Self-efficacy of Filipino Physicians Towards Research and Research Utilization: A Single-Center Quantitative Descriptive Survey
Mary Joeline D. Arada, John Armand E. Aquino, Redmond Benigno S. Aquino, Miguel Luis O. Arkoncel, Belisarius Arandia, Ida Marie Tabangay-Lim
Apr 2022 DOI 10.35460/2546-1621.2020-0056 Access

Abstract
Research Question: What is the current status of self-efficacy beliefs towards research and research utilization (RU) of University of Santo Tomas Faculty of Medicine and Surgery (UST-FMS) graduates who had Clinical Epidemiology in their basic medical education curriculum?
Significance of the Study: There is an increase in research and RU trends globally as adherence to practice based on evidence results in improved patient outcomes. Limited studies are available in describing research and RU of Filipino physicians and there is no study available specific for UST-FMS graduates.
Objectives: The study aims to describe self-efficacy beliefs towards research and RU of UST-FMS graduates’ batches 2012-2016 who had Clinical Epidemiology in their basic medical education.
Study Design: A single-center, quantitative descriptive survey design was used.
Methodology: Participants were graduates of UST-FMS batches 2012-2016, currently working at the University of Santo Tomas Hospital. Evidence-based Practice Confidence Scale (EPIC scale) and Edmonton Research Orientation Survey (EROS) were used to assess the research and RU of the participants gathered through snowball sampling.
Statistical Analysis: Descriptive statistics such as means and standard deviations were used to analyze the EPIC and EROS scores.
Results: The UST-FMS graduates value research and are generally confident in their ability to participate in evidence-based medicine. However, they rarely conduct research and have a low understanding of statistics.
Conclusion: The self-efficacy beliefs of UST-FMS graduates towards research and RU may be attributed to several factors. Clinical epidemiology as a subject may be improved by adding more lectures on statistics while hospitals should create avenues to support the conduct of research.
Keywords: self-efficacy belief, research and research utilization, Clinical Epidemiology, medical education curriculum
- Greiner A, Knebel E. Health professions education: A bridge to quality. Washington, D.C., DC: National Academies Press; 2003. [cited 2016 November 6]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK221528/.
- Smith R, Rennie D. Evidence based medicine--an oral history. BMJ .2014;348(jan21 34):g371. Available from: http://dx.doi.org/10.1136/bmj.g371
- Basavareddy A, Pallamparthy S. Knowledge, Attitude, Practice, And Barriers Toward Research Among Medical Students: A Cross-Sectional Questionnaire-Based Survey. Perspect Clin Res. 2019;10(2):73. Available from: http://dx.doi.org/10.4103/picr.picr_1_18
- Cane J, O’Connor D, Michie S. Validation of the Theoretical Domains Framework for Use in Behaviour Change and Implementation Research. Implement Sci. 2012;7(1):37. Available from: http://dx.doi.org/10.1186/1748-5908-7-37
- Bandura A. Self-efficacy: The Exercise of Control. New York, NY: W.H. Freeman; 1997.
- Stetler CB. Updating the Stetler Model of Research Utilization to Facilitate Evidence-Based Practice. Nurs Outlook. 2001;49(6):272–9. Available from: http://dx.doi.org/10.1067/mno.2001.120517
- Su TT, Bulgiba AM, Sampatanukul P, Sastroasmoro S, Chang P, Tharyan P, et al. Clinical Epidemiology (CE) and Evidence-Based Medicine (EBM) in the Asia Pacific Region (round table forum). Prev Med. 2013;57 Suppl:S5-7. Available from: http://dx.doi.org/10.1016/j.ypmed.2013.04.009
- Smith AB, Semler L, Rehman EA, Haddad ZG, Ahmadzadeh KL, Crellin SJ, et al. A Cross-Sectional Study of Medical Student Knowledge of Evidence-Based Medicine as Measured by the Fresno Test of Evidence-Based Medicine. J Emerg Med. 2016;50(5):759–64. Available from: http://dx.doi.org/10.1016/j.jemermed.2016.02.006
- Kuhn GJ, Wyer PC, Cordell WH, Rowe BH. A Survey to Determine the Prevalence and Characteristics of Training in Evidence-Based Medicine in Emergency Medicine Residency Programs. J Emerg Med. 2005;28(3):353–9. Available from: http://dx.doi.org/10.1016/j.jemermed.2004.09.015
- Swinglehurst DA. Information Needs of United Kingdom Primary Care Clinicians: Information Needs of UK Primary Care Clinicians, Deborah A. Swinglehurst. Health Info Libr J. 2005;22(3):196–204. Available from: http://dx.doi.org/10.1111/j.1471-1842.2005.00579.x
- Ruzafa-Martínez M, López-Iborra L, Armero Barranco D, Ramos-Morcillo AJ. Effectiveness of an Evidence-Based Practice (EBP) Course on the EBP Competence of Undergraduate Nursing Students: A Quasi-Experimental Study. Nurse Educ Today. 2016;38:82–7. Available from: http://dx.doi.org/10.1016/j.nedt.2015.12.012
- Brown CE, Kim SC, Stichler JF, Fields W. Predictors of Knowledge, Attitudes, Use and Future Use of Evidence-Based Practice Among Baccalaureate Nursing Students at Two Universities. Nurse Educ Today. 2010;30(6):521–7. Available from: http://dx.doi.org/10.1016/j.nedt.2009.10.021
- Paulsen J, Al Achkar M. Factors Associated With Practicing Evidence-Based Medicine: a Study of Family Medicine Residents. Adv Med Educ Pract. 2018;9:287–93. Available from: http://dx.doi.org/10.2147/amep.s157792
- Black AT, Balneaves LG, Garossino C, Puyat JH, Qian H. Promoting Evidence-Based Practice Through a Research Training Program for Point-of-Care Clinicians. J Nurs Adm. 2015;45(1):14–20. Available from: http://dx.doi.org/10.1097/NNA.0000000000000151
- Khoja TA, Al-Ansary LA. Attitudes to Evidence-Based Medicine of Primary Care Physicians in Asir Region, Saudi Arabia. East Mediterr Health J. 2007;13(2):408–19.
