Evidence Based Practice

Evidence based practice Presented by : Anisa AbdulWahab Basmah Mohammed Dana Huda Al - Shehhi Naemo Mohammed

Objectives : vIntroduction vDefinition of evidence-based practice vThe importance of evidence-based practice vAvailable resources vImplementation in the Clinical practice vBarriers to Implementation vSummary

Evidence - Based Practice vResearch utilization / innovation diffusion

process begins with a new idea or empirically based innovation that is scrutinized for adoption in the practice setting .

v vEvidence based practice by contrast

begins with a search for information about how best to solve specific practice problems . The emphasis is on identifying the best available research evidence and integrating it with clinical expertise , patient input , and existing resources . ( Polit & Beck , 2003 )

 Evidence based practice is one useful

approach to improve the impact of practice in medicine, psychology, social work, nursing and allied fields.

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The aim of EBP from its’ early days in the form of evidence based medicine was to provide the appropriate means for making effective clinical decisions, for avoiding habitual practice and for enhancing clinical performance 

Definition of EBP ‘The conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients.’(Sackett, D. L., Rosenberg, W. M., Gray, J. A., Haynes, R. B., & Richardson, W. S. (1996).

"Evidence-based practice (EBP) is an approach to health care where in health professionals use the best evidence possible, the most appropriate information available, to make clinical decisions for individual patients. EBP values, enhances and builds on clinical expertise, knowledge of disease mechanisms, and pathophysiology. (McKibbon KA (1998).

Evidence-based practice is the integration of:  clinical expertise with the best available external evidence from systematic research and P Patients’ preferences and goals (Sackett, D. L., Straus, S. E., Richardson, W. S., Rosenberg, W., & Haynes, R. B. (2000).

Why is EBP important? Ø Main aim is to improve client outcomes Ø Clients expect it Ø Improves clinician’s knowledge Ø Communicates a profession’s research base Ø Stimulates clinically relevant research ØAccountability

EBP: The Process 1. Identify the information need & form a clinical question 2. Find the evidence 3. Appraise the evidence 4. Integrate the evidence in clinical decision making 5. Evaluate the process Evidence-Based Medicine. A new approach to teaching the practice of medicine.Evidence-based Medicine Working Group. JAMA. 1992;268:2420-2425

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Barriers to Implementation EBP üLack of Knowledge & Skills for EBP üLack of Knowledge Fit to Agency Practice üSuspicion of Researchers & EBP üLimited Resource for Doing EBP

Summary

üEBP is a process for making informed clinical decisions üEBP is about USING research - not doing it üEBP involves clinical reasoning to integrate: üclinical experience üclients’ preferences üq highest quality evidence available (both quantitative and qualitative)

References http://sophia.smith.edu/~jdrisko/evidence_based_practi ce.htm

http://en.wikipedia.org/wiki/Evidencebased_practice http://www.shef.ac.uk/scharr/ir/def.html