Sample PowerPoint for seminar

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A seminar presentation on
Evidence-basedRadiography (EBR): an important approach
to the practice of radiography.
by
Lemoha meekness mmesoma
Eu/hs/rad/18/004

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►INTRODUCTION
►HISTORY
►INTEGRATION OF EBR INTO EXISTING
RADIOGRAPHY PRACTICES
►PRINCIPLES/STEPS
►CHANGES REQUIRED TO ADOPT THE
METHOD
►EBR RESOURCES
►IMPORTANCE
►BARRIERS
►OVERCOMING THE BARRIERS
OUTLINE

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INTRODUCTION
What is Evidence Based
Radiography?
Evidence-Based Radiography (EBR) is an approach to radiography
practice that involves using the best available evidence from research
studies, clinical guidelines, and other sources of information to inform
clinical decision-making. EBR is a systematic and structured approach
to radiography practice that aims to optimize patient outcomes .
reflect the most up-to-date and evidence-based approaches to
radiography. EBR requires radiographers to critically evaluate the
quality and relevance of available evidence, and use it to inform their
clinical practice. By incorporating evidence-based practices into
clinical decision-making, radiographers can provide more
personalized care to their patients, based on their individual needs
and preferences., with a focus on using the best available evidence to
inform clinical decision-making and optimize patient outcomes

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Previous research has highlighted the importance of EBR in
radiography practice. A study by Hegazy et al. (2020)
investigated the level of knowledge and attitudes towards
EBR among radiographers in Egypt. The study found that
while the majority of radiographers had a positive attitude
towards EBR, there was a lack of knowledge and training in
EBR among the participants. This highlights the need for
more education and training in EBR to enhance its
implementation in clinical practice. In another study by
Mwaka et al. (2020), the authors explored the barriers and
facilitators to the implementation of EBR among
radiographers in Uganda. The study found that the main
barriers to EBR implementation were a lack of awareness
and understanding of EBR, inadequate resources and
infrastructure, and a lack of support from management. On
the other hand, the main facilitators to EBR implementation
were access to training and education, support from
management, and availability of resources.
INTRODUCTION CONTINUED

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►EBM started in 19th century by
Hippocrates (460-377 B.C.)
►In 1996, Sackett et al introduced
evidence based medicine to the
medical community.
► In 2001, a review published in
Radiology as well, entitled
“Evidence Based Radiology.
Do not rely on
conclusions that arise
from the mind, but from
conclusions from action
after evaluating the
performance
- Hippocrates
HISTORYOF EBM

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INTEGRATION OF EBR INTO EXISTING
RADIOGRAPHY PRACTICES
Integrating Evidence-Based Radiography (EBR) into existing radiography practices
requires a systematic approach and a commitment to ongoing education and
training. Here are some steps that can be taken to integrate EBR into radiography
practice:

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Formulate a practical,
answerable and
focused clinical
question about:
► Intervention
► Diagnosis
► Prognosis
► Clients’
experiences and
concerns
to determine the type
of research for
answers.
First Step – Ask
Identify the problem areas in practice
and develop research questions there
from.
Once the clinical question has been
identified, it then needs to be put into a
searchable and answerable four-part
form covering:
►the population with the clinical problem
►an intervention or an exposure
►the comparator intervention or exposure
►the outcomes.
ASK
PRINCIPLES/STEPS OF
EBR

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Find the best
available and current
information, or
evidence
Second Step – Access
The ideal information source must
be:
►valid (contains high-quality data)
►relevant (clinically applicable)
►comprehensive (has data on all
benefits and harms of all possible
interventions)
►user-friendly (quick and easy to
access and use)
ACCESS
PRINCIPLES OF EBR

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Always have in mind
that publication does
not always guarantee
quality.
Third Step – Appraise
The collected relevant data must be
critically appraised for:
►Validity (trustworthy)
►Impact
►Applicability
APPRAISE
PRINCIPLES OF EBR

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► Based on degree
of personal
radiographer
initiative.
► Also, look beyond
fear of breaking
protocol.
Fourth Step – Apply
Steps to take in applying the
information to the patient’s care:
►Compare patient’s characteristics
with the trial’s inclusion
►Make a balance sheet of the benefits
and harms of the intervention.
►Decide whether the benefits outweigh
the harms.
APPLY
PRINCIPLES OF EBR

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Fifth Step – Evaluate Performance
Aims include
►patient care
► changing procedures for diagnosis.
► choosing the best available evidence
for decision making
PRINCIPLES OF EBR

12. CHANGES REQUIRED TO ADOPT THE METHOD
• In terms of changes required to adopt EBR,
radiographers may need to undergo additional training
or education to develop the necessary skills in
evidence-based practice, such as critical appraisal and
statistical analysis. Radiography departments may also
need to invest in resources, such as clinical librarians or
access to electronic databases, to support the
integration of EBR into clinical practice. Finally, there
may be a need for a cultural shift towards a more
evidence-based and patient-centered approach to
radiography practice
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EBR
RESOURCES
Colleagues
Textbooks
Guidelines
Journals
EBR RESOURCES

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• IMPORTANCE OF EBR
• Cost effective patient care.
• Reduces unnecessary investigation.
• Selection of appropriate imaging modality for
diagnosis.
• Encourage application of research result in care of
patient.
• Increase confidence in decision making , making
decisions in patients emergency and critical cases
• Help the radiographers to provide high quality
patient care and a better patient outcome

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BARRIERS
INDIVIDUAL
ENVIRONMENTAL
ORGANISATIONAL
BARRIERSTOPRACTICEOF EBR

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INDIVIDUAL
►Poor research attitude
►Lack of competence
►Inability to apply research
►Lack of advanced academic
skills
►Heavy workload
BARRIERSTOPRACTICEOF EBR

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ORGANISATIONAL
►Difficulty in accessing evidence
►Resource constraints
►Lack of funds for ongoing skills
development
►Management parties
BARRIERSTOPRACTICEOF EBR

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ENVIRONMENTAL
►Government policy
►A shift in managerial responsibility
►Culture of change
►Research perspective of colleagues
BARRIERSTOPRACTICEOF EBR

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►RRBN should incorporate EBR as topics in
their workshops and radiography curricular.
►Constant subscription to imaging journals.
►Positive attitude towards research.
►Continuous professional development.
OVERCOMING THE BARRIERS OF EBR

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► We can expect EBR to grow and evolve into
many different forms.
► In the near future technology will drive this
change at a phenomenal pace and transform the
things we are taught and the way we practice.
►EBR deals directly with the uncertainties of
clinical medicine and has the potential for
transforming the education and practice of the
next generation of radiographers.
FUTUREOFEBR

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► It is intended that the Diagnostic Imaging Scientist
would develop clinical practice regimes and
protocols on a foundation of current best evidence.
►
► Such protocols could become standard practice in
departments.
► Admittedly, this requires commitment and a deep
sense of responsibility to accomplish.
CONCLUSION.

23. Thank you