1) The seminar presentation discussed introducing evidence-based practice (EBP) into radiography by integrating the best research evidence, clinical expertise, and patient values and preferences. 2) EBP offers radiographers a systematic method to ask and answer clinically relevant questions by acquiring and appraising the best available evidence and implementing it into practice. 3) Barriers to implementing EBP include a lack of critical appraisal skills and unwritten rules within organizations, but strategies like educating staff and promoting an evidence-based culture can help address these challenges.

1. SEMINAR PRESENTATION
ON
EVIDENCE BASED PRACTICE; A NEW
APPROACH TO THE PRACTICE OF
RADIOGRAPHY
University of Benin Teaching Hospital, Benin City
DATE: 03/04/2023
BY:
UMEH CHIOMA METHUSELINA

2. ABSTRACT
-Evidence-based practice (EBP) offers the integration of
the best research evidence with clinical knowledge and
expertise and patient values.
-Evidence-based radiography is radiography informed and
based on the combination of clinical expertise and the best
available research-based evidence, patient preferences
and resources available.
KEYWORDS
Evidence-based practice; Radiography; Systematic;
Method; Implementing; Research

3. CONTENTS
 Introduction and Implementation of EBP into
Radiography
 Need for EBP in Radiography curriculum and
practice
 Barriers and strategies in implementing evidence-
based radiography
 Radiographers and research
 Conclusion
 References

4. INTRODUCTION
Radiographers are taking on greater responsibilities. They need to be able
to deal with advanced technical equipment and be responsive to the
continuous technological development within their field.
Radiography requires practitioners who possess both specialist and
generalist knowledge and skills.
They are challenges they may face at any time in the various aspects of
providing health services, which calls for the need to introduce and
implement evidence-based practice (EBP)in radiography.
The object of this seminar focuses on best academic learning, clinical
practice and active research to develop the best practice of radiography.

5. INTRODUCTION
Evidence-based radiography (EBR) is the integration of the best clinical
expertise and the best available research-based evidence, patient preferences
and resources available, which when applied by practitioners will ultimately
lead to improved patient outcome.
There are three fundamental components of evidence based practice in
Radiography:
-Clinically relevant research
-Clinical expertise refers
-Patient values which are the unique preferences, concerns and expectations
each patient brings to a clinical encounter.
The integration of these three components defines a clinical evidence-based
decision.

7. EVIDENCE-BASED RADIOGRAPHY IN PRACTICE
• Radiographers must fulfil requirements related to effectiveness,
efficiency, cost-effectiveness and practical skills in assessment,
compassion and care.
• The increasing demands in quality of health services calls for actively
seeking new evidence within the fields to remain professionally up to
date and to be able to provide high quality services for health care
users.
• On average it takes years to translate research findings into clinical
practice. A strategy to reach these requirements in care provision is to
increase the use of EBP and this is one of the driving forces behind its
development.

8. Systematic method of evidence-based radiography
1. ASK: The first steps are recognizing a need for information and
making a researchable well-built clinical question.
These questions are usually triggered by patient encounters which
generate questions about the diagnosis, therapy, prognosis or
aetiology. The research questions should be related to “background”
or “foreground” knowledge.
A commonly used framework for asking well constructed and
clinically relevant questions is “PICO”;
Without formulating a searchable and answerable question, the
entire EBP process is off to a faulty start.

9. 3. Find the best available evidence/ACQUIRE:
The second step is to find the relevant evidence. This step involves identifying search
terms which will be found in your carefully constructed question from step one; selecting
resources in which to perform your search such as PubMed and Cochrane Library; and
formulating an effective search strategy using a combination of MESH terms and
limitations of the results.
4. Appraise the evidence
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?
5. Implement the evidence
Individual clinical decisions can then be made by combining the best available
evidence with your clinical expertise and your patients values which can then be
justified as evidence based.

10. 6. Evaluate the outcome
Evaluate the effectiveness and efficacy of your decision in direct relation to your
patient. Was the application of the new information effective? Should this new
information continue to be applied to practice?
Disseminate results - Radiographers can achieve wonderful outcomes
for their patients through EBP, but they often fail to share their experiences
with colleagues or other health care organisations. This leads to needless
duplication of effort, and perpetuates clinical approaches that are not
evidence based.
Among ways to disseminate successful initiatives are EBP rounds in your
institution, presentations at local, regional, and national conferences,
reports in peer-reviewed journals or professional newsletters and
publications for general audiences and writing findings in Pedias!!

