Obstacles to evidence-based practice in Belgium (Flanders): a context-specific synthesis of qualitative research findings

Article type
Authors
Hannes K
Abstract
Background: A noticeable trend within the broad field of health care has been to try to mobilise care providers to base their clinical decisions on scientifically supported, factual knowledge. Obstacles to the implementation of evidence-based practice (EBP) have been described by a number of authors. There are only limited data on the viewpoints of Belgian care providers. Objectives: To explore obstacles from Belgian (Dutch-speaking) healthcare providers and synthesize the findings across different healthcare disciplines. Methods: Qualitative, explorative study based on the technique of focus groups. Use of a purposeful sample of five different disciplines of health practitioners: GPs, nurses, physiotherapists, psychiatrists and dentists. A context-specific evidence synthesis (Belgian healthcare system) of the findings, using an aggregative approach. Results:Preliminary results indicate that the majority of obstacles are common for all disciplines. Some are related to specific characteristics of certain disciplines. All groups addressed obstacles related to the Belgian healthcare system, except for nurses. Physiotherapists put more emphasis on contextual obstacles, compared to doctors. Discussion: Is it worthwhile to conduct context-specific evidence syntheses from qualitative research? Alternatively, should we just cross the borders?