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BİR EĞİTİM VE ARAŞTIRMA HASTANESİNDE ASİSTAN HEKİMLERİNİN KANITA DAYALI TIP FARKINDALIK DÜZEYLERİ

Year 2025, Volume: 6 Issue: 3, 368 - 383, 28.11.2025
https://doi.org/10.70813/ssd.1716798

Abstract

Özet
Giriş ve Amaç: Bu çalışma, İzmir Kâtip Çelebi Üniversitesi Atatürk Eğitim ve Araştırma Hastanesi’nde görev yapan asistan hekimlerin kanıta dayalı tıp (KDT) uygulamalarına yönelik tutumlarını, farkındalık düzeylerini, bilgiye erişim davranışlarını ve karşılaştıkları engelleri belirlemek amacıyla gerçekleştirilmiştir.
Gereç ve Yöntem: Araştırma kesitsel bir nitelik taşımaktadır. 1 Aralık 2020 ile 31 Mayıs 2021 tarihleri arasında yürütülen çalışmada, 17 sorudan oluşan çevrim içi bir anket uygulanmıştır. Elde edilen veriler SPSS 25.0 programı ile analiz edilmiştir.
Bulgular: Çalışmaya 211 asistan hekim katılmıştır. Katılımcıların yaş ortalaması 28,38±2,41 yıl olup %99,1’i KDT kavramını daha önce duyduğunu belirtmiştir. Veri tabanı kullanımında en sık tercih edilen kaynaklar PubMed (%73,0) ve Google Scholar (%53,6) olmuştur. Katılımcılar, KDT uygulamalarının önündeki başlıca engelleri zaman yetersizliği (%74,9) ve Türkçe kaynak eksikliği (%72,5) olarak ifade etmiştir.
Katılımcıların büyük çoğunluğu, KDT'nin sağlık hizmetinin kalitesini artıracağı (%94,7) ve malpraktis riskini azaltacağı (%92,4) görüşündedir.
Sonuç: Asistan hekimlerin KDT’ye yönelik tutumları genel olarak olumludur. KDT'nin klinik uygulamalarda daha etkin biçimde kullanılabilmesi için, tıp eğitimi sürecinde bu alana yönelik içeriklerin artırılması ve klinik pratikte hekimlere zaman kazandıracak düzenlemelerin yapılması önem arz etmektedir.

