Intro to EBP

Question 1

What are the 4 components of EBP (venn diagram)?

Answer 1

• Best research evidence
• Clinical expertise
• Patient’s unique values, circumstances etc
• Information from the practice context

Question 2

What are the elements of EBP?

Answer 2

• Asking
• Accessing
• Appraising
• Applying
• Assessing

Question 3

Why is EBP important?

Answer 3

• To ensure patients are provided with the safest & most effective interventions to ensure the best possible clinical outcomes
• To ensure ongoing high standards & trustworthiness of AHPs
• To ensure ongoing funding of allied health services, by ensuring allied health practice is effective & harmless

Question 4

What are the 2 essential components of background questions?

Answer 4

Ask for general knowledge

1. A question root (who, what, when, where, how, why) & a verb
2. A disorder, test, treatment or specific aspect of healthcare

Question 5

What are the 4 essential components of foreground questions?

Answer 5

Ask for specific knowledge to inform clinical decisions or actions

PICO

• Patient &/or problem
• Intervention (or exposure)
• Comparison (if relevant)
• Outcomes (including time if relevant)

Question 6

What are the central issues in clinical work where clinical questions often arise?

Answer 6

• Clinical findings
• Etiology/risk
• Clinical manifestation of disease
• Differential diagnosis
• Diagnostic tests
• Prognosis
• Therapy
• Prevention
• Experience & meaning
• Improvement

Question 7

What are the advantages of learning to ask good questions?

Answer 7

• Questions are more specific
• Undertake more literature searches
• Use more detailed search methods
• Find more precise answers
• Get an answer when conversing with experts

Question 8

What are the characteristics of high quality clinical research?

Answer 8

• Research performed in the clinical setting
• Generates knowledge with experiment or
• Includes only high quality research studies
• Does not include: lower quality clinical research, consensus reviews and clinical experience

Question 9

What are the characteristics of high quality research studies?

Answer 9

• High validity
• Low risk of bias
• High quality & well documented methodology

Question 10

What is the NHMRC rating scale for evidence?

Answer 10

• I: Systematic review of level II studies
• II: Randomised controlled trial
• III-1: Pseudorandomised controlled trial
• III-2: Comparative study with concurrent controls
• III-3: Comparative study without concurrent controls
• IV: Case series