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Identifying Evidence-Practice Gaps in Healthcare
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Identifying Evidence-Practice Gaps in Healthcare

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Questions and Answers

What is a barrier to change?

  • A factor that only affects the attitude of health professionals
  • A factor that may decrease the likelihood of successful implementation of evidence (correct)
  • A factor that has no impact on the implementation of evidence
  • A factor that increases the likelihood of successful implementation of evidence
  • 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.

    False

    Barriers to change include a lack of ______________________ and knowledge.

    <p>skills</p> Signup and view all the answers

    What is an example of a limited resource that can hinder evidence-based practice?

    <p>A lack of equipment</p> Signup and view all the answers

    Enablers of change are factors that decrease the likelihood of successful implementation of evidence.

    <p>False</p> Signup and view all the answers

    Match the following barriers to change with their descriptions:

    <p>Lack of skills and knowledge = A health professional may not have the required skills and knowledge to implement evidence-based practice Beliefs and attitudes of professionals and team roles = A health professional may not be open to evidence-based practice Limited resources = A lack of equipment or transport can hinder evidence-based practice</p> Signup and view all the answers

    What is the purpose of identifying the evidence-practice gap?

    <p>To identify changes required in practice</p> Signup and view all the answers

    What is the purpose of identifying barriers and enablers to change?

    <p>To implement an evidence-based practice</p> Signup and view all the answers

    A survey is a suitable method to identify underused evidence-based practices when anonymity is not preferred.

    <p>False</p> Signup and view all the answers

    A new treatment procedure should be more ______________________ than the one(s) in current use.

    <p>accurate, sensitive, or effective</p> Signup and view all the answers

    What can a survey identify in addition to the evidence-practice gap?

    <p>barriers to change and strategies to overcome barriers</p> Signup and view all the answers

    Match the following methods with their purposes in identifying evidence-practice gaps:

    <p>Survey = Identify barriers to change and strategies to overcome barriers DTI = Underused evidence-based practice Collimation = Underused evidence-based practice X-ray = Overused evidence-based practice</p> Signup and view all the answers

    What is the primary purpose of a clinical audit?

    <p>To improve patient care and outcomes</p> Signup and view all the answers

    A clinical audit only reviews a small portion of clinical records.

    <p>False</p> Signup and view all the answers

    What are the four aspects that need to be identified before implementing evidence into practice?

    <p>Team, Stakeholders, Resources, and Ethical clearance</p> Signup and view all the answers

    Match the following aspects of planning for change with their descriptions:

    <p>Team = Identifying who will be responsible for implementing evidence into practice Stakeholders = Determining the resources needed for the project Resources = Liaising with patients or clients and other relevant parties Ethical clearance = Obtaining necessary approvals for the project</p> Signup and view all the answers

    An audit seeks to determine how much of a procedure or treatment is being delivered as recommended by a ________.

    <p>clinical guideline</p> Signup and view all the answers

    Careful planning is not necessary for successful implementation of evidence into practice.

    <p>False</p> Signup and view all the answers

    What type of information is sought during a clinical audit?

    <p>Percentage of clients screened/receiving an intervention, number of sessions provided per client, and content of sessions</p> Signup and view all the answers

    What is an essential aspect of planning for change in evidence-based practice?

    <p>All of the above</p> Signup and view all the answers

    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.

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