceCross-Sectional StudiesDentistsEducation, Medical, GraduateEvidence-Based PracticeFocus GroupsHumansIrelandPhysiciansSurveys and QuestionnairesUnited Kingdomevidence-based practicemedical education & trainingpostgraduate education

Identifiers

PMID31628131
PMCPMC6803141

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.