Chapter 3 Flashcards
What are some things you need to do to become an evidence-based practitioner.
Learning to write focused questions and search more effectively requires practice but are the easier skills to learn.
Learning to critically appraise research is more challenging.
Using these skills to inform practice is more difficult that it first appears.
Changing practice in line with new evidence is one of the most challenging aspects of becoming an evidence-based practitioner.
What is EBP as a developmental journey?
Students had greater breadth of knowledge of the aspects of EBP which are formally taught in the OT program (posing a clinical question, searching the literature, and appraising the literature).
Experienced clinicians’ practice behaviors were most consistent with the decisions illustrated in the model in the final 2 steps of the EBP process (decision-making and reevaluation) which may be a result of their extensive clinical experience.
What are the steps in EBP?
- Posing a clinical question
- Searching for literature
- Appraising the literature
- Deciding if and how the evidence can be used to inform decision-making.
- Evaluating the outcomes and success of executing steps 1-5
Describe novices in EBP.
Possessed basic skills, limited knowledge, rarely engaged in search and appraisal activities, displayed a somewhat negative, pessimistic attitude to EBP
Begins to generalize ideas, determine effective and ineffective methods for practice, and test knowledge and beliefs.
Usually occurs within the first 5 years of practice.
Professionals learn how to apply knowledge and evaluate evidence.
This period forms the foundation for understanding how professional reasoning occurs within the broader context of work environments.
Describe apprentices in EBP.
Somewhere in between the 2 categories
Describe competent non-experts in EBP.
Had achieved skill competency, possessed extensive knowledge, engaged in search and appraisal activities regularly, displayed a positive, optimistic attitude to EBP.
What are some challenges in developing evidence for practice?
Producing generalizable evidence
Disseminating this evidence in an accessible and relevant format
Implementing evidence into practice
What are 3 key strategies for becoming evidence based practitioners?
Finding time for EBP
Developing skills and knowledge
Staying focused
What are conditions that help practitioners change?
Readiness for changePersonal and organizational expectations
The presence of deadlines
The availability of support.
What are strategies to improve EBP competencies?
Systematic reviews suggest that teaching interventions, particularly skills-based workshops, have a greater impact on knowledge and skill than they do on substantial EBP behaviors.
A recent Cochrane review evaluated if educational interventions improve the frequency and quality of questions asked and written by health practitioners.
Instructional design is based on what 5 characteristics about learners and the learning context?
Consider the learners existing knowledge, beliefs and attitudes regarding EBP.
Understanding the role of social negotiation and collaboration with peers in incorporating evidence in clinical decision making.
Acknowledge that the learning situations, content, and learning activities are meant to foster self-analysis, problem-solving, higher order thinking, and deep understanding.
Support collaborative learning which exposes students to alternative viewpoints and affords apprenticeship learning.
Scaffold learners from what is presently known to what is to be known, thereby facilitating the learner’s ability to perform just beyond the limits of current ability.
What is SWOT?
SWOT stands for strengths, weaknesses, opportunities, and threats, and so a SWOT analysis is a technique for assessing these 4 aspects of your business/practice. SWOT analysis is a tool that can help you to analyze what is best now, and to devise a successful strategy for the future.
