08.23.17 Lecture Flashcards
T or F: Occupational therapy is client-centered, achieves positive outcomes, and is cost-effective.
True
What is Evidence Based Practice?
Research Evidence, Clinical knowledge, and Reasoning are used to make decisions about interven@ons that are effec@ve for a specific client(s).
EBP components: (4)
- Research Evidence
- Clinical Expertise
- Patient Value and Circumstance
- Information from practice context
The _____ ______ is the master plan specifying the methods and procedures for collecting and analyzing the needed information
The research design
The choice of design depends on (3)
- Objective of research (what is the question)
- How much is known about the problem
- Practicality/feasibility
this type of study uses deductive reasoning
Quantitative
The type of study uses inductive reasoning
Qualitative
The role of the researcher in this study is controlled and structured
Quantitative
The role of the researcher in this study design is participative and ongoing
Qualitative
Are quantitative or qualitative studies more highly regarded by the medical community?
Quantitative
Which study utilizes the following possible designs?
Nonexperimental
Correlational
Experimental
Quantitative
Which study utilizes the following possible designs? Phenomenology Ethnography Grounded theory Historical
Qualitative
What are the two types of analytic studies:
- Experimental
2. Observational
Which type is study is the where the intervention is under
the control of the researcher
Experimental
Type of study: the researcher simply observes the participants at one point in time (cross- sectional) or over time (longitudinal)
Observational
What type of research answers questions about intervention?
randomized controlled trials
What type of research answers questions about diagnosis and prognosis
Cohort or case control studies
What type of research answers questions about client experience and concerns
qualitative studies
gold standard
What is at the top of the hierarchy of evidence of treatment effectiveness?
Systematic Reviews and Meta analysis (based off many controlled trials)
What is below Systematic reviews and meta analyses on the hierarchy of treatment effectiveness?
Critically appraised topics (syntheses)
more than one article
The hierarchy tells you about….
the strength of the study design
How likely the results are to be the “truth”
validity
the importance and usefulness of the findings
relevance
Spending on _____ ____ ____ has increased exponentially
post acute care (PAC)
More care does or does not result in better patient outcomes?
DOES NOT
Healthcare reform is calling for a shift to _____ _____ _____
Value based care
What is Healthcare providers’ achieved rates of pre-
specified patient outcomes.
Value-based healthcare
What is Adherence to patient-centered scientifically grounded best practice guidelines.
Value-based healthcare
What is the act that measures domains to be standardized across post-acute care settings?
Impact act
Steps in evidence-based practice:
- Ask questions
- Acquire - search
- Appraise - critically
- Apply - integrate into practice
- Audit - evaluate 1-4 and revise
P-I-C-O
P=population/patient/problem
I=Intervention/exposure
C=Comparison
O=Outcome
What makes up a clinical scenario?
- Diagnosis/clinical population
- Clinical context of scenario
- Clear statement of clinical dilemma/decision that needs to be addressed
