How to cite this Guide: Turner, M. Tutorial The goals of the tutorial are to clearly outline the theory of EBP and to explain how that theory can be put to practice in the day-to-day work of caring for patients. The cycle begins again with an assessment of the patient and the patient's care.
In particular, it suggests specific strategies for finding evidence from primary studies, systematic reviews and meta-analyses using EBP tools. Appraisal is also touched upon, with suggestions for scanning search to identify articles more likely to yield robust, applicable evidence.
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This tutorial assumes you already have some familiarity with basic and advanced PubMed search techniques, as well as with MeSH searching. There are many excellent on-line and print guides that address the critical appraisal thhe a research report and the application of evidence to an individual patient's care. You will find links to selected resources that provide especially rich content in these areas in the Appraise and Apply modules of this tutorial.
It is best to Hot sweaty sensual fuck systematically through the various modules, starting with Introduction: About Evidence-Based Practice, and then the five modules.
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The process of integrating all of this information is known as clinical reasoning. When you consider all of these four elements in a way that allows you to seetting decisions about the care of a patient, you are engaging in EBP.
EBP is important because it aims to provide the most effective care that is available, with the aim of improving patient outcomes. Patients expect to receive the most effective care based on the best available evidence.
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EBP promotes an attitude of inquiry in health professionals and starts us thinking about: Why am I doing this in this way? Is there evidence that can guide me to do this in a more effective way? As health professionals, part of providing a professional service is ensuring that our practice is cate by the best available evidence. EBP also plays a role in ensuring that finite health resources are used wisely and that relevant evidence is considered when decisions are made about funding health services.
Before EBP health professionals relied on the advice of more experienced colleagues, often taken at face value, their intuition, and on what they were taught as students. Experience is subject to flaws of bias dae what we learn as students can quickly become outdated. Relying on older, more knowledgeable colleagues as a sole information source can provide dated, biased and incorrect information.
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This is not to say that clinical experience is not important - it is in fact part of the definition of EBP. However, rather than relying on clinical experience alone for decision making, health professionals need to use clinical experience together with other types of evidence-based information. Not all research is of sufficient quality to inform clinical decision making.
Therefore you need to critically appraise evidence before using it to inform your clinical decision making. The three major aspects of evidence that you need to critically appraise are: Validity - can dqte trust it? Impact - are the clinically important? Applicability - can you apply it to your patient? References 1.
Guyatt, G. Users' guides to the medical literature: XXV. JAMA, Settng, D. Evidence based medicine: what it is and what it isn't: it's about integrating individual clinical expertise and the best external evidence.
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BMJ, Mayer, D. Essential evidence-based medicine 2nd ed. Cambridge: Cambridge University Press. Hoffman, T.
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Evidence-based practice: across the health professions 2nd ed. Chatswood, NSW: Elsevier. Straus, S. Evidence-based medicine: how to practice and teach it 4th ed.
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Edinburgh: Churchill Livingstone Elsevier 6. Bushell, M. Supporting your practice: Evidence-based medicine. Australian Pharmacist, 38, 3,