References

  • Abeysena, C., Jayawardana, P., Wickremasinghe, R., & Wickramasinghe, U. (2010). Evidence‐based medicine knowledge, attitudes, and practices among doctors in Sri Lanka. Journal of Evidence-Based Medicine, 3(2), 83–87.
  • Ahmadi-Abhari, S., Soltani, A., & Hosseinpanah, F. (2008). Knowledge and attitudes of trainee physicians regarding evidence-based medicine: A questionnaire survey in Tehran, Iran. Journal of Evaluation in Clinical Practice, 14(5), 775–779.
  • Al Omari, M., Khader, Y., Jadallah, K., Dauod, A. S., & Al-Shdifat, A. A. K. (2009). Awareness, attitude and practice of evidence-based medicine among primary health care doctors in Jordan. Journal of Evaluation in Clinical Practice, 15(6), 1131–1136.
  • Al-Almaie, S. M., & Al-Baghli, N. (2004). Barriers facing physicians practicing evidence-based medicine in Saudi Arabia. Journal of Continuing Education in the Health Professions, 24(3), 163–170.
  • Al-Ansary, L. A., & Khoja, T. A. (2002). The place of evidence-based medicine among primary health care physicians in Riyadh region, Saudi Arabia. Family Practice, 19(5), 537–542.
  • Al-Baghlie, N., & Al-Almaie, S. M. (2004). Physician attitudes towards evidence-based medicine in eastern Saudi Arabia. Annals of Saudi Medicine, 24(6), 425–428.
  • Albarqouni, L., & Elessi, K. (2017). Awareness, attitudes, and knowledge of Palestinian doctors about evidence-based medicine: A cross-sectional survey. The Lancet, 390(S14). http://dx.doi.org/10.1016/S0140-6736(17)32065-2
  • Albarrak, A. I., Abbdulrahim, S. A. A., & Mohammed, R. (2014). Evaluating factors affecting the implementation of evidence based medicine in primary healthcare centers in Dubai. Saudi Pharmaceutical Journal, 22(3), 207–212.
  • Alshehri, A. A., Al-Khowailed, M. S., Alnuaymah, F. M., Alharbi, A. S., Alromaihi, M. S., Alghofaili, R. S., et al. (2018). Knowledge, attitude, and practice toward evidence-based medicine among hospital physicians in Qassim Region, Saudi Arabia. International Journal of Health Sciences (Qassim), 12(2), 9–15. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/29599688
  • Attar, A. A., Khereldeen, M. M., Refaat, B., & Saleh, H. A. (2014). Knowledge and attitude of physicians toward evidence-based medicine. International Journal of Pure and Applied Sciences and Technology, 21(2), 17–27. Retrieved from www.ijopaasat.in
  • Babaoğlu, M. Ö., Yaşar, Ü., Dost, T., & Kayaalp, S. O. (2009). Kanıta dayalı tıp: kavramlar, örnekler ve görüşler. Turkiye Klinikleri Journal of Medical Sciences, 29(5), 1298–1305.
  • Barghouti, F., Halaseh, L., Said, T., Mousa, A. H., & Dabdoub, A. (2009). Evidence-based medicine among Jordanian family physicians: Awareness, attitude, and knowledge. Canadian Family Physician, 55(7), e6–e13.
  • Beshir, M. A., Woreta, S. A., & Kebede, M. (2017). Evidence-based practice among health professionals in hospitals of Northwest Ethiopia: A cross-sectional study. International Journal of Evidence-Based Healthcare, 15(4), 161–170.
  • Bhandari, M., Montori, V., Devereaux, P. J., Dosanjh, S., Sprague, S., & Guyatt, G. H. (2003). Challenges to the practice of evidence-based medicine during residents’ surgical training: A qualitative study using grounded theory. Academic Medicine, 78(11), 1183–1190.
  • Chan, G. C., & Teng, C. L. (2005). Primary care doctors’ perceptions towards evidence-based medicine in Melaka State: A questionnaire study. Medical Journal of Malaysia, 60(2), 130.
  • Davies, K. (2011). UK doctors awareness and use of specified electronic evidence-based medicine resources. Informatics for Health and Social Care, 36(1), 1–19.
  • Davies, K. S. (2011). Evidence‐based medicine: UK doctors' attitudes and understanding. International Journal of Evidence‐Based Healthcare, 9(3), 265–273.
  • Ebell, M. H., Cervero, R., & Joaquin, E. (2011). Questions asked by physicians as the basis for continuing education needs assessment. Journal of Continuing Education in the Health Professions, 31(1), 3–14.
  • Ghahremanfard, F., Nassaji, M., Mirmohammadkhani, M., Tanha, A., Mosavi, M., Ghaemi, A., et al. (2014). Knowledge and attitude toward evidence-based medicine among medical students in Semnan, Iran. Journal of Evidence-Based Medicine, 7(1), 32–37.
  • Josefsson, K. A., Kammerlind, A. S. C., & Sund-Levander, M. (2012). Evidence-based practice in a multiprofessional context. International Journal of Evidence-Based Healthcare, 10(2), 117–125.
  • Kahveci, R., & Meads, C. (2009). Is primary care evidence‐based in Turkey? A cross‐sectional survey of 375 primary care physicians. Journal of Evidence‐Based Medicine, 2(4), 242–251.
  • Khoja, T. A., & Al-Ansary, L. A. (2007). Attitudes to evidence-based medicine of primary care physicians in Asir region, Saudi Arabia. Eastern Mediterranean Health Journal, 13(2), 408–419.
  • Letelier, L. M., Zamarin, N., Andrade, M., Gabrielli, L., Caiozzi, G., Viviani, P., et al. (2007). Exploring language barriers to evidence-based health care (EBHC) in post-graduate medical students: A randomised trial. Education for Health, 20(3), 1–6.
  • McAlister, F. A., Graham, I., & Karr, G. W. (1999). Evidence-based medicine and the practicing clinician. Journal of General Internal Medicine, 14, 236–242. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/29599688
  • Mccoll, A., Smith, H., White, P., & Field, J. (1998). Information in practice based medicine: A questionnaire survey. BMJ (Clinical Research Ed.), 316, 361–367. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/10674320
  • Negrini, S. (2014). Why evidence-based medicine is a good approach in physical and rehabilitation medicine. European Journal of Physical and Rehabilitation Medicine, 50(5), 585–590.
  • Negrini, S. (2014). Why evidence-based medicine is a good approach in physical and rehabilitation medicine: Thesis. European Journal of Physical and Rehabilitation Medicine, 50(5), 585–591.
  • Risahmawati, R. R., Emura, S. S., Nishi, T. T., & Koizumi, S. S. (2011). Japanese resident physicians’ attitudes, knowledge, and perceived barriers on the practice of evidence based medicine: A survey. BMC Research Notes, 4, 1–9.
  • Rosner, A. L. (2012). Evidence-based medicine: Revisiting the pyramid of priorities. Journal of Bodywork and Movement Therapies, 16(1), 42–49.
  • Saygılı, M., Kaya, S., Sonğur, C., & Özer, Ö. (2013). Aile hekimlerinin kanıta dayalı tıp uygulamalarını kullanım durumları ve bilgi arama davranışları. Süleyman Demirel Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 4(3), 104–110.
  • Trevena, L. J., Irwig, L., Isaacs, A., & Barratt, A. (2007). GPs want tailored, user friendly evidence summaries. Australian Family Physician, 36(12), 1065–1069.
  • Ulvenes, L. V., Aasland, O., Nylenna, M., & Kristiansen, I. S. (2009). Norwegian physicians’ knowledge of and opinions about evidence-based medicine: Cross-sectional study. PLoS ONE, 4(11), e7828.
  • Van Dijk, N., Hooft, L., & Wieringa-de Waard, M. (2010). What are the barriers to residents’ practicing evidence-based medicine? A systematic review. Academic Medicine, 85(7), 1163–1170.
  • Worku, T., Yeshitila, M., Feto, T., Leta, S., Mesfin, F., & Mezmur, H. (2019). Evidence-based medicine among physicians working in selected public hospitals in eastern Ethiopia: A cross-sectional study. BMC Medical Informatics and Decision Making, 19, 1–8.
  • Yılmaz, F. O., Koç, E. M., Çil, V. D., & Kahveci, R. (2017). Evidence-based medicine and health technology assessments. Family Practice and Palliative Care, 2(1), 17–22.
  • Young, J. M., & Ward, J. E. (2001). Evidence-based medicine in general practice: Beliefs and barriers among Australian GPs. Journal of Evaluation in Clinical Practice, 7(2), 201–210.

