A paradigm shift took place in the context of neurological rehabilitation and evidence-based practice has become highly important! This paper presentes a framework to show, how research findings can be successfully implemented into practice:
Various expert committees have taken on the task of developing guidelines, and systematically viewing and presenting the evidence relevant for therapeutic decision-making.
The intention of the authors of clinical guidelines is to prompt a change of behaviour on the user side and thus bring about an improvement in the quality of care. Despite good progress and overall positive development, there is still potential for improvement! Guidelines do not spontaneously implement themselves and scientific findings from specialist associations are not yet producing a treatment concept fit for the requirements of dayto-day clinical practice.
By knowing that a successful implementation of evidence-based guidelines into clinical practice does not appear to be quite as trivial as commonly thought, I was impressed when I came across the recommendations of Kitson an Collegues., who propose a "mixed teaching strategy via knowledge transfer" in their paper.
In the literature, various strategies for implementation are set out and, in part, subject of heated debates. From my point of view, this idea is the most goal oriented, aimed at ensuring effective knowledge transfer into clinical practice.
Under this arrangement, the results from science, research and development are consistently integrated into the therapeutic decision-making processes, with training without fail in the practical application under the inclusion of the whole clinical environment.