EVIDENCE INFORMED PRACTICE TEST
1
Evidence45Based45Dentistry45-45answer--
•An45approach45to45oral45healthcare45which45requires45the45judicious45integration45of45syst
emic45assessments45of45clinically45relevant45scientific45evidence,45relating45to45the45client'
s45oral45and45medical45condition45and45history,45with45the45dentist's45clinical45expertise45an
d45the45client's45treatment45needs45and45preferences45(ADA,452012).
•Intended45to45increase45optimal45care45
•Reducing45the45variation45in45treatment
EVBP45vs45EIP45-45answer---45Evidence45Informed45Practice
•According45to45the45Canadian45Nurses45Association,45the45distinction45between45the45ter
ms45'evidence-based'45and45'evidence-informed'45is45*important*
•The45concept45of45evidence-informed45decision-making45*builds45on45evidence-
based45health45care*
•It45acknowledges45that45there45are45many45factors45other45than45evidence45-
45for45example,45*available45resources45or45cultural45and45religious45norms*45-
45that45influence45decision-making
445Eras45-45answer--*Expert*-45master45vs45apprentice,45learn45from45own45experience
*Professionalization*-
45Publishing45a45textbook45based45on45observation,45establishment45of45dental45schools
*Science*-45Controlled45experimentation45that45was45protocol-base,45pre-
doctoral45and45post-doctoral45
*Evidence*-
45Deemphasizing45the45role45of45the45expert,45clinical45guideline45development
Why45EIP45-45answer--1.Best45available45science
•Advancements45in45technologies45•Improvements45in45methodologies45
•Statistical45methods
2.Results
•Inaccurate
•Outdated
•Partial45Information
, 3.Maximizes
•Valid45
•Relevant
•Unbiased
4.Minimizes
•Cognitive45barriers45-45translating45research45into45clinical45care
345Components45-45answer---Clinician's45expertise
-Scientific45evidence
-Client's45needs45and45preferences
Forces45Driving45the45Need45-45answer--1.Variations45in45practice45patterns
2.Slow45Assimilation45of45research45findings45into45practice
3.Manage45the45information45overload
•Technology45to45access45relevant45clinical45findings
•Public45is45learning45how45to45better45evaluate45research
4.Clinicians45never45have45complete45knowledge
5.Changing45educational45requirements-
45Accreditation•Conditions45•Medications•Materials•Products
Role45of45DH45-45answer--•*Educating45clients*
•*Client-centered45health45care*
-Personalized45health45care45services
-Acknowledges45an45individual's45unique45needs,45desires45and45challenges
•*Better45health45outcomes*
-Collaborative45
-Sensitive45to45needs
•Requires45*respect*45for45client's45desires45and45circumstances
•Adequately45*assess45own45deficiencies*-45self45identify45knowledge45gaps
•*Time45to45review45the45scientific45literature*
Possible45EIP45barriers45-45answer--•Time
•Inability45to45access45research
•Inability45to45understand45the45language45of45research
•Lack45of45critical45appraisal45skills
•Lack45confidence45in45making45change45based45on45research45evidence
•Lack45of45sense45of45control45over45practice
•Culture45resistance45to45change,45decisions45based45on45history
1
Evidence45Based45Dentistry45-45answer--
•An45approach45to45oral45healthcare45which45requires45the45judicious45integration45of45syst
emic45assessments45of45clinically45relevant45scientific45evidence,45relating45to45the45client'
s45oral45and45medical45condition45and45history,45with45the45dentist's45clinical45expertise45an
d45the45client's45treatment45needs45and45preferences45(ADA,452012).
•Intended45to45increase45optimal45care45
•Reducing45the45variation45in45treatment
EVBP45vs45EIP45-45answer---45Evidence45Informed45Practice
•According45to45the45Canadian45Nurses45Association,45the45distinction45between45the45ter
ms45'evidence-based'45and45'evidence-informed'45is45*important*
•The45concept45of45evidence-informed45decision-making45*builds45on45evidence-
based45health45care*
•It45acknowledges45that45there45are45many45factors45other45than45evidence45-
45for45example,45*available45resources45or45cultural45and45religious45norms*45-
45that45influence45decision-making
445Eras45-45answer--*Expert*-45master45vs45apprentice,45learn45from45own45experience
*Professionalization*-
45Publishing45a45textbook45based45on45observation,45establishment45of45dental45schools
*Science*-45Controlled45experimentation45that45was45protocol-base,45pre-
doctoral45and45post-doctoral45
*Evidence*-
45Deemphasizing45the45role45of45the45expert,45clinical45guideline45development
Why45EIP45-45answer--1.Best45available45science
•Advancements45in45technologies45•Improvements45in45methodologies45
•Statistical45methods
2.Results
•Inaccurate
•Outdated
•Partial45Information
, 3.Maximizes
•Valid45
•Relevant
•Unbiased
4.Minimizes
•Cognitive45barriers45-45translating45research45into45clinical45care
345Components45-45answer---Clinician's45expertise
-Scientific45evidence
-Client's45needs45and45preferences
Forces45Driving45the45Need45-45answer--1.Variations45in45practice45patterns
2.Slow45Assimilation45of45research45findings45into45practice
3.Manage45the45information45overload
•Technology45to45access45relevant45clinical45findings
•Public45is45learning45how45to45better45evaluate45research
4.Clinicians45never45have45complete45knowledge
5.Changing45educational45requirements-
45Accreditation•Conditions45•Medications•Materials•Products
Role45of45DH45-45answer--•*Educating45clients*
•*Client-centered45health45care*
-Personalized45health45care45services
-Acknowledges45an45individual's45unique45needs,45desires45and45challenges
•*Better45health45outcomes*
-Collaborative45
-Sensitive45to45needs
•Requires45*respect*45for45client's45desires45and45circumstances
•Adequately45*assess45own45deficiencies*-45self45identify45knowledge45gaps
•*Time45to45review45the45scientific45literature*
Possible45EIP45barriers45-45answer--•Time
•Inability45to45access45research
•Inability45to45understand45the45language45of45research
•Lack45of45critical45appraisal45skills
•Lack45confidence45in45making45change45based45on45research45evidence
•Lack45of45sense45of45control45over45practice
•Culture45resistance45to45change,45decisions45based45on45history