EVİDENCE-BASED MEDİCİNE AWARENESS LEVELS OF RESİDENTS İN A TRAİNİNG AND RESEARCH HOSPİTAL

Year 2025, Volume: 6 Issue: 3, 368 - 383, 28.11.2025
https://doi.org/10.70813/ssd.1716798

Abstract

Introduction and Aim: This study aimed to assess the attitudes, awareness, evidence-seeking behaviors, and perceived barriers related to evidence-based medicine (EBM) among resident physicians working at a tertiary training and research hospital in İzmir, Türkiye.
Materials and Methods: The study was designed as a cross-sectional research. Data were collected between December 1, 2020, and May 31, 2021, using a 17-item online questionnaire. The responses were analyzed using SPSS version 25.0.
Results: A total of 211 resident physicians participated in the study. The mean age of participants was 28.38±2.41 years. Of the participants, 99.1% had previously heard of the concept of EBM. The most commonly used databases were PubMed (73.0%) and Google Scholar (53.6%). The main barriers to EBM practice were reported as lack of time (74.9%) and insufficient Turkish-language resources (72.5%). Most participants believed EBM improves the quality of healthcare delivery (94.7%) and reduces malpractice risk (92.4%).
Conclusion: Resident physicians demonstrated a generally positive attitude toward EBM and showed a strong willingness to learn more. To increase the integration of EBM into clinical practice, the number of EBM-focused courses should be expanded during both undergraduate and postgraduate medical education. Institutional support and improvements in workload management are also essential to enable physicians to engage more effectively with evidence-based practices.

