Review of Terms + Communities of Practice Flashcards
What is internal evidence?
Data collected from clients, valid and highly-skilled
What is external evidence?
Research
What is inductive (clinical) evidence?
Reflecting on own expertise and collection + analysis of data in clinical practice
New move to 4 pieces of EBP includes which 4 pieces
- Clinical expertise
- Research evidence
- Practice-based evidence
- Patient/family preferences
What is importance?
Rationale for study, ability to generalize the study outside of context it was conducted
What is validity?
Did the study do what it intended to do, discover what it intended to discover
What is critical appraisal?
Finding evidence of study validity in a research article
What is a causal inference?
IV caused change in DV, via RCTs
Indicated by the words improve, predict
Key words for causal relationship
Significance, effect, positive or negative directionality, improve, worsen, predicts
Key words for correlation
Relationship, association
Run regression test
What level of evidence are RCTs?
Second highest level of evidence, meta-analyzes are above
What is alpha?
p=0.05 or less than 0.05, means the finding was significant
T-test or anova run for
Differences, t-test for 2 groups, ANOVA for more than 2 groups
What does level of IV indicate?
Number of different groups of IV
Research to practice gaps: knowledge gaps are caused by
Little time to read/summarize research
Takes longer for clinicians than researchers
Little research on many conditions
Poor external validity (generalization)
Research to practice gaps: Action gaps are caused by
Long research to practice pathway
Interventions are not developed with practitioners or families/patients
Effective interventions are hard to implement
Costly, time-consuming professional development
Traditional development does not help research to practice gap because
Not long enough to change practice patterns
Intervention models are presented as rigid non-adaptable,
Don’t account for local resources, material, culture, etc.
Don’t include allied health professionals
What is the knowledge to action cycle?
Clinical practice guidelines/research summaries to standard operating procedures/diagnostic treatment manuals
Knowledge creation to action cycle is connected by
Problem/need
Knowledge to action communities include
COPs (Communities of practice)
RPPs (Research Practice Partnerships)
What is a COP (Community of Practice)?
Group of individuals that share common goal or passion/activity
Improve skills through interaction with other group members
What is a RPP (research practice partnership)?
Group focused on study implementation and enact systemic adoption/change
Involves researchers
COPs vs RPPs focus
COPs: pratice patterns
RPPs: research
What three aspects do RPPs and COPs share?
Shared practice, community, domain of knowledge (interest or area of need)
What methods are used by COPs and RPPs?
Regular social meetings
Knowledge to action cycles
Address local contextual factors
Ongoing, supported problem-solving
What goals do COPs and RPPs share?
Connection and support (share workload)
Knowledge transition (KTA cycle)
Implementation/adoption
Systematic evaluation/study/change