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evidence based practice unit i introduction

Evidence Based Practice: Unit I Introduction

Mount St. Mary’s College

Doctor of Physical Therapy Program

Faculty Online Instruction

objectives
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.
what is evidence based practice
What is Evidence Based Practice
    • Clinical Judgment
    • Research Evidence
    • Patient Preferences or Values
  • Evidence and Decision Making
objectives of ebp
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)
slide6
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

slide7
ClinicalJudgment

Complexity and Uncertainty

PriorExperience

Knowledge

Modified from Portney,2005

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

slide8
ClinicalJudgment

Complexity and Uncertainty

PriorExperience

Knowledge

Modified from Portney,2005

slide9
ClinicalJudgment

Complexity and Uncertainty

PriorExperience

Knowledge

Modified from Portney,2005

slide10
ClinicalJudgment

Complexity and Uncertainty

PriorExperience

Knowledge

Modified from Portney,2005

slide11
Patient

Values

Patient

Characteristics

Patient

Goals

Environment

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

Modified from Portney,2005

slide12
Patient

Values

Patient

Characteristics

Patient

Goals

Environment

Modified from Portney,2005

slide13
Patient

Values

Patient

Characteristics

Patient

Goals

Environment

Modified from Portney,2005

slide14
Patient

Values

Patient

Characteristics

Patient

Goals

Environment

Modified from Portney,2005

slide15
Patient

Values

Information

Patient

Characteristics

Patient

Goals

Environment

Modified from Portney,2005

slide16
Research

Evidence

Meta-analysis

&

Systematic

Reviews

Randomized

Controlled

Trials

Observational

Studies

Modified from Portney,2005

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

slide17
Research

Evidence

Meta-analysis

&

Systematic

Reviews

Randomized

Controlled

Trials

Observational

Studies

Modified from Portney,2005

slide18
Research

Evidence

Meta-analysis

&

Systematic

Reviews

Randomized

Controlled

Trials

Observational

Studies

Modified from Portney,2005

slide19
Research

Evidence

Meta-analysis

&

Systematic

Reviews

Randomized

Controlled

Trials

Observational

Studies

Modified from Portney,2005

summary
Summary
  • Three Elements of EBP
    • Clinical Judgment
    • Patient Values or Preferences
    • Research Evidence
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