Evidence Based Practice Flashcards
EBP relies heavily upon … (duh)
research and clinical expertise
but it requires you to read the true research not just what will help you sell your thinking
EBP definition by rehabilitation practitioner states that these things are most important to
combination of
- research
- clinical wisdom
- information form client/family
how does EBP defy the myth that it ignores clinical experience
refined ways of assessing and treating patients by combining research evidence with patient’s choices
how does EBP challenge clinicians
dynamic learning that is never static
– therapists are always able to improve patient care and should always try to assess the care given
explain EBP from a clinical standpoint when given a question of treatment methods
1- wonder if the treatment is effective or not
2- gather research / evidence about treatment
3- appraise research
4- discuss treatment efficacy with patient
5- consult with experienced colleagues
6- decision of treatment or not
challenges associated with EBP
availability of research (whether in a journal or to conduct the research)
applicability of it to be done in a clinic
quality of evidence / practical application
what is implemented to upgrade the skills of entry level practicioners
mandatory CEU requirements
EBP requires that clinicians have these skills
awareness - staying current with evidence
consultation - to client/stakeholders
judgement - is the evidence applicable
creativity - how to apply evidence
how does the dynamic / evolving theory of education shape health care outcomes?
practice patterns need constant re-evaluation /modification
we are part of integrative interdisciplinary system of health care
advantages of professional academic training
as an entry level PT, the skills learned are adequate and are the current standard of practice
but training can allow one to challenge their own ideas about what patient care is
novice professionals are defined as
0-5 years of practice
novice professionals learn through
peers
CEU credits
professional involvement
– begin to challenge/reshape the knowledge gained in PT school and how to apply it in a clinical setting
experienced professionals are defined as
6-20 years of practice
experienced professionals are able to
better critique and apply new knowledge to practice
lecture at professional meetings
apply new treatment programs in clinical settings
experienced professionals should be aware of
disregarding new evidence – especially if it challenges current practice
valuing clinical expertise more than scientific research
expert professionals are described as
> 20 years of practice
expert professionals are better able to
initiate / collaborate research
– some begin PHD
mentor
balance clinical experience and scientific research
interprofessional collaboration can do what for EBP
push limits of existing working framework in a field
intraprofessional collaboration can do what for EBP
team approach that explains how knowledge gained in one field will affect the field one practices in (collaborative research)
can clearly delineate professional roles within the interdisciplinary health care team
challenges to developing EBP knowledge
generalizability to real world
dissemination (getting the info to those who need it)
implementation of new knowledge
personal barriers to knowledge creation
lack of time / motivation
professional barriers to knowledge creation
lack of structure within professional body
no incentive
lack of structure research support
organizational barriers to knowledge creation
no support
cannot change current way of operation
fiscal constraints
compare novice vs experienced professionals when it comes to newly developed research
novice = better at locating/appraising evidence
experienced = better at applying evidence in practice
