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Evidenced Based Practice > Prelims > Flashcards

Prelims Flashcards

1
Q

What is Evidence-Based Practice?

A

Method of decision making and practice

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2
Q

Main Goal of EBP

A

Optimize the benefits gained from the high-quality data that we have gathered

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3
Q

EBP can be in the transformed into many fields such as?

A

○ Evidence-based medicine EBM
○ Evidence-based physical therapy EBPT

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4
Q

Method of clinical decision making and PT practice

A

Evidence-Based Physical Therapy

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5
Q

Evidence-Based Physical Therapy Integrates three important factors

A

○ Best available scientific research evidence
○ Clinical expertise
○ Patient’s unique values and circumstances

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6
Q

Components of the EBP triad

A

○ Best available scientific research evidence
○ Clinical expertise
○ Patient’s unique values and circumstances

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7
Q

Main Goal of EBPT

A

Optimize the benefits gained from therapy and therapeutic interventions

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8
Q

T or F
Characteristic of EBPT in the Philippines are:
● Low research evidence uptake
● Heavy reliance on potentially biased sources

A

TRUE

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9
Q

T or F
Characteristic of EBPT in the Philippines are:
● Effective professional education for practitioners to address barriers
● Intensive undergraduate education for students to ensure adequate preparation on being effective research evidence consumers

A

TRUE

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10
Q

Four Main Types of Clinical Research

A

Diagnosis
Prognosis
Intervention
Prevention

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11
Q

Includes examination and evaluation

A

Diagnosis

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12
Q

Likely course of a disease

A

Prognosis

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13
Q

therapy (Type of clinical research)

A

Intervention

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14
Q

○ Balance between doing good (beneficence) and doing no harm (non-maleficence)
○ Evidence on effectiveness of an intervention
○ A randomized clinical trial

A

Intervention

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15
Q

Evidence of factors that will aim for prevention of a
condition or prevent the further course of a condition

A

Prevention - “harm”

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16
Q

T or F
Youtube is a source that is considered a NON-SCIENTIFIC

A

TRUE

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17
Q

T or F
Meta-analyses is a source that is considered a NON-SCIENTIFIC

A

FALSE
it is a Scientific source

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18
Q

What is the top 3 strongest Scientific Evidence

A
  1. Meta-analyses & Systematic Review
  2. Randomized Controlled Trials
  3. Cohort Studies
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19
Q

What is the weakest scientific evidence?

A
  1. Case reports, Opinion papers, Letters
  2. Animal trials and invitro studies
  3. Cross-sectional studies
  4. Case-control; studies
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20
Q

Assess - again means that you have to?

A

Evaluate the effectiveness and efficacy of your efforts in step 0 through 4 and identify ways to improve them in the future

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20
Q

The Five Step EBP Process - The 5 A’s

A

Assess - step before you start
Ask
Acquire
Appraise
Apply
Assess - again

21
Q

● Interpret the applicability of evidence to specific problems, given patient preferences and values
● Use clinical reasoning and engage patient in decision making

A

Apply

22
Q

EBPT Process Determinants

A
  1. Knowledge about the patient’s condition in order to recognize what is unknown
  2. Knowledge on the evidence appraisal process
  3. Access to evidence
  4. Time to research for, appraise, and integrate evidence
22
Q

● Systematically check best available evidence for
indications of validity, importance, and usefulness
● Apply the hierarchy of evidence

A

Appraise

23
Q

● Gather important and convincing evidence from high-quality repositories of the health literature
● Locate most current evidence first

A

Acquire

24
Q

● Construct clinical questions that facilitate an efficient search for evidence
● Formulate a well-built - relevant, viable, searchable - clinical question

A

Ask

25
Q

● Learn how to recognize, classify, and prioritize important patient or policy problems
● Establish the clinical scenario
● Identify the knowledge need

A

Assess - step before you start

26
Q

T or F
Lack of time, resources, skills, and access to research literature, supporting administrative policies, in-service training and authority in decision making is a benefit in EBPT

A

FALSE
It hinders the EBPT process

27
Q

What needs to be done to stop the hinders the EBPT process?

A

Pre-professional preparation
Philosophical shift in the institution
Management support
Willingness to “consciously” challenge one’s assumptions and current state of knowledge
Acquire and practice the necessary skills

28
Q

Any question that arises during your physical therapy practice that may be related to the client or patient, your practice, diagnosis, and/or diagnostic procedures, etc

A

Clinical Question

29
Q

Clinical Questions Occur When?

A

There is a sense of uncertainty about the best course of action
○ I am not sure how to proceed?
○ What is the best way to proceed?

30
Q

T or F
High-quality evidence could resolve some of the
uncertainties

A

TRUE

31
Q

Where do clinical questions come from?

A

Professional Practice
Existing Public Research
Existing Theory
Professional Trends

32
Q

○ “The bends” - decompression sickness DCS, or Caisson disease - occurs in scuba divers
○ Children with autism in O2 chamber, they become more cooperative

A

Professional Trends

33
Q

Using a particular model and/or theory and comparing it to what actually happens in the real world

A

Existing Theory

34
Q

○ More questions arise after reading a research article
○ Gaps are stated or found after reading a body of
knowledge

A

Existing Public Research

35
Q

You encounter a patient and you and your colleagues are not 100% sure on how to proceed or treat

A

Professional Practice

36
Q

“Bread and butter” of EBPT

A

Foreground Questions

37
Q

Types of Clinical Questions

A

Background Questions
Foreground Questions

38
Q

○ Questions that increase the understanding of the situation
○ Reflect the desire to understand the nature of a
patient’s problem or need
○ Often focused on the medical aspect of the situation rather than on the PT aspect

A

Background Questions

39
Q

○ Help clinicians and their patients in making decisions about a specific PT management or a problem
○ Questions used to facilitate clinical decision-making

A

Foreground Questions

40
Q

T or F
A good foreground questions has sufficient details to search for answer that are specific to the patient
about whom the question is asked
○ You have to put sufficient details because your details will help you later on in acquiring evidence

A

TRUE

41
Q

Types of Foreground Questions

A

Questions About Interventions
Questions About Prognosis
Questions About Diagnosis
Questions About Outcomes
Questions About Experiences

42
Q

Focus on which tests and measures provide the most accurate and precise information in a timely manner with the least amount of cost and/or risk

A

Questions About Diagnosis

43
Q

How to write QAD

A

Specify the patient problem, the diagnostic test, diagnosis for which you are testing

44
Q

PTD Framework

A

Patient or Problem - Test - Diagnosis

45
Q

T or F
Writing question about outcomes have a format

A

FALSE
It has no format

46
Q

PICO model

A

Patient - Intervention - Comparison - Outcome

47
Q

PP Framework

A

Patient or Problem

48
Q

PIOT Framework

A

Patient or Problem - Indicator - Outcome -Time Frame

49
Q
A

Evidenced Based Practice (3 decks)

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