Fundamentals of Evidence Based Practice Flashcards
What is evidence based practice?
The explicit, conscientious and judicious use of current best evidence from clinical care research.
The integration of best research evidence with clinical expertise and patient values.
What are the four components of EBP?
- research evidence
- clinical experience
- Resources
- Client preferences and values
What is the purpose EBP?
- provide the most effective health care available to maximize client outcomes
- facilitate client-centered decision making
- manage changes in knowledge, skill and capacity in the delivery of health care
- manage info effectively and efficiently
- maximize efficient use of resources
What are the five steps of EBP?
ASK - translate uncertainty to an answerable question
ACQUIRE - systematic retrieval of best available evidence
APPRAISE - critical appraisal of evidence for validity, clinical relevance and applicability
APPLY - application of results in practice
ASSESS - Evaluation of performance
What are the three things to consider when appraising evidence?
1) Internal validity - was the study methodologically sound? Can you trust the results?
2) Impact - Are the results clinically important?
3) Applicability? re the results applicable to your clients or practice setting?
What does implementing EBP rely on OTs doing?
- awareness of valid evidence
- acceptance to change in practice
- applicability to everyday practice
- ability, skills and knowledge
- acting on evidence all the time
What are barriers to implementing EBP?
- cost
- time
- reluctance to change
- fear of being incorrect
- access to and availability of info
- lack of confidence in the value of EBP
- lack of support from management and colleagues
- conflict with client-centered OT philosophy
- individual’s attitudes and knowledge
- conflicting roles in professional groups
- client expectations about treatment
- systems and policies
What are some facilitators to EBP?
- education: materials, meetings, visits etc.
- external facilitators
- leaders
- reminders
- audit and feedback
- team building/practice development
How can barriers to implementing EBP be overcome?
- lack of knowledge: educational resources, decision aids and journal clubs
- perception/reality mismatch - audit and feedback, reminders
- lack of motivation - leadership, incentives and sanctions
- beliefs/attitudes - peer influence&mentoring, opinion leaders, communication aids for consumer discussions and interactive education activities.
- systems of care - process redesign
What is the purpose of the traffic light grading system?
helps clinicians make decisions regarding changes to practice based on evidence
What does the green traffic light mean?
evidence is proven effective and is applicable, use this approach in practice
What does the amber traffic light mean?
uncertain effect of evidence - insufficient, conflicting or no evidence. Measure effects, were goals met?
What does the red traffic light mean?
proven ineffective don’t use this, chose an alternative
