L3 07/02 Flashcards
In order to have base changes in practice on evidence we need to have what 2 things?
- A good range of available evidence
- High quality of available evidence
How do we find the evidence we need to decide whether we change our practice or not?
- Conduct literature searching as you would conduct research > Research questions THEN methods THEN results > Analysis of results THEN conclusion
- Ask the right question > What are you looking for exactly?
Once we have found the question, where do we ask it?
- Scope the databases so that you can adopt a logical and systematic plan for your search
- Adopt a flexible approach
What are our key sources of information?
- Journal data bases are searchable electronic storage of journal articles, conference proceedings and papers, reports, government and legal publications, patents, books
- A search will give you the citations
What is the difference between a database and a search engine?
- The search engine allows you to search the databases, but it is NOT a database and is only as good as the instructions you provide it
- It doesn’t have the information you need but allows you to find it
Why is google scholar frowned upon?
- Information not usually peer reviewed for accuracy
- Listing order is determined according to financial input
Lack of appropriate evidence can be due to one of two things…
- A small evidence base
- Issues with the search strategy
Name 3 common search problems
- Poor question
- Spelling mistakes
- Wrong key words
What is critical appraisal?
A systematic assessment of the quality of research evidence to determine whether it can inform practice.
What are the 3 aspects of appraisal?
- Trustworthiness
- Value
- Relevance
What are 4 key questions - trustworthiness?
- Is there any potential bias?
- Is the method reliable?
- Is the study valid?
- Do we accept the results?
What are 4 key questions - value?
- Are the results clinically important?
- What is the strength of the effect?
- How confident can we be in the results? (statistical significance)
- Can we actually use the results?
What are 4 key questions - relevance?
- Can the results be applied to the question?
- Is the cohort the same?
- Are these results actually useful to us?
- Has the research been conducted on the same kinds of people and conditions as what we want to apply it to? (external validity - generalisability)
What is reliability and what does it involve?
- If you do something repeatably you achieve the same answer/outcome
- It is about consistency across time (test-retest reliability), across items (internal consistency), across researchers (inter-rater reliability)
What is validity and what does it involve?
- Relates to how accurate the answer/outcome is
- The extent to which the scores from a measure represent the variable they are intended to
- Different types: face, external, internal, ecological