EBP Made Easy

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A short presentation that describes EBP.

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

    1. 1. Evidence Based Practice Rachael Lowe Physiotherapist and E-Learning Specialist www.cpdspot.com www.webducate.net
    2. 2. Learning Outcomes <ul><li>By the end of this presentation you should be able to : </li></ul><ul><li>describe evidence-based practice </li></ul><ul><li>explain why it is important </li></ul><ul><li>and outline the five steps of EBP </li></ul>
    3. 3. Definition <ul><li>“ the integration of best research evidence with clinical expertise and patient values” </li></ul><ul><li>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 </li></ul>
    4. 4. What is EBP? <ul><li>Evidence based practice is the integration of: </li></ul><ul><li>Best evidence </li></ul><ul><ul><li>clinically relevant, methodologically sound </li></ul></ul><ul><li>Clinical expertise </li></ul><ul><ul><li>education, experience, clinical skills </li></ul></ul><ul><li>Patient values </li></ul><ul><ul><li>Preferences, concerns, expectations </li></ul></ul>
    5. 5. Why is EBP important? <ul><li>Provide quality patient care </li></ul><ul><li>Meet specific information needs </li></ul><ul><li>Select clinically relevant and applicable research </li></ul><ul><li>Reduce implementation delays </li></ul><ul><li>Keep knowledge correct and up-to-date </li></ul><ul><li>Satisfy purchasers </li></ul>
    6. 6. How do we do EBP? <ul><li>Formulate an answerable question </li></ul><ul><li>Finding the best available evidence </li></ul><ul><li>Appraise the evidence </li></ul><ul><li>Apply the evidence in combination with clinical expertise and patient values </li></ul><ul><li>Evaluate outcome </li></ul>
    7. 7. Formulate an answerable question <ul><li>Triggered by patient encounters </li></ul><ul><li>Relevant to your practice </li></ul><ul><li>A well built question makes the search for evidence easier </li></ul>
    8. 8. Find the best available evidence <ul><li>Identify search terms </li></ul><ul><li>Select a resource </li></ul><ul><li>Formulate a strategy </li></ul><ul><ul><li>Search each important concept separately </li></ul></ul><ul><ul><li>Combine the separate sets of articles </li></ul></ul><ul><ul><li>Limit the results </li></ul></ul>
    9. 9. Appraise the evidence <ul><li>Appraise for Validity and Applicability </li></ul><ul><li>Use a simple critical appraisal method that will answer these questions: </li></ul><ul><ul><li>What question did the study address? </li></ul></ul><ul><ul><li>Were the methods valid? </li></ul></ul><ul><ul><li>What are the results? </li></ul></ul><ul><ul><li>How do the results apply to your practice? </li></ul></ul>
    10. 10. Apply the Evidence <ul><li>Integrate the evidence with clinical expertise and patient values </li></ul><ul><li>Incorporate this clinical decision into practice </li></ul><ul><li>justified as evidence based </li></ul>
    11. 11. Evaluate the Outcome <ul><li>Was the application effective? </li></ul><ul><li>Should it continue to be included in practice? </li></ul><ul><li>How can my clinical decision making process be improved? </li></ul>
    12. 12. Keep it simple <ul><li>Keep a log of questions </li></ul><ul><li>Answer a few a week </li></ul><ul><li>Get help with searches </li></ul><ul><li>Simplify appraisals </li></ul><ul><li>Focus on interpreting the evidence </li></ul>
    13. 13. Summary <ul><li>Simple 5 step process </li></ul><ul><li>Patient focused questions </li></ul><ul><li>Plan searches </li></ul><ul><li>Appraise evidence </li></ul><ul><li>Apply </li></ul><ul><li>Evaluate outcome </li></ul><ul><li>Continuous patient care and clinical practice improvement </li></ul>
    14. 14. The Big Picture <ul><li>Building a question </li></ul><ul><ul><li>PICO questions </li></ul></ul><ul><ul><li>Type of question </li></ul></ul><ul><ul><li>Type of study </li></ul></ul><ul><li>Search strategies </li></ul><ul><ul><li>MESH terms </li></ul></ul><ul><ul><li>Combing results </li></ul></ul><ul><ul><li>Limiting results </li></ul></ul><ul><li>Critical appraisal </li></ul><ul><ul><li>Validity </li></ul></ul><ul><ul><li>applicability </li></ul></ul>
    15. 15. <ul><li>Now record this learning experience in your portfolio… </li></ul><ul><li>www.mycpdspot.com </li></ul>

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