A Spirit of Evidence Based Practice

Last weekend I attended my first Great Lakes Regional Conference just outside of Chicago, Il. Attending conferences in one of my favorite activities as a student and professional. Surrounded by students, faculty and professionals who are all attending a conference to learn and grow! EEEK FUN!

This year I noticed a lot of folks using the phrase ‘Evidence Based Practice.’ Now I am not sure if it is because more and more students and professionals are learning and incorporating Evidence Based Practice ( EBP) into their lives or if I am just hyper aware of this term whilst in the depths of a Masters program. Either way-It is music to my ears!

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Evidence Based Practice-At a Glance!

It is a lifelong problem solving approach to clinical practice. EBP integrates a systematic search for the most relevant and best research with clinical experience and patient preferences.

Clinical expertise + internal evidence +external evidence +patient preferences= EBP

Steps to integrating evidence into your practice

**A spirit of inquiry** 

1-Ask the burning clinical questions.

A basic format for framing questions is to use the PICOT format

P-patient population

I- Intervention or issue of interest

C-Comparison intervention or group

T-Time frame

2-Search for and collect the most relevant and ‘best evidence’. 

Try starting with:

 Systematic reviews (summary of evidence on a particular topic) and/or

Meta-analyses (generate overall statistical summary that represents the effect of the intervention across multiple studies)

3- Critically appraise the evidence

Read the articles you find with a critical eye.

Ask questions while you read about the overall (1) effectiveness of the intervention (2) intervention-outcome relationship (3) feasibility of the intervention in your area of practice (4) validity

Sample Questions:

Will the results help my patients or me in caring for my patients?

Were the patients similar to mine?

Are there multiple comparisons of data?

Is there any possibility of bias?

4- Integrate the best evidence with your clinical expertise, patient preference and values in making practice decision or change.

Implementation phase! Try it out and keep track of client/patient response.

5-Evaluate outcomes of the practice decision or change based on evidence

Decide how you will evaluate success and growth in your clients/patients Unknown-1

6-Disseminate the outcomes of the evidence based practice decision or change.

This can be via an article or presentation at a conference.

Or through pamphlets or in services in the work place

You may even turn your incorporation of EBP into your practice into a study of the intervention effectiveness!

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Incorporating the best available evidence into practice takes time and can be challenging. YOU can do this! You don’t have to be a ‘researcher’ or to incorporate these ideas.

I hope this post was a helpful introduction/overview of EBP.

How do you incorporate Evidence in your Practice?

How do you EBP?

#EBP

 

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