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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

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