Chapter 1: Introduction to Evidence-Based Practice Flashcards
before the EBP movement were practitioner basing clinical evidence on something other than evidence
no
does EBP only involve research articles
no
three main point of out-of-date EBP definitions
- clinical expertise
- patient values
- scientific evidence
E³BP parts
external evidence due to systematic research
internal evidence due to clinical practice
preference of a fully informed patient
what kind of study makes internal evidence rather easy to collect in our field
well-designed single-subject methodologies
preconditions to E³BP
uncertainty
professional integrity
application of four principles
four principles in preconditions to E³BP
beneficence, nonmaleficence, autonomy, and justice
strengths of the oxford hierarchy
explicit acknowledgement that no single set of criteria applies to every kind of evidence; different rating criteria are needed according to whether evidence concerns treatment, prognosis, diagnosis/screening, differential diagnosis, and health care economics
weakness of the oxford hierarchy
emphasis on the internal validity of external evidence and particularly on research design as the primary basis for assigning evidence to a level
T/F: studies with highly ranked designs can yield invalid or unimportant evidence just as studies with less highly rated designs can provide crucial evidence
true
Systematically developed statements to assist practioner and patient decisions about appropriate health care for specific clinical circumstances
clinical practice guidelines (CPG’s)
does EBP rely on CPG’s
no
CPG’s are most useful when
they are based on a large number of high-quality studies
Developed in a way that minimizes the potential impact of subjective bias
Their transitionary nature and the need for frequent updating to incorporate new evidence are acknowledged
is self- and client-evaluation helpful in EBP? if so, what is it good for?
yes; to update knowledge on a regular basis and question their subjective beliefs and assumptions
