Evidence Giddens 45 Flashcards
Quantitative research
focused on the testing of a hypothesis through objective observation and validation
Randomized controlled double blind studies
least bias. researchers and subjects are “blind”.
qualitative research
focuses on a person’s experience and uses analysis of textual, or nonnumeric, data, such as interviews, surveys or questionnaires
mixed design research
feature both quantitative and qualitative.
complement each other and provide a holistic approach to the research question
evidence summaries
secondary literature because they summarize original research.
Systematic reviews/meta-analyses
referred to as synthesis of the evidence, summarize evidence from multiple studies
What differentiates a meta-analysis from a systematic review
meta-analyses combines the statistical results of numerous randomized controlled trials and analyzes that evidence
practice guidelines are created by using
evidence from the literature, research studies on the topic of the guideline, and expert opinion to craft the publications
practice guidelines
summarize findings and advise practitioners. result in a faster integration of new evidence. often developed by government agencies or societies
attribute
quality or characteristic that is associated with the concept that helps to clarify or confirm the concept
grade A
Strongly Recommends
• There is high certainty that the net benefit is substantial.
grade b
Recommends
• There is high certainty that the net benefit is moderate or there is moderate certainty that the net benefit is moderate to substantial.
grade c
No Recommendations for or Against
• There may be considerations that support providing the intervention in an individual patient, but not for the general population. There is at least moderate certainty that the net benefit is small.
grade D
Recommends Against
• There is moderate or high certainty that the intervention has no net benefit or that the harms outweigh the benefits.
I statement
Insufficient Evidence to Recommend for or Against
• The current evidence is insufficient to assess the balance of benefits and harms of the service. Evidence is lacking, of poor quality, or conflicting, and the balance of benefits and harms cannot be determined.
practice-related problems that require solutions. steps have been outlined to facilitate the use of evidence
- Develop an answerable question.
- Search the literature to uncover evidence to answer the question.
- Evaluate the evidence found.
- Apply the evidence to the practice situation.
- Evaluate the outcome.
example of a back ground question
what is scleroderma?
example of foreground question
Is drug x more effective that drug y in treating scleroderma?
health care economics example
A1C diabetes test does not require fasting, more people do it sooner….. Early diagnosis could in turn reduce health care costs if people adopt lifestyle changes to avoid serious complications.
expemplars
are the actual studies or practice guidelines. example RCT, case studies