Evidence-Based Practice
Midterm Study Guide |
Practice Questions, Exam
Prep & Review
|Guaranteed success|
,Terms in this set (184)
Research based on developing new knowledge or validating existing knowledge on a
particular topic
Evidence-Based Practice based on translating the knowledge from the research and applying it to
clinical decision-making
Knowing what to do with clients Encompasses tradition of how a certain task has been done and has helped a
certain person or population of people, authority - what the experts say about
a certain issue, and experience - something that has worked for the
practitioner before
- Great places to start, but they are not necessarily going to yield sustainable
positive client outcomes.
Evidence-Based Medicine "the conscientiousness, explicit and judicious use of current best evidence in
making decisions about the care of individual patients" (Brown, 2017, p. 2)
- know what you are prescribing and why. Important for understanding medical
malpractice and Dr's getting in trouble for not using this thought process when
prescribing medicine, for positive outcomes.
Gaps in care between what people receive vs what - cost (insurance may not cover stuff)
they actually receive - access (pts can't get to services for whatever reason)
- health literacy (pts not knowing who they need to see
- burnout (burnt out staff can contribute to issues with best care given)
Triple Aim of EBP When....
- scientific evidence
- professional experience
- client values
Used in conjunction with each other lead to better health outcomes
Research Steps - Asking a scientific question
- Gathering information about the question
- Formulating a hypothesis
- Testing the hypothesis
- Examining and reporting the evidence
, Practitioner's Experience "Research will never keep up with clinical practice, nor can it answer all of the
specific questions that therapists face every day, given the diversity of clients,
the different settings in which the therapists practice, and pragmatic constraints
of the real world" (Brown, 2017, p. 5)
- Practitioners should be REFLECTIVE and think about what they did, how it
turned out, and how to make things better.
- Therefore, we collect data on our own clients (think about outcome
measures).
Work Setting Influences - Organizational context
- Available resources
- Costs
- Clinical culture
- Accessibility
- Healthcare system
Clinical Culture expresses the outlook and drive of the people working in the clinical setting to
continue learning and growing
Client-Centered Practice - "A client's situation should always be considered in the treatment planning
process" (Brown, 2017, p. 5)
- Shared-decision making is when we collaborate with clients and consider
their needs and experiences.
Process of EBP 1.) - Formulate a question based on a clinical problem
2.) - Identify the relevant evidence
3.) - Evaluate the evidence
4.) - Implement the findings
5.) - Evaluate the outcomes
Types of OT Research Questions to Create New • Effectiveness of Treatment
Evidence • Usefulness of an Assessment
• Prognosis/ Predication of course of disease/condition
• Etiology/ What can cause or predispose an individual to a disease/condition
(risk)
• Prevention/ identification or modification of risk factors
• Quality of Life/ Meaning
P (PICO) population
I (PICO) intervention
C (PICO) comparison or control group
Midterm Study Guide |
Practice Questions, Exam
Prep & Review
|Guaranteed success|
,Terms in this set (184)
Research based on developing new knowledge or validating existing knowledge on a
particular topic
Evidence-Based Practice based on translating the knowledge from the research and applying it to
clinical decision-making
Knowing what to do with clients Encompasses tradition of how a certain task has been done and has helped a
certain person or population of people, authority - what the experts say about
a certain issue, and experience - something that has worked for the
practitioner before
- Great places to start, but they are not necessarily going to yield sustainable
positive client outcomes.
Evidence-Based Medicine "the conscientiousness, explicit and judicious use of current best evidence in
making decisions about the care of individual patients" (Brown, 2017, p. 2)
- know what you are prescribing and why. Important for understanding medical
malpractice and Dr's getting in trouble for not using this thought process when
prescribing medicine, for positive outcomes.
Gaps in care between what people receive vs what - cost (insurance may not cover stuff)
they actually receive - access (pts can't get to services for whatever reason)
- health literacy (pts not knowing who they need to see
- burnout (burnt out staff can contribute to issues with best care given)
Triple Aim of EBP When....
- scientific evidence
- professional experience
- client values
Used in conjunction with each other lead to better health outcomes
Research Steps - Asking a scientific question
- Gathering information about the question
- Formulating a hypothesis
- Testing the hypothesis
- Examining and reporting the evidence
, Practitioner's Experience "Research will never keep up with clinical practice, nor can it answer all of the
specific questions that therapists face every day, given the diversity of clients,
the different settings in which the therapists practice, and pragmatic constraints
of the real world" (Brown, 2017, p. 5)
- Practitioners should be REFLECTIVE and think about what they did, how it
turned out, and how to make things better.
- Therefore, we collect data on our own clients (think about outcome
measures).
Work Setting Influences - Organizational context
- Available resources
- Costs
- Clinical culture
- Accessibility
- Healthcare system
Clinical Culture expresses the outlook and drive of the people working in the clinical setting to
continue learning and growing
Client-Centered Practice - "A client's situation should always be considered in the treatment planning
process" (Brown, 2017, p. 5)
- Shared-decision making is when we collaborate with clients and consider
their needs and experiences.
Process of EBP 1.) - Formulate a question based on a clinical problem
2.) - Identify the relevant evidence
3.) - Evaluate the evidence
4.) - Implement the findings
5.) - Evaluate the outcomes
Types of OT Research Questions to Create New • Effectiveness of Treatment
Evidence • Usefulness of an Assessment
• Prognosis/ Predication of course of disease/condition
• Etiology/ What can cause or predispose an individual to a disease/condition
(risk)
• Prevention/ identification or modification of risk factors
• Quality of Life/ Meaning
P (PICO) population
I (PICO) intervention
C (PICO) comparison or control group
