Evidence based practice in paediatric settings in Chile, a pending challenge

Evidence-based practice (EBP) fosters the use of research evidence, clinical expertise, information about the patient and the practice context. It aims to support high quality practice through providing and using sound evidence for decision-making. Occupational therapists have been challenged to adopt EBP as a global approach, nevertheless it is not yet a worldwide reality. Chile, currently graduating an increasing number of therapists, provides a useful case for exploring which sources of information are accessed by therapists and how knowledge is build and integrated in paediatric practice.Methods: Using Interpretive description as the methodological framework, ten Chilean occupational therapists completed in-depth interviews. Data were transcribed verbatim and then translated into English, coded and analyzed thematically. Preliminary interpretations were returned to the participants that provided feedback, enriching data analysis. Results:Participants predominantly rely on intuition and clinical expertise when making decisions. Access to continuing professional development, research knowledge and information about contemporary practice seemed to be limited. Professional training available strongly influences all aspects of their practice. Discussion: Scarce access to research knowledge and lack of connection with the global scientific community, in the context of emergent research culture, can lead occupational therapists to rely on information that has not undergone quality evaluation. The development of a clinical reasoning framework based on evidence in Chile results relevant. The status of the profession may be enhanced through empowering the professional association, supporting high quality and updated professional training, promoting research culture, and enhancing the standards of practice in Chile.