Defining the Evidence Based Practice Decision-Making Model: Difference between revisions
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== Introduction == | == Introduction == | ||
Revised Model of Evidence-Based Practice | |||
Satterfield et al (2009) further developed the evidence-based practice model and provided it with a transdisciplinary perspective by adding each “disciplines most important advances and attempts to address any deficiencies.” This model has a new external frame or pillar that provides environmental and organisational context. The three inner pillars of the model are: | |||
Best available research evidence | |||
Client or population’s characteristics, state, needs, values and preferences | |||
Resources including practitioner’s expertise | |||
At the center of this evidence-based model is clinical decision-making | |||
Seven steps | |||
Step 1: Determining the patient’s needs to formulate a clinical question | |||
Step 2: Locating the knowledge resources | |||
Step 3: Appraising the quality of the knowledge resources | |||
Step 4: Discussing the options with the patient | |||
Step 5: Formulate the treatment plan | |||
Step 6: Implementing the treatment plan | |||
Step 7: Evaluate the effectiveness of the treatment plan and the evidence-based practice process | |||
5 A’S of EBP | |||
Ask | |||
Acquire | |||
Appraise | |||
Apply Assess | |||
Table showing steps and five A’S of EBP ? | |||
Terminology | |||
Evidence-based treatment | |||
Best practice – | |||
Research-informed practice | |||
Evidence-based practice applications | |||
Levels of evidence questions | |||
And link to page | |||
Challenges of EBP | |||
Lack of time to search for and apply the best available evidence – mostly due to heavy patient case loads Naghibi D, Mohammadzadeh S, Azami-Aghdash S. Barriers to evidence-based practice in health system: a systematic review. Evidence Based Care. 2021 Jul 1;11(2):74-82. | |||
Not enough or not good enough research available on all conditions and scenarios Sadeghi‐Bazargani H, Tabrizi JS, Azami‐Aghdash S. Barriers to evidence‐based medicine: a systematic review. Journal of evaluation in clinical practice. 2014 Dec;20(6):793-802. | |||
Finding the right resources between the masses is difficult H, Tabrizi JS, Azami‐Aghdash S. Barriers to evidence‐based medicine: a systematic review. Journal of evaluation in clinical practice. 2014 Dec;20(6):793-802. | |||
Accessing the resources Ibikunle PO, Onwuakagba IU, Maduka EU, Okoye EC, Umunna JO. Perceived barriers to evidence‐based practice in stroke management among physiotherapists in a developing country. Journal of Evaluation in Clinical Practice. 2021 Apr;27(2):291-306. | |||
Lack of administrative support Naghibi et al | |||
Not skilled in critical appraisal Naghibi | |||
Not enough role models who practice evidence-based practice regularly | |||
Advantages | |||
It offers the surest and most objective way to determine and maintain consistently | |||
high quality and safety standards in medical practice. | |||
It can help speed up the process of transferring clinical research findings into | |||
practice. | |||
It has the potential to reduce healthcare costs significantly.” | |||
Reduce variability of care | |||
Increases healthcare provider empowerment and role satisfaction | |||
Meets expectations of an informed public | |||
== Sub Heading 2 == | == Sub Heading 2 == |
Revision as of 17:53, 1 October 2023
Original Editor - User Name
Top Contributors - Wanda van Niekerk, Jess Bell and Angeliki Chorti
Introduction[edit | edit source]
Revised Model of Evidence-Based Practice
Satterfield et al (2009) further developed the evidence-based practice model and provided it with a transdisciplinary perspective by adding each “disciplines most important advances and attempts to address any deficiencies.” This model has a new external frame or pillar that provides environmental and organisational context. The three inner pillars of the model are:
Best available research evidence
Client or population’s characteristics, state, needs, values and preferences
Resources including practitioner’s expertise
At the center of this evidence-based model is clinical decision-making
Seven steps
Step 1: Determining the patient’s needs to formulate a clinical question
Step 2: Locating the knowledge resources
Step 3: Appraising the quality of the knowledge resources
Step 4: Discussing the options with the patient
Step 5: Formulate the treatment plan
Step 6: Implementing the treatment plan
Step 7: Evaluate the effectiveness of the treatment plan and the evidence-based practice process
5 A’S of EBP
Ask
Acquire
Appraise
Apply Assess
Table showing steps and five A’S of EBP ?
Terminology
Evidence-based treatment
Best practice –
Research-informed practice
Evidence-based practice applications
Levels of evidence questions
And link to page
Challenges of EBP
Lack of time to search for and apply the best available evidence – mostly due to heavy patient case loads Naghibi D, Mohammadzadeh S, Azami-Aghdash S. Barriers to evidence-based practice in health system: a systematic review. Evidence Based Care. 2021 Jul 1;11(2):74-82.
Not enough or not good enough research available on all conditions and scenarios Sadeghi‐Bazargani H, Tabrizi JS, Azami‐Aghdash S. Barriers to evidence‐based medicine: a systematic review. Journal of evaluation in clinical practice. 2014 Dec;20(6):793-802.
Finding the right resources between the masses is difficult H, Tabrizi JS, Azami‐Aghdash S. Barriers to evidence‐based medicine: a systematic review. Journal of evaluation in clinical practice. 2014 Dec;20(6):793-802.
Accessing the resources Ibikunle PO, Onwuakagba IU, Maduka EU, Okoye EC, Umunna JO. Perceived barriers to evidence‐based practice in stroke management among physiotherapists in a developing country. Journal of Evaluation in Clinical Practice. 2021 Apr;27(2):291-306.
Lack of administrative support Naghibi et al
Not skilled in critical appraisal Naghibi
Not enough role models who practice evidence-based practice regularly
Advantages
It offers the surest and most objective way to determine and maintain consistently
high quality and safety standards in medical practice.
It can help speed up the process of transferring clinical research findings into
practice.
It has the potential to reduce healthcare costs significantly.”
Reduce variability of care
Increases healthcare provider empowerment and role satisfaction
Meets expectations of an informed public
Sub Heading 2[edit | edit source]
Sub Heading 3[edit | edit source]
Resources[edit | edit source]
- bulleted list
- x
or
- numbered list
- x