EBP: Class 1
Card Set Information
EBP: Class 1
evidence based practice
review of lecture 1 from EBP
What is Evidence-Based Practice (EBP)?
integration of best research evidence with our clinical expertise and patient's unique values and circumstances
when elements are integrated, clinicians and patients form a diagnostic and therapeutic alliance which optimizes clinical outcomes and quality of life
What are the sources of evidence?
1. patient's unique values and circumstances
2. best research evidence
3. clinical expertise
Define "patient's unique values and circumstances" as a source of evidence:
values, preferences, expectations
clinical state and circumstances
Define "best research evidence" as a source of evidence:
results of scientific research
Define "clinical expertise" as a source of evidence:
personal knowledge, expertise, and expectations
KEY POINT: The best research evidence, our clinical expertise, and our patient's unique values and circumstances should INFORM our practice.
As therapists, we make the decisions about patient care (It's our license)
These decisions should be well-informed/intelligent ones
What type of question is "What is subacromial impingement syndrome?"
Name the 5 Steps for EBP:
1. Ask a focused clinical question
2. Search for the best research evidence
3. Appraise the quality of the research evidence
4. Integrate the research evidence with information about the patient and clinical expertise
5. Reflect on the process to improve the future
In step 1 for EBP, what type of clinical questions should be asked?
background and foreground questions
What makes a clinical question well-built?
the question should be directly relevant to the problem at hand
the question should be pharsed to facilitate searching for a precise answer
What are the 3 parts of making a well-built clinical question for step 1 of EBP?
1. the patient or problem being addressed
2. The exposure/intervention being considered and/or the comparision intervention or exposure
3. clinical outcomes of interest
What is the PECO (PICO) approach?
an approach to formatting your clinical question
: exposure (I: intervention)
: comparison group
Name the levels of the USC "Evidence Pyramid" from top to bottom (better to less good):
: systematic reviews
: randomized clinical trials
: cohort studies
: case-control studies
: case series and case studies
: narrative review, expert opinion, textbooks
KEY POINT: We must critically appraise the integrity of each source of evidence:
best research evidence
patient's unique values and circumstances
KEY POINT: Truth
There is no perfect article
Every article can teach us something
What are some things to consider when you reach step 5 (reflect on process to improve the future)?
Information on its own doesn't change practice.
We must learn more about how we move from evidence to change, but we know that change is not always easy