- Gavgani VZ, Mohan VV. Physicians’ Attitude Towards Evidence-Based Medical Practice and Health Science Library Services. Library and Information Science Research Electronic Journal. 2008;18(1):1–10.
- Kortekaas MF, Bartelink MEL, Zuithoff NPA, van der Heijden GJMG, de Wit NJ, Hoes AW. Does Integrated Training in Evidence-Based Medicine (EBM) in the General Practice (GP) Specialty Training Improve EBM Behaviour in Daily Clinical Practice? A Cluster Randomised Controlled Trial. BMJ Open. 2016;6(9):e010537. Available from: http://dx.doi.org/10.1136/bmjopen-2015-010537
- Csertő M, Berényi K, Decsi T, Lohner S. Self-Reported Attitudes, Knowledge and Skills of Using Evidence-Based Medicine in Daily Health Care Practice: A National Survey Among Students of Medicine and Health Sciences in Hungary. PLoS One. 2019;14(12):e0225641. Available from: http://dx.doi.org/10.1371/journal.pone.0225641
- Khalid A. Al-Motairy HMA-M. Primary Health Care Physicians’ Perceptions, Attitude and Educational Needs Towards? Evidence Based Medicine. Biomedical Research. 2013;24(2):257–62.
- Sackett D, Rosenberg W, Gray J, Haynes R, Richardson S. Evidence-based medicine: What It Is And What It Isn’t. British Medical Journal. 1996;312:71–2.
- Julian DG. Translation of Clinical Trials Into Clinical Practice. J Intern Med. 2004;255(3):309–16. Available from: http://dx.doi.org/10.1046/j.1365-2796.2003.01282.x
- Sullivan KJ, Wayne C, Patey AM, Nasr A. Barriers and facilitators to the implementation of evidence-based practice by pediatric surgeons. J Pediatr Surg. 2017;52(10):1666–73. Available from: http://dx.doi.org/10.1016/j.jpedsurg.2017.02.001
- Dizon JM, Dizon RJ, Regino J, Gabriel A. Evidence-Based Practice Training for Health Professionals in the Philippines. Adv Med Educ Pract. 2014;5:89–94. Available from: http://dx.doi.org/10.2147/AMEP.S54459
- Asselin ME. Knowledge Utilization Among Experienced Staff Nurses. J Nurses Staff Dev. 2001;17(3):115–22; quiz 123–4. Available from: http://dx.doi.org/10.1097/00124645-200105000-00003
- Brangan J, Quinn S, Spirtos M. Impact of an Evidence-Based Practice Course on Occupational Therapist’s Confidence Levels and Goals. Occup Ther Health Care. 2015;29(1):27–38. Available from: http://dx.doi.org/10.3109/07380577.2014.968943
- Heiwe S, Kajermo K, Tyni-Lenne R, Guidetti S, Samuelsson M, Andersson IL, et al. Evidence-Based Practice: Attitudes, Knowledge and Behaviors Among Allied Health Care Professionals. International Journal for Quality in Health Care. 2010;23(2):198–209.
- UST Faculty of Medicine and Surgery. (2016). Graduate Attributes. [cited 2016 November 3]. Available from: http://medicine.ust.edu.ph/about-us-copy.html#gradatts.
- UST Faculty of Medicine and Surgery. (2016). Clinical Epidemiology. [cited 2016 November 6. Available from: http://medicine.ust.edu.ph/education.html#cliep.
- Salbach NM, Jaglal SB, Williams JI. Reliability and Validity of the Evidence-Based Practice Confidence (EPIC) Scale. J Contin Educ Health Prof. 2013 Winter;33(1):33–40. Available from: http://dx.doi.org/10.1002/chp.21164
- Salbach NM, Jaglal SB. Creation and Validation of the Evidence-Based Practice Confidence Scale for Health Care Professionals: Evidence-Based Practice Confidence Scale. J Eval Clin Pract. 2011;17(4):794–800. Available from: http://dx.doi.org/10.1111/j.1365-2753.2010.01478.x
- Clyde JH, Brooks D, Cameron JI, Salbach NM. Validation of the Evidence-Based Practice Confidence (EPIC) Scale Among Occupational Therapists. American Journal of Occupational Therapy. 2016;
- Lyons C, Brown T, Tseng MH, Casey J, McDonald R. Evidence-Based Practice and Research Utilisation: Perceived Research Knowledge, Attitudes, Practices and Barriers Among Australian Paediatric Occupational Therapists: EVIDENCE-BASED PRACTICE AND RESEARCH UTILISATION. Aust Occup Ther J. 2011;58(3):178–86. Available from: http://dx.doi.org/10.1111/j.1440-1630.2010.00900.x
- McCleary L, Brown GT. Use of the Edmonton Research Orientation Scale with Nurses. J Nurs Meas. 2002 Winter;10(3):263–75. Available from: http://dx.doi.org/10.1891/jnum.10.3.263.52559
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