Exploring evidence-based practice in Namibia - a co-operative inquiry

Includes bibliographical references.Since no scientifically obtained information existed on engagement in EBP by Namibian-based occupational therapists, the researcher set out to explore the usefulness and feasibility of evidence-based practice (EBP) for occupational therapists in Namibia. An action research, specifically co-operative inquiry was chosen as methodology. This enabled the researchers to simultaneously raise awareness of and disseminate information reading EBP and collect experience based data from co-researchers. Purposive sampling, in particular maximum variation sampling, promised a wide yield of data; this was collected from participants' experiences as they engaged in and reflected on retrieving evidence and participation in focus group meetings. A qualitative content analysis and coding of verbatim transcriptions of focus group meetings together with written reflections of participating occupational therapists (co-researchers) revealed three themes. Co-researchers reported mixed feelings about the possibilities of evidence-based practice; they observed shifts in their understanding and skills base of EBP; and they provided suggestions on how EBP could be implemented in Namibia. An interpretation of the findings of the study suggest, however, that intent to change and gain knowledge and skills do not necessarily lead to changed behaviour; social structures, including hegemonies related to lack of access to evidence, are shown to impact negatively on implementing EBP in Namibia. It is suggested that a group approach with agreed upon targets, incorporating monitoring of attitudes and intention to perform, broadening and deepening knowledge and skills, while addressing structural constraints and bad habits, could deliver positive results