Evidence-Based Practice in Healthcare

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Questions and Answers

What do patient values encompass in a therapeutic environment?

  • Therapeutic goals and clinician opinions
  • Patients' beliefs, preferences, and cultural identification (correct)
  • Patients' medical history and circumstances
  • Access to medical services and family environment

Which of the following is a barrier to evidence-based practice (EBP) in physical therapy?

  • Generalizability of research findings (correct)
  • Excessive time for treatment planning
  • High availability of research resources
  • Strong understanding of statistics

How do patient circumstances influence treatment decisions?

  • They contribute essential information about a patient's background and needs. (correct)
  • They eliminate the need for patient input in therapy.
  • They dictate the specific drugs to be prescribed.
  • They only pertain to the patient's age and gender.

Which statement accurately reflects a patient preference regarding therapy exercise programs?

<p>Some patients may consistently integrate exercise into their routines. (C)</p> Signup and view all the answers

What influences a patient's ability to engage with a home exercise program?

<p>The patient's ability to monitor their progress independently (A)</p> Signup and view all the answers

What is the focus of evidence-based practice (EBP) in physical therapy?

<p>Systematic assessment of available evidence (B)</p> Signup and view all the answers

What type of research is primarily associated with evidence-based practice in physical therapy?

<p>Clinical research (A)</p> Signup and view all the answers

Which component of evidence is derived from the cumulative experiences of therapists?

<p>Clinical expertise evidence (B)</p> Signup and view all the answers

How is scientific research evidence mainly disseminated?

<p>As articles in peer-reviewed journals (A)</p> Signup and view all the answers

What role does the abstract play in published research articles?

<p>It provides a summary of the study (A)</p> Signup and view all the answers

In what ways is clinical expertise shared among physical therapists?

<p>Through mentorship and informal discussions (C)</p> Signup and view all the answers

What type of questions does clinical research typically address?

<p>Diagnosis, intervention, prevention, and prognosis (A)</p> Signup and view all the answers

Which of the following best describes scientific research evidence?

<p>Empirical evidence from systematic hypothesis testing (D)</p> Signup and view all the answers

What are the three criteria that evidence based practice integrates for clinical decision making?

<p>Best scientific research evidence, clinical expertise, patient values (C)</p> Signup and view all the answers

Which statement accurately reflects a limitation of relying solely on evidence based practice?

<p>Evidence can become outdated without clinical expertise. (C)</p> Signup and view all the answers

How does evidence based practice aim to benefit patients?

<p>By providing care grounded on best scientific research and individual patient circumstances. (D)</p> Signup and view all the answers

What is a potential outcome of insufficient high-quality clinical research in the physical therapy field?

<p>Best practices can sometimes be based on poor quality evidence. (B)</p> Signup and view all the answers

What is a key reason for emphasizing evidence-based practice in physical therapy?

<p>To increase expectations of obtaining the best results in a short time. (B)</p> Signup and view all the answers

What is a significant benefit of evidence based practice for the healthcare community?

<p>It enhances the credibility and quality of services offered. (D)</p> Signup and view all the answers

What combination of factors is necessary for effective clinical decision making in evidence based practice?

<p>Clinical expertise and best research evidence (B)</p> Signup and view all the answers

Which of the following statements regarding evidence based practice is true?

<p>Both scientific evidence and clinical expertise are crucial for sound treatment decisions. (B)</p> Signup and view all the answers

Flashcards

Evidence-Based Practice (EBP)

A method of clinical decision-making and practice that combines the best scientific research evidence, clinical expertise, and patient values.

EBP Criteria

EBP involves combining three key elements: research evidence, clinical experience (knowledge), and patient preferences.

Importance of EBP for Patients

EBP ensures care is grounded in scientific research, guided by the therapist's expertise, and tailored to individual patient needs and values resulting in better patient outcomes.

Importance of EBP for Physical Therapists

EBP increases expectation of positive outcomes, improves services, enhances therapists' confidence, and helps guide patient choices for physical therapy.

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Clinical Expertise

A physical therapist's practical knowledge and skills acquired through experience and training.

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Research Evidence

The best available scientific evidence from research to support clinical decisions.

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Patient Values

Patient preferences and their influence on choices in physical therapy care.

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Inadequate Research in Physical Therapy

The physical therapy field sometimes lacks high-quality research, meaning best practices may be based on less strong evidence.

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Patient Preferences

A patient's individual choices, beliefs, and expectations about their healthcare, influencing treatment decisions.

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Patient Circumstances

Factors surrounding a patient's health, including their medical history, access to healthcare, and family environment.

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Generalizability of Research

The extent to which research findings apply to people outside of the study sample.

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Barriers to EBP

Obstacles that prevent physical therapists from fully incorporating evidence-based practice.

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Culture of EBP

The extent to which evidence-based practice is routinely adopted and valued within a physical therapy setting.

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Scientific Research Evidence

Empirical evidence obtained from testing hypotheses, especially clinical research studies on human subjects.

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Clinical Research

Research involving human subjects, investigating diagnosis, treatment, prevention, and outcomes of disease or injury.

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Peer-Reviewed Journals

Scientific publications where articles are examined by experts before publication.

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Professional Wisdom

Collective wisdom developed and passed down through years of healthcare practice.

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Post-professional Education

Continuing education and professional development beyond initial training.

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Abstract (in research)

Summary of a research study's key findings.

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Study Notes

Evidence-Based Practice (EBP)

  • EBP is a method for clinical decision-making and practice.
  • It combines best scientific research evidence, clinical expertise, and patient values.
  • Relying solely on scientific evidence or clinical experience is insufficient for effective clinical decisions.
  • Experience needs to be combined with current best evidence to provide optimal patient care.

Importance of EBP

  • Optimizes patient benefits by basing care on scientific research, clinical expertise, and individual patient values.
  • Improves patient outcomes by offering timely and efficient care.
  • Builds the credibility of the service.
  • Enhances confidence and ability to assist patients in selecting appropriate treatment options.

Barriers to EBP

  • Limited generalizability of research findings.
  • Insufficient research skills.
  • Lack of statistical understanding.
  • Limited search and appraisal skills.
  • Limited access to relevant resources.
  • Inconsistency in adopting EBP within the physical therapy profession.

Sources of Evidence

Scientific Research Evidence

  • Empirical evidence gained through systematic testing of hypotheses.
  • Clinical research studies are a primary source, identifying the relationship between disease/injury and treatment outcomes.

Clinical Expertise Evidence

  • Explicit knowledge of physical therapy diagnosis, treatment, prevention, and prognosis gained through years of providing patient care.
  • Shared professional wisdom from past experiences.

Patient Values and Circumstances

  • Includes patient beliefs, preferences, expectations, and cultural background.
  • Helps guide treatment decisions as evidence regarding individual patient preferences should be weighed.
  • Incorporates individual needs into care plans.
  • Considers family environment, access to services, and medical history.

Pain Mechanisms in Carpal Tunnel Syndrome (CTS)

  • CTS is the most common nerve compression in the arm.
  • QST (Quantitative Sensory Testing) shows both peripheral and central contributions.
  • A significant loss of sensory thresholds was observed in CTS for median nerve territories and extramedian areas.
  • There was an increase in mechanical pain sensitivity and thermal pain thresholds in the carpal area in patients with CTS.
  • Inconsistent findings about central sensitization in CTS due to varied results regarding thermal and mechanical pain thresholds.

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EBP Lecture 1 PDF

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