EBP Flashcards
the conscientious, explicit, and judicious, use of current best evidence in making decisions about the care of individual patients.
EBP
integrating individual clinical expertise with the best available external clinical evidence from systematic research
EBP
3 components of EBP
External Evidence
Patient preference
Clinical expertise
the process of applying current, best evidence (external and internal scientific evidence), patient perspective, and clinical expertise to make decisions about the care of the individuals you treat.
EBP
provides us with the context so what are we working around to help
facilitate their improvements.
Client perspective
add on our experience towards the decision making process
Clinical expertise
The knowledge, judgment, and critical reasoning acquired through your training and professional experiences
Clinical Expertise/Expert Opinion
The best available information gathered from the scientific literature
Evidence
We cannot say that “Oh, I’ve been practicing for 20 years, then I’m correct” so I need to have a basis to say why I’m correct.
Practitioners cannot defend health care delivery based on intuition
You have to first identify the problem, then gather information, then develop a hypothesis, from that hypothesis you do experimentation, then you make conclusions based on the results. This is very similar to the process of EBP.
Evidence-based medicine based on scientific method
T or F: Includes literature review & Clinical activities must be justified and supported by clinical evidence
True
T or F Consider client preferences before clinician preferences whenever it is possible to do so
True
Steps in the EBP Process
1) Formulate a foreground question
2) Find best evidence with which to answer the
question
3) Critically appraise the evidence
4) Apply evidence to clinical practice
5) Evaluate the e ects of the intervention
PICO framework
Patient or Problem
Intervention
Comparison of intervention
Outcome of interest
what are the characteristics and/or condition of the group? This may include specific diagnoses, ages, or severity levels
Population
what is the screening assessment, treatment, or service delivery model that you are considering
Intervention
what is the main alternative
to the intervention, assessment, or approach
Comparison
what do you want to accomplish, measure, or improve
Outcome
refers to the data that you systematically collect directly from the clients to ensure they’re making progress
Internal evidence
refers to evidence from scientific literature
External evidence
Searching for external evidence
- Develop a list of search items
- Set parameters for your search
In the WHO-ICF framework, consider the following statement: “A person with mobility impairment uses a wheelchair.” In terms of activity and participation, this statement represents:
An environmental factor
Which action would most effectively address a participation restriction related to social isolation?
Creating community programs and activities that are accessible and inclusive.
You’re analyzing the challenges faced by individuals with visual impairments. Which of the following describes the role of contextual factors in this scenario?
Contextual factors can offer support and reduce the impact of visual impairments.
Why is understanding WHO-ICF contextual factors important for healthcare professionals?
To develop comprehensive interventions that address individual needs and environmental barriers.
can save time (systematic review, guidelines)
Examples are systematic reviews, si these are already secondary data wherein they put together what they have found out in literature and then create a systematic
Synthesized evidence
will give you remote access to a lot of databases that you can use and journals that you can include in your presentation.
Look into databases
use your critical thinking to identify whether to interpret them and know how you can use that in your research
Access the evidence
Is the child demo a response to intervention?
Is the response significance?
How much longer should intervention lasts? change?
Internal Evidence
Determine the relevance to your question
External evidence
Appraise the validity and trustworthiness
External evidence
Complete the first three steps
Define
Extrapole clinically applicable information from external evidence
Extrapolate
Consider your expertise and others
Consider
Considering the di erences, you now know that and discuss with the parent and get their approval and cooperation in terms of how things are going to be implemented
Incorporating
Either an assessment or treatment plan
Then implement and execute the plan
Develop
After, you need to evaluate, like summative assessment wherein there is a judgment to make to identify if whether you passed or failed
Evaluate
Narrows search by requiring all specified terms to be present
And
Broadens search by including results containing any of the specified terms
Or
Excludes articles containing the specified term
Not
Group terms and prioritize their order ensuring specific relationships between concepts
Parenthesis
Includes synonyms in search
Asterisk *