References

  • Abeysena, C., Jayawardana, P., Wickremasinghe, R., & Wickramasinghe, U. (2010). Evidence‐based medicine knowledge, attitudes, and practices among doctors in Sri Lanka. Journal of Evidence-Based Medicine, 3(2), 83–87.
  • Ahmadi-Abhari, S., Soltani, A., & Hosseinpanah, F. (2008). Knowledge and attitudes of trainee physicians regarding evidence-based medicine: A questionnaire survey in Tehran, Iran. Journal of Evaluation in Clinical Practice, 14(5), 775–779.
  • Al Omari, M., Khader, Y., Jadallah, K., Dauod, A. S., & Al-Shdifat, A. A. K. (2009). Awareness, attitude and practice of evidence-based medicine among primary health care doctors in Jordan. Journal of Evaluation in Clinical Practice, 15(6), 1131–1136.
  • Al-Almaie, S. M., & Al-Baghli, N. (2004). Barriers facing physicians practicing evidence-based medicine in Saudi Arabia. Journal of Continuing Education in the Health Professions, 24(3), 163–170.
  • Al-Ansary, L. A., & Khoja, T. A. (2002). The place of evidence-based medicine among primary health care physicians in Riyadh region, Saudi Arabia. Family Practice, 19(5), 537–542.
  • Al-Baghlie, N., & Al-Almaie, S. M. (2004). Physician attitudes towards evidence-based medicine in eastern Saudi Arabia. Annals of Saudi Medicine, 24(6), 425–428.
  • Albarqouni, L., & Elessi, K. (2017). Awareness, attitudes, and knowledge of Palestinian doctors about evidence-based medicine: A cross-sectional survey. The Lancet, 390(S14). http://dx.doi.org/10.1016/S0140-6736(17)32065-2
  • Albarrak, A. I., Abbdulrahim, S. A. A., & Mohammed, R. (2014). Evaluating factors affecting the implementation of evidence based medicine in primary healthcare centers in Dubai. Saudi Pharmaceutical Journal, 22(3), 207–212.
  • Alshehri, A. A., Al-Khowailed, M. S., Alnuaymah, F. M., Alharbi, A. S., Alromaihi, M. S., Alghofaili, R. S., et al. (2018). Knowledge, attitude, and practice toward evidence-based medicine among hospital physicians in Qassim Region, Saudi Arabia. International Journal of Health Sciences (Qassim), 12(2), 9–15. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/29599688
  • Attar, A. A., Khereldeen, M. M., Refaat, B., & Saleh, H. A. (2014). Knowledge and attitude of physicians toward evidence-based medicine. International Journal of Pure and Applied Sciences and Technology, 21(2), 17–27. Retrieved from www.ijopaasat.in
  • Babaoğlu, M. Ö., Yaşar, Ü., Dost, T., & Kayaalp, S. O. (2009). Kanıta dayalı tıp: kavramlar, örnekler ve görüşler. Turkiye Klinikleri Journal of Medical Sciences, 29(5), 1298–1305.
  • Barghouti, F., Halaseh, L., Said, T., Mousa, A. H., & Dabdoub, A. (2009). Evidence-based medicine among Jordanian family physicians: Awareness, attitude, and knowledge. Canadian Family Physician, 55(7), e6–e13.
  • Beshir, M. A., Woreta, S. A., & Kebede, M. (2017). Evidence-based practice among health professionals in hospitals of Northwest Ethiopia: A cross-sectional study. International Journal of Evidence-Based Healthcare, 15(4), 161–170.
  • Bhandari, M., Montori, V., Devereaux, P. J., Dosanjh, S., Sprague, S., & Guyatt, G. H. (2003). Challenges to the practice of evidence-based medicine during residents’ surgical training: A qualitative study using grounded theory. Academic Medicine, 78(11), 1183–1190.
  • Chan, G. C., & Teng, C. L. (2005). Primary care doctors’ perceptions towards evidence-based medicine in Melaka State: A questionnaire study. Medical Journal of Malaysia, 60(2), 130.
  • Davies, K. (2011). UK doctors awareness and use of specified electronic evidence-based medicine resources. Informatics for Health and Social Care, 36(1), 1–19.
  • Davies, K. S. (2011). Evidence‐based medicine: UK doctors' attitudes and understanding. International Journal of Evidence‐Based Healthcare, 9(3), 265–273.
  • Ebell, M. H., Cervero, R., & Joaquin, E. (2011). Questions asked by physicians as the basis for continuing education needs assessment. Journal of Continuing Education in the Health Professions, 31(1), 3–14.
  • Ghahremanfard, F., Nassaji, M., Mirmohammadkhani, M., Tanha, A., Mosavi, M., Ghaemi, A., et al. (2014). Knowledge and attitude toward evidence-based medicine among medical students in Semnan, Iran. Journal of Evidence-Based Medicine, 7(1), 32–37.
