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EBP Made Easy
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  • Evidence Based Practice, presented by Rachael Lowe from CPDspot in conjunction with Webducate.

Transcript

  • 1. Evidence Based Practice Rachael Lowe Physiotherapist and E-Learning Specialist www.cpdspot.com www.webducate.net
  • 2. Learning Outcomes
    • By the end of this presentation you should be able to :
    • describe evidence-based practice
    • explain why it is important
    • and outline the five steps of EBP
  • 3. Definition
    • “ the integration of best research evidence with clinical expertise and patient values”
    • Sackett DL, Rosenberg WMC, Gray JAM, Haynes RB, Richardson WS. Evidence based medicine: what it is and what it isn’t. BMJ, 1996;312:71-2
  • 4. What is EBP?
    • Evidence based practice is the integration of:
    • Best evidence
      • clinically relevant, methodologically sound
    • Clinical expertise
      • education, experience, clinical skills
    • Patient values
      • Preferences, concerns, expectations
  • 5. Why is EBP important?
    • Provide quality patient care
    • Meet specific information needs
    • Select clinically relevant and applicable research
    • Reduce implementation delays
    • Keep knowledge correct and up-to-date
    • Satisfy purchasers
  • 6. How do we do EBP?
    • Formulate an answerable question
    • Finding the best available evidence
    • Appraise the evidence
    • Apply the evidence in combination with clinical expertise and patient values
    • Evaluate outcome
  • 7. Formulate an answerable question
    • Triggered by patient encounters
    • Relevant to your practice
    • A well built question makes the search for evidence easier
  • 8. Find the best available evidence
    • Identify search terms
    • Select a resource
    • Formulate a strategy
      • Search each important concept separately
      • Combine the separate sets of articles
      • Limit the results
  • 9. Appraise the evidence
    • Appraise for Validity and Applicability
    • Use a simple critical appraisal method that will answer these questions:
      • What question did the study address?
      • Were the methods valid?
      • What are the results?
      • How do the results apply to your practice?
  • 10. Apply the Evidence
    • Integrate the evidence with clinical expertise and patient values
    • Incorporate this clinical decision into practice
    • justified as evidence based
  • 11. Evaluate the Outcome
    • Was the application effective?
    • Should it continue to be included in practice?
    • How can my clinical decision making process be improved?
  • 12. Keep it simple
    • Keep a log of questions
    • Answer a few a week
    • Get help with searches
    • Simplify appraisals
    • Focus on interpreting the evidence
  • 13. Summary
    • Simple 5 step process
    • Patient focused questions
    • Plan searches
    • Appraise evidence
    • Apply
    • Evaluate outcome
    • Continuous patient care and clinical practice improvement
  • 14. The Big Picture
    • Building a question
      • PICO questions
      • Type of question
      • Type of study
    • Search strategies
      • MESH terms
      • Combing results
      • Limiting results
    • Critical appraisal
      • Validity
      • applicability
  • 15.
    • Now record this learning experience in your portfolio…
    • www.mycpdspot.com