Clinical Expertise, Client/Caregiver opinion, and external evidence
What is Evidence Based Practice
100
Systematic and generalizable–Controls for extraneous factors
What is Scientific Method
100
•Age•Ability•Ethnicity•Experience•Gender•Linguistic background•National origin•Race•Religion•Sexual orientation•Socioeconomic status
What is Cultural Competence
100
–Any question that takes the PICO form–Most helpful in structuring searches for external evidence
What is Foreground question
100
A way to report the process and conclusions of a clinical question
What is Critically Appraised Topic (CAT)
200
Generalizable knowledge–Rigorous research design an permit inferences of causality and statements about the average size of effect
What is E3BP External Evidence
200
We need to think carefully about how to create the conditions that will facilitate patients’ understanding of their clinical options, including their choice to participate in the decisions about their care.
What is Patient Values by Dr. Huntington PomPon
200
1. Uncertainty about whether a clinical action is optimal for a client
2. Professional integrity
What is preconditions to E3BP
200
–Questions that ask for general knowledge about a condition or treatment
What is a background question
200
CAPE
What is Checklist for Appraising Practice Evidence a way to assess internal evidence
300
Applicability to an individual patient is unknown•Group means help communicate trends, but do not represent everyone in the group.
What is Limitations to external evidence
300
1. Uncertainty about whether a clinical action is optimal for a client
2. Professional integrity
3. Appreciation of four principles that underpin clinical ethical reasoning
What is preconditions to E3BP
300
Finding the evidence
What is Step 2 in EBP
300
Making the decision
What is Step 4 EBP
400
“Providing care that is respectful of, and responsive to, individual patient preferences, needs and values, and ensuring that patient values guide all clinical decisions.”
What is Patient Centered Care
400
exists when the clinical service provider (or clinician) involved in the research study has no preference or is truly uncertain about the overall benefit or harm offered by the treatment to his/her patient. In other words, the clinician has no personal preconceived preferences toward the ability of one or more of the interventions to have a better outcome than another.”
What is Equipoise
400
Assessing the evidence
What is Step 3 in EBP
400
Sharpen the question. Make the search for evidence a manageable task with a clear endpoint.
What is foreground questions about other types of evidence
500
Problematic: haphazard and unsystematic. Knowledge obtained in this way is probably not generalizable. Time consuming and limited in scope.–A better solution, as yet untried, may never be tested. A clinician using this method should not conclude that the “best” solution has been found
What is Trial and Error
500
The purpose may be to describe the state of conditions, or it may be to explore associations, formulate theory, or generate hypotheses (rather than test hypotheses)
What is Qualitative Research
500
Is the PPVT a better test at detecting language disorders in preschool children than the PLS-5?
What is PICO question
500
SCED
What is Single Case Experimental Design, a way to assess external evidence
500
1. relevance of the guideline to your specific clinical question
2.the extent to which clinical practice guidelines are truly evidence-based
3. who wrote and published the guideline.