Chapter 5 — EBP Flashcards
Evidence-based medicine
Conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients
Evidence-based practice is supported by
Expertise, pt needs/preferences, available research
5 steps to use research in practice
Step 1: Identify the problem
Step 2: Identify evidence
Step 3: Evaluate evidence
Step 4: Implement information
Step 5: Evaluate the outcome
Types of research evidence:
Descriptive
Predictive
Efficacy
Assessment
Qualitative
Descriptive research
Observational methods to gain information of conditions
Predictive research
Non experimental with at least two variables are measured to determine if they are related
Efficacy research
Provides information about the usefulness of a particular intervention
Assessment research
Examines reliability and validity of tests, and usefulness in practice and research
Qualitative research
Data from perspective of an individuals experience
Quotes, narratives, themes
Appraising efficacy studies involves how many levels of evidence
5
Level 1 evidence
Provided from systematic reviews including two RCT
Level 2 evidence
Comes from single RCT
Level 3 evidence
May also be described as a quasi-experimental study
Has the benefit of a control group but is weaker because of lack of random assignment
Level 4 evidence
Comes from single group design without a control group
Level 5 evidence
Based on case studies or expert opinion