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Evidence-Based Practice Steps

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40 Questions

What is the main goal of evidence-based practice in occupational therapy?

To make decisions that reflect experience, education, and research evidence

What is the purpose of critically appraising evidence in STEP 3 of evidence-based practice?

To evaluate the validity, impact, and clinical meaningfulness of the evidence

In STEP 4 of evidence-based practice, what is the main focus?

Determining the applicability and usefulness of the evidence

What is the main difference between direct and indirect services in pediatric practice?

Direct services involve working directly with children, while indirect services involve consulting with other professionals

What is an example of an indirect service in pediatric practice?

Consulting with teachers to develop individualized education plans

What is the primary focus of STEP 5 in evidence-based practice?

Implementing the practice or applying the information

What is an example of a varied service delivery approach in pediatric practice?

Using a block scheduling approach to manage caseloads

What is the purpose of STEP 1 in evidence-based practice?

To track down the best evidence to answer a question

What do models of occupational therapy practice examine?

The person, the environment, and the tasks to be completed

What is the purpose of using dynamic systems theories in occupational therapy?

To understand the complexity of human occupation

Why is it important for occupational therapists to use evidence-based practice when selecting frames of reference?

To ensure the best possible outcomes for patients

What is the purpose of guiding questions in occupational therapy?

To provide a framework for assessment and intervention

Why is it important to understand family systems theory in occupational therapy?

To understand the occupations and functions of families

What is the role of the occupational therapist in collaborating with families and teams?

To establish and maintain partnerships with families

Why is it important to empower families in occupational therapy?

To facilitate their children's development

What is the primary focus of occupational therapy in working with families?

The family's daily routines and goals

What is a key component of establishing a partnership between families and professionals?

Trustbuilding and reciprocity

What is a characteristic of helpful communication with families?

Being sensitive to family concerns

What is a critical element of intervention in partnering with families?

Family participation and prioritization

What is important for professionals to identify when working with families?

Naturally occurring moments for therapy

What do parents appreciate in service delivery?

Flexible service delivery and sensitivity to their concerns

What is a key aspect of effective communication with families?

Honesty and sensitivity

What is a benefit of partnering with families in intervention?

Reflection of family priorities in therapy goals

What is a characteristic of families with children with disabilities?

Multidimensional and having both positive and negative effects

What is the process called when the brain abandons connections that are not emphasized by experience?

Synaptic pruning

What influences a child's developmental abilities?

Cultural priorities

What is the goal of OT treatment, according to dynamic systems theory?

To promote independence and transformation through occupations

What is the result of the interaction and cooperation of many systems, both internal and external to the child?

Performance or action patterns

What is true about children's developmental growth trajectories?

They are unique to each individual

What is the characteristic of brain development during the first few years of life?

Greatest plasticity

What is the role of cultural practices in facilitating development?

They differ in facilitating development

What is the outcome of synaptic overproduction in the early months of life?

An excess of synapses

What is the impact of historical attitudes such as racism, sexism, and ableism on occupational participation?

They covertly limit occupational participation in various contexts

Which group of children are less likely to achieve school completion, literacy, and math achievement?

Children of color

What is the goal of occupational therapy practitioners in providing instruction, adaptation, and empowerment?

To transform individuals into occupational beings

What is the outcome of occupational therapy practices that focus on transformational development?

All of the above

What is the concept that refers to the limitations on an individual's participation in living the life they choose due to broader contexts out of their immediate control?

Occupational deprivation

In what settings may historical attitudes of racism, sexism, and ableism limit occupational participation?

Home, school, and community

What is the purpose of OT practitioners providing instruction, adaptation, and empowerment?

To support transformational development

What is the relationship between occupational therapy practices and the development of essential skills of daily living?

Occupational therapy practices support the development of essential skills of daily living

Study Notes

Evidence-Based Practice

  • Critically appraise evidence for validity, impact, and clinical meaningfulness
  • Critically appraise evidence for applicability and usefulness to practice
  • Implement evidence-based practice and evaluate the process
  • Evidence-based practice involves careful decisions considering experience, education, child and family priorities, and research evidence

Models of Occupational Therapy Practice

  • Occupational therapy practice models examine the complexity of human occupation, considering the person, environment, and tasks
  • Dynamic systems theories are used to understand occupational performance
  • Therapists select frames of reference for assessment and intervention using evidence-based practice

Working with Families and Interprofessional Teams

  • Family systems theory describes family occupations and functions
  • Family culture and background are important to understand
  • Family life cycle affects family function and co-occupations of family members
  • Occupational therapists collaborate with families and teams, establishing partnerships and empowering families to facilitate their children's development

Partnering with Families

  • Establishing a partnership involves trustbuilding, equality, respect, and providing helpful information
  • Respect family in decision-making and provide flexible, accessible, and responsive services
  • Communicate effectively with families using formal and informal, written and verbal methods

Communication Strategies

  • Effective communication builds on trust, honesty, and sensitivity
  • Communicate with parents using formal and informal, written and verbal methods
  • Home programs blend therapy into routines, focusing on family priorities and goals

Developmental Theories and Concepts

  • Synaptic overproduction and pruning in early life
  • Brain plasticity is greatest in the first few years of life, but continues throughout the lifespan
  • Cultural practices differ in facilitating development, but children achieve milestones
  • Dynamic systems theory refers to performance patterns emerging from internal and external system interactions
  • Dynamical systems theory shows unique developmental trajectories and goals of OT treatment include independence and transformation through motivating occupations
  • Geopolitical context influences occupational justice, alienation, and deprivation, limiting participation and performance

This quiz assesses the five steps in evidence-based practice, including tracking down evidence, critically appraising its validity and impact, and implementing the practice. It is designed for healthcare professionals and students.

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