EBP Made Easy
- 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
Editor's Notes
- #2: Evidence Based Practice, presented by Rachael Lowe from CPDspot in conjunction with Webducate.