  • Josefsson, K. A., Kammerlind, A. S. C., & Sund-Levander, M. (2012). Evidence-based practice in a multiprofessional context. International Journal of Evidence-Based Healthcare, 10(2), 117–125.
  • Kahveci, R., & Meads, C. (2009). Is primary care evidence‐based in Turkey? A cross‐sectional survey of 375 primary care physicians. Journal of Evidence‐Based Medicine, 2(4), 242–251.
  • Khoja, T. A., & Al-Ansary, L. A. (2007). Attitudes to evidence-based medicine of primary care physicians in Asir region, Saudi Arabia. Eastern Mediterranean Health Journal, 13(2), 408–419.
  • Letelier, L. M., Zamarin, N., Andrade, M., Gabrielli, L., Caiozzi, G., Viviani, P., et al. (2007). Exploring language barriers to evidence-based health care (EBHC) in post-graduate medical students: A randomised trial. Education for Health, 20(3), 1–6.
  • McAlister, F. A., Graham, I., & Karr, G. W. (1999). Evidence-based medicine and the practicing clinician. Journal of General Internal Medicine, 14, 236–242. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/29599688
  • Mccoll, A., Smith, H., White, P., & Field, J. (1998). Information in practice based medicine: A questionnaire survey. BMJ (Clinical Research Ed.), 316, 361–367. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/10674320
  • Negrini, S. (2014). Why evidence-based medicine is a good approach in physical and rehabilitation medicine. European Journal of Physical and Rehabilitation Medicine, 50(5), 585–590.
  • Negrini, S. (2014). Why evidence-based medicine is a good approach in physical and rehabilitation medicine: Thesis. European Journal of Physical and Rehabilitation Medicine, 50(5), 585–591.
  • Risahmawati, R. R., Emura, S. S., Nishi, T. T., & Koizumi, S. S. (2011). Japanese resident physicians’ attitudes, knowledge, and perceived barriers on the practice of evidence based medicine: A survey. BMC Research Notes, 4, 1–9.
  • Rosner, A. L. (2012). Evidence-based medicine: Revisiting the pyramid of priorities. Journal of Bodywork and Movement Therapies, 16(1), 42–49.
  • Saygılı, M., Kaya, S., Sonğur, C., & Özer, Ö. (2013). Aile hekimlerinin kanıta dayalı tıp uygulamalarını kullanım durumları ve bilgi arama davranışları. Süleyman Demirel Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 4(3), 104–110.
  • Trevena, L. J., Irwig, L., Isaacs, A., & Barratt, A. (2007). GPs want tailored, user friendly evidence summaries. Australian Family Physician, 36(12), 1065–1069.
  • Ulvenes, L. V., Aasland, O., Nylenna, M., & Kristiansen, I. S. (2009). Norwegian physicians’ knowledge of and opinions about evidence-based medicine: Cross-sectional study. PLoS ONE, 4(11), e7828.
  • Van Dijk, N., Hooft, L., & Wieringa-de Waard, M. (2010). What are the barriers to residents’ practicing evidence-based medicine? A systematic review. Academic Medicine, 85(7), 1163–1170.
  • Worku, T., Yeshitila, M., Feto, T., Leta, S., Mesfin, F., & Mezmur, H. (2019). Evidence-based medicine among physicians working in selected public hospitals in eastern Ethiopia: A cross-sectional study. BMC Medical Informatics and Decision Making, 19, 1–8.
  • Yılmaz, F. O., Koç, E. M., Çil, V. D., & Kahveci, R. (2017). Evidence-based medicine and health technology assessments. Family Practice and Palliative Care, 2(1), 17–22.
  • Young, J. M., & Ward, J. E. (2001). Evidence-based medicine in general practice: Beliefs and barriers among Australian GPs. Journal of Evaluation in Clinical Practice, 7(2), 201–210.
There are 36 citations in total.

Details

Primary Language Turkish
Subjects Clinical Sciences (Other)
Journal Section Research Article
Authors

Cem Kutlu 0000-0002-0643-8949

Esra Koç 0000-0003-3620-1261

Emre Şen 0009-0001-8973-809X

Gülseren Pamuk 0000-0001-5556-9630

Publication Date November 28, 2025
Submission Date June 10, 2025
Acceptance Date July 23, 2025
Published in Issue Year 2025 Volume: 6 Issue: 3

Cite

APA Kutlu, C., Koç, E., Şen, E., Pamuk, G. (2025). BİR EĞİTİM VE ARAŞTIRMA HASTANESİNDE ASİSTAN HEKİMLERİNİN KANITA DAYALI TIP FARKINDALIK DÜZEYLERİ. Selçuk Sağlık Dergisi, 6(3), 368-383. https://doi.org/10.70813/ssd.1716798