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Evidence Based Practice: Unit I Introduction. Mount St. Mary’s College Doctor of Physical Therapy Program Faculty Online Instruction. How Should Treatments Be Critiqued for Scientific Merit? Phys Ther. 1996. Objectives.

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Evidence Based Practice: Unit I Introduction

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Evidence based practice unit i introduction l.jpg

Evidence Based Practice: Unit I Introduction

Mount St. Mary’s College

Doctor of Physical Therapy Program

Faculty Online Instruction


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  • How Should Treatments Be Critiqued for Scientific Merit?

    • Phys Ther. 1996


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Objectives

  • Define elements of Sackett’s Model and relate them to clinical decision making.

  • Describe the application of Sackett’s Model to diagnosis, prognosis and intervention.


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What is Evidence Based Practice

  • Clinical Judgment

  • Research Evidence

  • Patient Preferences or Values

  • Evidence and Decision Making


  • Objectives of ebp l.jpg

    Objectives of EBP

    • Promote interventions that do more good than harm

    • Prevent use of unproven interventions

    • Remove harmful interventions

    • J A Muir Gray (1997).

    • Harwood, 2005 (Preview 2020)


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    Clinical Judgment

    PriorExperience

    Knowledge

    Complexity and Uncertainty

    Environment

    Meta-analysis

    Patient

    Values

    Research

    Evidence

    RCTs

    Clinical Decision Making

    Patient

    Goals

    Observational

    Studies

    Patient

    Characteristics

    Modified from Portney,2005

    http://www2.apa.org/practice/ebpstatement.pdf


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    ClinicalJudgment

    Complexity and Uncertainty

    PriorExperience

    Knowledge

    Modified from Portney,2005

    http://www2.apa.org/practice/ebpstatement.pdf


    Slide8 l.jpg

    ClinicalJudgment

    Complexity and Uncertainty

    PriorExperience

    Knowledge

    Modified from Portney,2005


    Slide9 l.jpg

    ClinicalJudgment

    Complexity and Uncertainty

    PriorExperience

    Knowledge

    Modified from Portney,2005


    Slide10 l.jpg

    ClinicalJudgment

    Complexity and Uncertainty

    PriorExperience

    Knowledge

    Modified from Portney,2005


    Slide11 l.jpg

    Patient

    Values

    Patient

    Characteristics

    Patient

    Goals

    Environment

    http://www2.apa.org/practice/ebpstatement.pdf

    Modified from Portney,2005


    Slide12 l.jpg

    Patient

    Values

    Patient

    Characteristics

    Patient

    Goals

    Environment

    Modified from Portney,2005


    Slide13 l.jpg

    Patient

    Values

    Patient

    Characteristics

    Patient

    Goals

    Environment

    Modified from Portney,2005


    Slide14 l.jpg

    Patient

    Values

    Patient

    Characteristics

    Patient

    Goals

    Environment

    Modified from Portney,2005


    Slide15 l.jpg

    Patient

    Values

    Information

    Patient

    Characteristics

    Patient

    Goals

    Environment

    Modified from Portney,2005


    Slide16 l.jpg

    Research

    Evidence

    Meta-analysis

    &

    Systematic

    Reviews

    Randomized

    Controlled

    Trials

    Observational

    Studies

    Modified from Portney,2005

    http://www2.apa.org/practice/ebpstatement.pdf


    Slide17 l.jpg

    Research

    Evidence

    Meta-analysis

    &

    Systematic

    Reviews

    Randomized

    Controlled

    Trials

    Observational

    Studies

    Modified from Portney,2005


    Slide18 l.jpg

    Research

    Evidence

    Meta-analysis

    &

    Systematic

    Reviews

    Randomized

    Controlled

    Trials

    Observational

    Studies

    Modified from Portney,2005


    Slide19 l.jpg

    Research

    Evidence

    Meta-analysis

    &

    Systematic

    Reviews

    Randomized

    Controlled

    Trials

    Observational

    Studies

    Modified from Portney,2005


    Summary l.jpg

    Summary

    • Three Elements of EBP

      • Clinical Judgment

      • Patient Values or Preferences

      • Research Evidence


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