Exam 1 Flashcards
5 steps of EBP
- ask answerable clinical question
- search for evidence
- critically appraise the evidence
- implement evidence into pt care
- assess performance and outcomes
CAT
critically appraised topic
What is a CAT?
one page summary of literature appraisal and clinical relevance of specific clinical
topics
- the preferred categorization format for quick studies in EBP
definition of a CAT
defined as a brief summary of a search and appraisal of the literature
related to a focused clinical question (PICO)
several reasons you would want to do a CAT
- to enhance clinical reasoning and to make clinical decisions
- describes the best, most recent research
- evaluates the findings and summarizes results in 12 pgs
- make research more accessible to future researchers/clinicians
What is the clinical application for a CAT, why are you doing it?
- it allows you to find the best actions or treatment
interventions efficiently (most recent best high level
evidence) - much quicker to use than SR’s and MA’s
therapeutic alliance
- refers to the relationship between a healthcare professional and a client
- It is the means by which a therapist and a client hope to engage with each other, and effect beneficial change in the client
Why is the therapeutic alliance important?
- helps build trust and respect with your patient
- shows you have a vested interest in their success
examples of therapeutic alliance
- look pt in eyes
- listen to pt
- touch the pt
- professionalism
- empathetic
- motivating
- encouraging
- educate pt about condition and importance of PT
- teamwork
- communication
- positive atmosphere and environment
- take time
- etc.
PICO format is step 1 to
EBP
What is the PICO format?
Define a question by using the 4 elements (PICO)
What are the 4 elements of PICO?
- Polulation, situation, client, problem
- Intervention, treatment, exposure
- Comparison intervention
- Outcomes
What are the Boolean operators?
AND/OR/NOT
- must be in all caps
- used to focus the search
Different ways that you can critically appraise the literature
- Pedro scale
- BETs (best evidence topics)
- evaluate evidence validity, integrity
- determine level of evidence
- apply appraisal checklist
CAT limitations
- individual CATs can be wrong or inaccurate
- CATs appear first as drafts without peer review, which may contain
inferior evidence or errors in calculation/interpretation - if it’s a one article CAT, it is nonrepresentative of the entire body of
evidence - individual CATs may have a short shelf life, become obsolete and out of
date as newer/better evidence becomes available - critical appraisal (evaluating and rating evidence) can be overwhelming for
busy clinicians