11. Systematic method of evidence-based radiography

12. B. Need for EBP in Radiography curriculum and practice
Radiographers, have to take into consideration the duty of being lifelong learners.
1. Implementing EBP will change the way Radiographers use information compared to ordinary
teaching and learning strategies. They will use information in a more systematic manner.
2. Radiographers shift in role from passive acceptance towards active searching and analysis of
available information.
3. In evidence-based radiography, evidence is incorporated with other knowledge into real-time
clinical decisions, whether for individual or groups of patients.
4. Radiographers familiar with EBP will have the knowledge to ask clinically relevant questions, to
know where to search for knowledge, to recognize where and how to search for evidence and to
assess critically what is found.

13. Barriers and strategies in implementing evidence-based
radiography
Radiographers within an organization need to understand the principles of EBP.
Without these skills, professionals will find it difficult to provide “best practice”
and to implement evidence-based practice in radiography.
Some barriers to accepting the implementation of EBP and strategies available
to assist in accepting the implementation of evidence-based practice.
1. The lack of basic skills in critical appraisal:
Being unskilled can be hidden behind an outspoken skepticism towards EBP.
Radiographers may more easily adopt evidence-based radiography when they
are able to link the new knowledge with their own previous knowledge. They
then have the ability to identify capture, interpret, share, reframe and re-codify
new knowledge with their existing knowledge.

14. 2. Unwritten rules, assumptions and expectations within the
organisation.
Where and when decision making is expected to be based on the best
available evidence, key players within the organisation, particularly the
leaders, must create an evidence-based culture. An important strategy
is to convince key players of the benefit of skills in EBP.
Radiographers in practice, who are not educated in using evidence-
based radiography, need an introduction to and basic knowledge of the
systematic methodology and curriculum framework of EBP.
Academics should be persuaded and use EBP in their teaching and
research. It requires educated and skilled staff as well as continuing
education to facilitate the use of EBP when incorporating it into a
curriculum.

15. RADIOGRAPHERS AND RESEARCH
EBP principles should be handled as tools with which radiographers
might improve practice and determine best practice within a complex
health care system. EBP should be most useful within professional
practice in the medical radiation sciences as listed in ISRRT.1
Advancing best practice in radiography requires accelerating clinical
research to generate evidence in practice.
Radiographic knowledge base has for many years been built on
research carried out by radiologists and physicists. Radiography
research is growing but there is still a need for more specific
professional evidence being presented by radiographers.

16. Implementing evidence-based radiography in the curriculum and in
clinical practice may advance systematic work and will also increase
the research knowledge and expand practice and research activity
among radiographers.
All health care professions must join together with the goal of
advancing EBP in their practice. Joining the research milieu of
radiologists, physicists and nurses as part of the multidisciplinary
team, will encourage radiographers to initiate research projects.
In certain circumstances, where radiographic knowledge is limited, the
radiography profession will need to create new knowledge by
conducting their own research.

17. CONCLUSION
Health care services demand high quality and reliable services .
Implementing evidence-based radiography in the curriculum and in daily
professional practice should offer a contribution to the rapid development of
radiography as a discipline. Evidence-based radiography will aid the building
of radiographers‟ own research knowledge base,.
Radiographers in clinical practice, implementing evidence-based
radiography, will surely increase the knowledge of evidence-based
radiography. By this means they will be at the critical cutting edge of the
discipline and professional development.

18. REFERENCES
1. Straus SE, Richardson WS, Glasziou P, Haynes RB.
Evidence-based medicine: how to practice and teach EBM.
3rd edn. Edinburgh: Elsevier Churchill Livingstone; 2007.
2. Bjorg Hafslund a, Judith Clare b, Birgitte Graverholt
b,Monica Wammen Nortvedt; 2008.
3. Evidence-Based Nursing. Available from:
<http://ebn.bmj.com/>
4. Ciliska D. Education for Evidence-Based Practice. Journal
of Professional Nursing; 2005.

19. THANKS FOR LISTENING.
THE END