WEEK 1 - EVIDENCE BASED PRACTISE

Question 1

What are the 5 steps for Evidence - Based Practise Process

Answer 1

1. Formulating your clinical question
2. Searching for evidences
3. Appraising evidence
4. Applying evidence to practise (Intergating the clients preferences)
5. Evaluating evidence use (Evaluate the outcomes)

Question 2

What is the Triad approach?

Answer 2

• Best research evidence
• Patient values
• Clinical expertise

Question 3

What is The Best Possible Research Evidence

Answer 3

• The higher the level of evidence, the better the evidence is
• Looking for the best options currently available

Question 4

What is Clinical expertise

Answer 4

Takes into consideration your experiences, both personal and professional, to help guide you

Question 5

What is Patient values and preferences

Answer 5

Their values and preferences should be the first thing that you take into consideration

Question 6

Why are people apprehensive about evidence‐based practice?

Answer 6

People might be apprehensive towards EBP because of:
- Statistics and number crunching
- Complex research jargon

Question 7

Different types of searching for evidence

Answer 7

• Informal
• Focused, looking for answers
• Searching the literature

Question 8

Which of the following is NOT primary research?
A. Literature review
B. Randomized controlled trial (RCT)
C. Phone interviews
D. Phenomenological study

Answer 8

A. Literature review

Question 9

Which of the following is NOT a recommended method for finding evidence?
A. Informally looking for answers on the internet.
B. Focused looking for answers related to questions that have occurred in a clinical setting.
C. Unfocussed looking for answers in magazines and newspapers.
D. Surveying the existing literature systematically using a database.

Answer 9

C. Unfocussed looking for answers in magazines and newspapers.

Question 10

A good clinical question should NOT include which of the following components?
A Define the cheapest option of the intervention
B Define precisely whom the question is about
C Define which treatment, intervention, etc. you are considering
D Define the desired (or undesired) outcome

Answer 10

A Define the cheapest option of the intervention

Question 11

The first step to getting started with EBP is to:
A learn statistics and mathematics.
B decide if you will use a placebo or current standard therapy.
C ask colleagues to provide you with their evidence-based practice.
D formulate the clinical question that you are wanting to answer.

Answer 11

D formulate the clinical question that you are wanting to answer.

Question 12

EBP is the conscientious, explicit and judicious use of any evidence available in making decisions about the care of individual patients.

True
False

Answer 12

False

Question 13

Differences between primary and secondary research

Answer 13

Primary research is from a single research study.

Secondary research collects primary studies together into a new synthesized study.

Question 14

Define the meaning of evidence based practised?

Answer 14

• The conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients’ (Sackett and Rosenberg 1996)

Question 15

5 essential steps in the emerging science of EBP

Answer 15

• ask
• acquire
• appraise
• apply
• evaluate

Question 16

Examples of what EBP is NOT!

Answer 16

Decision making by:
- Anecdote
- Press cutting
- Expert opinion
- Cost minimisation

Question 17

How do we get started with evidence-based practice?

Answer 17

• 3 parts of a good clinical question
• Who the question is about?
• Which manoeuvre (treatment, intervention, etc.) and a comparison manoeuvre (e.g. placebo or current standard therapy)
• Outcome measures (e.g. reduced mortality, better quality of life, cost savings)

Question 18

Differences between primary and secondary research

Answer 18

• Primary research is from a single research study
• Secondary research collects primary studies together into a new synthesised study

Question 19

Effective search strings

Answer 19

• Health care Databases (e.g., PubMed)
  Simple tools improve database searches:
• Boolean operators are words placed between search terms to narrow or expand a search (OR, AND, NOT).
• Advanced search: specific parameters (author, title, etc.,).
• Truncation: word ending replaced by symbol — (*), (?) or ($) — includes all possible endings.
• Wildcards: a letter in a word is replaced by a symbol — (*), (?) or ($) — to include alternate spellings