EBP and evidence WK 2

Question 1

What is a clinical decision

Answer 1

decision supported/based on evidence
-data can be quantitative/qualitative
-sources such as; clinical research, working with clients
-data and means of collection must be valid and reliable

Question 2

Define EBP

Answer 2

Refers to conscientious, explicit, and judicious use of current best research evidence in making decision about the care of individual patient (clinical decision making)
-decision making framework
-integrates individual clinical expertise with best available external clinical evidence from research
-formal data

Question 3

Define PBE

Answer 3

adopting scientific method into working with client
-ask questions about effectiveness
-collect appropriate data (informal)/evidence to support clinical decisions

Question 4

Compare and contrast research and clinical work

Answer 4

research: add to existing knowledge base in given area
clinical practice: to change behaviour in someone else

both are scientific process (based on highest quality evidence available

Question 5

Explain EBP in any health area

Answer 5

-critical eye
-understand evidence behind claims
-imperative (not a choice)
-insufficient and unethical to base decisions on tradition/opinion

Question 6

Describe best research evidence

Answer 6

best external research evidence
-clinically relevant and patient-centred clinical research
.accuracy/precision of tests/assessments
.efficacy and safety of regimes

Question 7

Define evidence and it’s two types

Answer 7

data on which to base proof
-quantitative
-qualitative
indicate whether something is true/valid

Question 8

Describe evidence in EBP. What are it’s requirements?

Answer 8

-considered as well as evaluated
-needed to support clinical decision making
-systematic and unsystematic observations of events/individuals (not weighted equally)

Question 9

What are weak forms of evidence

Answer 9

-decision by anecdote
-press cutting single published study
-by expert opinion

Question 10

Where does evidence come from (how is it made)

Answer 10

clinically based research
-tested if therapy works
-to see whether an assessment procedure accurately diagnoses
-compares two different therapies

trials, effectiveness studies
-study methodologies have varying qualities
-randomised control trial highest level of single study (control and experimental group picked randomly from same population)

Question 11

Define systematic review

Answer 11

review of a number of randomised control trials (summary)

Question 12

Where is evidence found

Answer 12

-books, articles, web reports, experts
-access through journal articles

Question 13

What are requirements for journal articles to publish

Answer 13

-peer-reviewed
-detailed description of methodology
-large electronic databases (accessible)
-most up-to-date published work in field

Question 14

Define/describe clinical expertise/personal experience

Answer 14

clinical skills/past experience
-rapidly identify client’s unique health state, diagnosis, individual risks and benefits, possible interventions, etc.
-clinical preferences, values, principles
-ebp supports clinicians decision making process

Question 15

Define/describe client preferences and factors

Answer 15

unique preferences, concerns and expectations that must be integrated into clinical decisions
-also consider caregivers/significant others
-when making treatment decisions, assessment results/referral information included

Question 16

Define/describe practice context/employer policies

Answer 16

-also agency policies/workplace context
-services constraints, available resources, wider policies and practices

Question 17

draw the client management decisions Venn diagram (include learnt definitions and examples

Answer 17

….

Question 18

What is the importance of EBP for clients

Answer 18

-prevents harm (physical, financial, time wasting)
-best possible practice (more beneficial)
-more accurate diagnosis (up to date research)

Question 19

What is the importance of EBP for clinicians

Answer 19

-supports clinical decision making process as provides decision making framework
-broadens/expands knowledge as research more up to date
-data reassurance