Evidence-Based Practice Flashcards
What is the Cochrane Library?
Collection of RCTs and reviews of evidence
What does a critical appraisal tool assess?
Vigour, reliability, credibility, transparent, relevant, audit trail
What do good types of evidence do?
Give proof about how and why each study was used
Give quality control and certainty
Help address clinical uncertainty to guide further research
What are the two types of criticisms of EBP?
Practical-possibility of EBP
Philosophical-desirability of EBP
What are practical criticisms of EBP?
Impossible task to create and maintain reviews
Challenging and expensive to implement findings
Not feasible or ethical
Towards pharmaceuticals as they make money-vested interest
What are philosophical criticisms of EBP?
Doesn’t say how treatment works so hard to apply to patient
Population outcomes doesn’t correlate to patient outcomes
Allows rationing
Removes professional autonomy
Why is it hard to put EBP into practice?
Organisational systems can’t support innovation
Resources not available
Commissioning decisions reflect different priorities
Many don’t know about the evidence or how to use it
What happens without evidence based practice?
Ineffective and inappropriate interventions waster resources
Treatment variations
Practices influenced by opinion and history
No new interventions taken up
