EBP EXAM 2:5

Question 1

What does the transfer of knowledge to practice require?

Answer 1

• Awareness- 17/20 years before evidence is established into practice
• Identifying gaps between evidence and practice
• Identifying gaps in skills and resources
• Understanding and addressing client expectations

Question 2

In what ways might the evidence from research differ from your client?

Answer 2

• Co-Morbidity – multiple diagnosis
• Client Context - Was it done in clinic, home, etc.
• Demographics – age group, ethnicities
• FOUND IN METHODS!!!

Question 3

Name some additional considerations when determining whether the evidence transfers to your client and clinical setting.

Answer 3

• LOCAL CONTEXT
• Consumer values and preferences
• Clinical expertise
• Best research evidence

Question 4

Describe the variety of ways that evidence can influence practice.

Answer 4

• Inspire
• Challenge/Question (is the intervention effective)
• Enlighten
• Inform (descriptive and assessment evidence)
• Determine (more in cases where goal is more concrete) (what type of splint)

Question 5

What factors will ultimately determine the implementation of evidence with an individual client?

Answer 5

• Consumer values and preferences
• Clinical expertise
• Best research evidence
• Local context

Question 6

In the last step of evidence-based practice, what should be evaluated?

Answer 6

• Implement and reflect
• Evaluate
o Process of EBP
o Outcomes

Question 7

When evaluating the outcomes of EBP, what are the characteristics of effective data collection?

Answer 7

•	Data collection 
o	Systematic (step by step)
o	Clear – for explaining showing 
o	Complete (all the things they are interested in)
o	Coherent – makes sense
o	Simple
•	Assess and develop a plan
•	Monitor outcomes
•	Articulate your outcomes

Question 8

How is data used in EBP?

Answer 8

• Assess and develop a plan (initial evaluation and assessment)
• Monitor outcomes
• Articulate your outcomes (can justify services, client making progress)

Question 9

When is data collected in EBP?

Answer 9

• Baseline (initial eval)
• Session by session
• Post intervention (did it work)

Question 10

What questions can be asked to help determine what data to collect and how to collect it?

Answer 10

• What should the client be able to do?
• How should the client be able to show it?
• How well does the client perform in different settings?
• How will performance improve?
• How can we show performance improved?

Question 11

Names the types of data that could be collected to monitor and articulate outcomes. Give examples.

Answer 11

•	Data- Driven Decision Making
o	Frequencies
	Behaviors 
	Use in different environments
o	Number of 
	Accurate responses
	Prompts needed
o	Time
	Latency: Lag between prompt and behavior
	Duration behavior persists
	Length of engagement 
	Time to complete
o	Distance

Question 12

• Data Driven Decision Making Examples

Answer 12

o Work samples can be compared to specific criterion based rubrics for further analysis.
o Graph
 Systematic plotting of data on an x-axis (horizontal) and a y-axis (vertical) to document frequency, accuracy….
o Chart
 Task Analysis
o Goal Attainment Scaling
 Goals written and scaled -2 to +2

Question 13

List common barriers to evidence-based practice.

Answer 13

• Lack of resources (lack of time, skill, funding)
• Lack of skills (EBP)
• Personal Factors (motivated, interested)
• Characteristics of evidence

Question 14

List facilitators of evidence-based practice.

Answer 14

•	Internet resources
o	Databases of pre-appraised evidence
o	Listservs
o	Alerting services
o	Pubmed
•	Practice and Develop Skills
o	Continuing education 
o	Post grad education
o	Use data driven decision making 
•	Collaborate
o	Journal clubs
o	Develop lists of questions 
o	Collect bibliographies
•	Advocate
o	Time
o	 Journals 
o	Training
o	Policies
o	Incentives 
•	Use helpful tools
o	Research synthesis articles
o	Clinical practice guidelines
o	CATs (otcats.com) – clinically appraised topic
o	CAPs (aota.org) – clinically appraised papers