Podcast
Questions and Answers
What is a barrier to change?
What is a barrier to change?
What is an example of an attitudinal barrier to change?
What is an example of an attitudinal barrier to change?
A health professional who is not open to evidence-based practice
All health professionals are equipped with the required skills and knowledge to implement evidence-based practice.
All health professionals are equipped with the required skills and knowledge to implement evidence-based practice.
False
Barriers to change include a lack of ______________________ and knowledge.
Barriers to change include a lack of ______________________ and knowledge.
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What is an example of a limited resource that can hinder evidence-based practice?
What is an example of a limited resource that can hinder evidence-based practice?
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Enablers of change are factors that decrease the likelihood of successful implementation of evidence.
Enablers of change are factors that decrease the likelihood of successful implementation of evidence.
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Match the following barriers to change with their descriptions:
Match the following barriers to change with their descriptions:
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What is the purpose of identifying the evidence-practice gap?
What is the purpose of identifying the evidence-practice gap?
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What is the purpose of identifying barriers and enablers to change?
What is the purpose of identifying barriers and enablers to change?
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A survey is a suitable method to identify underused evidence-based practices when anonymity is not preferred.
A survey is a suitable method to identify underused evidence-based practices when anonymity is not preferred.
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A new treatment procedure should be more ______________________ than the one(s) in current use.
A new treatment procedure should be more ______________________ than the one(s) in current use.
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What can a survey identify in addition to the evidence-practice gap?
What can a survey identify in addition to the evidence-practice gap?
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Match the following methods with their purposes in identifying evidence-practice gaps:
Match the following methods with their purposes in identifying evidence-practice gaps:
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What is the primary purpose of a clinical audit?
What is the primary purpose of a clinical audit?
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A clinical audit only reviews a small portion of clinical records.
A clinical audit only reviews a small portion of clinical records.
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What are the four aspects that need to be identified before implementing evidence into practice?
What are the four aspects that need to be identified before implementing evidence into practice?
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Match the following aspects of planning for change with their descriptions:
Match the following aspects of planning for change with their descriptions:
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An audit seeks to determine how much of a procedure or treatment is being delivered as recommended by a ________.
An audit seeks to determine how much of a procedure or treatment is being delivered as recommended by a ________.
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Careful planning is not necessary for successful implementation of evidence into practice.
Careful planning is not necessary for successful implementation of evidence into practice.
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What type of information is sought during a clinical audit?
What type of information is sought during a clinical audit?
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What is an essential aspect of planning for change in evidence-based practice?
What is an essential aspect of planning for change in evidence-based practice?
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Study Notes
Demonstrating an Evidence-Practice Gap
- There is often a gap between what is known and what is done in practice, referred to as the evidence-practice gap.
- This gap may relate to testing procedures or treatment, where a new procedure or treatment should be more accurate, sensitive, or effective than the one currently in use.
- An evidence-practice gap can occur when a test procedure or treatment is underused (e.g., DTI, collimation) or overused (e.g., X-ray, gonad shield).
Identifying Underused/Overused Evidence-Based Practice
- Surveys can be used to identify underused or overused evidence-based practices, especially when anonymity is preferred.
- Surveys can explore knowledge, attitudes, and current practice behaviors among health professionals or clients.
- Surveys can also identify barriers to change and strategies to overcome them.
Identifying Barriers and Enablers to Change
- Barriers to change include:
- Lack of skills and knowledge, which can hinder the implementation of evidence-based practice.
- Beliefs and attitudes of professionals and team roles, which can lead to resistance to change.
- Limited resources, such as equipment or transport, which can hinder evidence-based practice.
- Medical record audits, which can be used to identify gaps in practice.
- Enablers to change include factors that increase the likelihood of successful implementation of evidence.
Planning for Change
- Four aspects need to be identified before implementing evidence into practice:
- Team: who will be responsible for implementing the evidence, who will be the coordinator, and what roles will each person have?
- Stakeholders: who needs to be involved, such as patients or clients, and who could potentially sabotage the project?
- Resources: what financial, transport, and access to medical records are needed?
- Ethical clearance: is ethics clearance required, and will the findings be published or disseminated?
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Description
Understand the concept of evidence-practice gaps in healthcare, including identifying and clarifying the gap, and how new procedures or treatments can improve current practices. Learn about underused and overused tests and treatments.