Evidence Based Practice

Question 1

Why are systematic reviews needed?

Answer 1

Narrative literature may be biased, quality variable/sometimes poor, can help address clinical uncertainty, can highlight gaps in research

Question 2

Why are systematic reviews useful to clinicians?

Answer 2

Quality control,
increased certainty,
authoritative generalisable up-to-date conclusions,
may reduce delay between research discoveries and implementation,
can be converted into guidelines

Question 3

What is the easiest way to assess the quality of evidence?

Answer 3

Critical appraisal tool = suggest things to look for, questions to ask, research articles

Question 4

What are the 2 critiques of evidence-based practice?

Answer 4

Practical and philosophical

Question 5

Outline the practical critique to evidence based practice

Answer 5

Impossible task to create/maintain systematic review across all specialities, challenging and expensive, not always feasible/necessary, outcome often very biomedical

Question 6

Outline the philosophical critique to evidence based practice

Answer 6

Does not align with doctors modes of reasoning, population level outcome don’t mean that intervention will work for an individual, create unreflective rule followers

Question 7

What are the problems with getting evidence into practice?

Answer 7

Doctors don’t know about it, don’t use it, organisational systems cannot support innovation, commissioning decisions reflect differing priorities, resources not available to implement change

Question 8

What is a systematic review?

Answer 8

Type of literature review that collects and critically analyses multiple research papers

Question 9

What is evidence based practice?

Answer 9

Integration of:

Evidence based research
Clincal expertise
Patient values and preferences