this is made with help of different articles & by using various references which are not mentioned

1. EVIDENCE BASED PRACTICE
(EBP)
BY.MOHIT KUMAR CHANDEL
BPT 4TH YEAR
PIPRAMS GREATER NOIDA (U.P)

2.  INTRODUCTION OF EBP
 DEFINITION OF EVIDENCE
 HIERARCHY OF EVIDENCE
 HISTORY OF EBP
 COMPONENTS OF EBP
 AIMS OF EBP
 ADVANTAGES OF EBP
 DISADVANTAGES OF EBP
 BARRIERS IN EBP
 RESEARCH Vs. EBP
OBJECTIVES

3.  EBP IS NOT A NEW CONCEPT, BUT IT HAS BECOME MORE EXPLICIT IN
MANY COUNTRIES OVER RECENT YEARS.
 EVIDENCE BASED PRACTICE IS AN EMERGING AND INCREASING THEME IN
REHABILITATION AND PHYSIOTHERAPY.
 EBP PROMOTES THE COLLECTION,INTERPRETATION,&APPLICATION OF
VALID EVIDENCE IN CLINICAL DECISION MAKING.
 THE CONSCIENTIOUS,EXPLICIT AND JUDICIOUS USE OF CURRENT BEST
EVIDENCE IN MAKING DECISIONS ABOUT THE CARE OF INDIVIDUAL
PATIENT.IT MEANS INTEGRATING INDIVIDUAL CLINICAL EXPERTISE WITH
THE BEST AVAILABLE EXTERNAL CLINICAL EVIDENCE FROM SYSTEMATIC
RESEARCH.(SACKETT D,1996)
INTRODUCTION OF EBP

4.  The available body of facts or information indicating
whether a belief or proposition is true or valid .
 An evidence could be –
 Patient reported
 Clinician observed
 Research derived
DEFINITION OF EVIDENCE

5. HIERARCHY OF EVIDENCE
LEVEL
• IA
• IB
• IIA
• IIB
• III
• IV
TYPE OF EVIDENCE
 EVIDENCE OBTAINED FROM A SYSTEMATIC REVIEW OR META
ANALYSIS OF RANDOMISED CONTROL TRIALS
 EVIDENCE OBTAINED FROM AT LEAST RANDOMISED
CONTROLLED TRIAL
 EVIDENCE OBTAINED FROM AT LEAST ONE WELL DESIGNED
CONTROLLED STUDY WITHOUT RANDOMISATION
 EVIDENCE OBTAINED FROM AT LEAST ONE OTHER TYPE OF
WELL DESIGNED QUASI-EXPERIMENTAL STUDY
 EVIDENCE OBTAINED FROM WELL DESIGNED NON-
EXPERIMENTAL DESCRIPTIVE STUDIES
 EVIDENCE OBTAINED FROM EXPERT COMMITTEE REPORTS OR
OPINIONS AND CLINICAL EXPERIENCE OF RESPECTED
AUTHORITIES( ADAPTED FROM NATIONAL INSTITUTE FOR CLINICAL
EXCELLENCE (2001)

6.  SINCE THE EARLY 1990’S, FOLLOWING THE RISE OF EBM
(EVIDENCE BASED MEDICINE), THE CONCEPT OF
EVIDENCE-BASED PRACTICE HAS BEEN ASSOCIATED WITH
PHYSICAL THERAPY.
 THE FIRST PUBLICATION ON THIS TOPIC CAME OUT OF
THE DEPARTMENT OF EPIDEMIOLOGY AT THE UNIVERSITY
OF MAATRICHT, NETHERLANDS.
 TODAY,THE MAJOR STUDY CENTRE FOR EVIDENCE –
BASED PHYSIOTHERAPY BASED IN THE SCHOOL OF
PHYSIOTHERAPY AT THE UNIVERSITY OF SYDNEY,
AUSTRALIA.
HISTORY OF EBP

7. COMPONENTS OF EBP
IMPROVED
PATIENTS
OUTCOME
BEST AVAILABLE CLINICAL EVIDENCE
PATIENT’S VALUES AND
EXPECTATIONS
INDIVIDUAL CLINICAL
EXERPTISE

8.  IMPROVE THE CARE OF PATIENTS, CARERS &
COMMUNITIES.
 REDUCE VARIATIONS IN PRACTICE .
 USE EVIDENCE FROM HIGH QUALITY RESEARCH TO
INFORM PRACTICE.
 MAKE DECISION MAKING MORE TRANSPARENT.
 INTEGRATES PATIENT PREFERENCES INTO DECISION-
MAKING.
AIMS OF EBP

9.  Ability to evolve and individualize care of patients.
 Reduce cost of the patient care.
 Enhance expertise of medical professional providing
your care.
ADVANTAGE OF EBP

10.  Includes shortage of evidence .
 Oversight of common sense.
 The length of time & difficulty of finding of valid
credible evidence.
DISADVANTAGE OF EBP

11.  LACK OF VALUE FOR RESEARCH IN PRACTICE
 DIFFICULITY IN BRINGING CHANGE
 LACK OF ADMINISTRATIVE SUPPORT
 LACK OF KNOWLEDGE MENTORS
 LACK OF KNOWLEDGE ABOUT EBP
 LACK OF TIME & SKILLS
BARRIERS IN EBP

12. RESEARCH Vs. EBP
RESEARCH
 Research is about developing
new knowledge or to validate
existing knowledge based on a
theory.
EBP
 EBP involves innovation in
terms of finding and
translating the best evidence
into clinical practice.