HLSC122 Lecture Notes - Lecture 3: Annals Of Internal Medicine, Result Set, Ebsco Information Services
2 Jun 2018
School
Department
Course
Professor
The Five Steps of the EBP Process
1. Ask: Formulate an answerable clinical question
2. Access: Track down the best Evidence
3. Appraise: Appraise the evidence for its validity and usefulness
4. Apply: Integrate the results with your clinical expertise and your patient values/local
conditions
5. Assess: Evaluate the effectiveness of the process
Research (evidence)
Primary/unfiltered
● Single study
○ Reference
○ Hyperlinks
○ RSS feed twitter
○ Database
Secondary/filtered
● Synthesised
○ Review
○ Meta-analysis
○ Database
Evidence guiding the patient journey
● Better health outcomes
● Shared clinical decision making
● Moral/ethical duty
Asking a PICO/PICo question
Why use a clinical question?
● To guide an effective and efficient search to find the answer to our question
● PICO (quantitative/numbers) vs PICo (Qualitative/experiences)
Developing an answerable clinical question
P: Patient (or problem or population)
- Addresses the ‘who
I: Intervention
- Addresses the ‘what’
- Could be the intervention, diagnostic test, prognostic factor, or issue
C: Comparison
- May not always have a comparison
- Can be ‘usual care’
O: Outcome
- Addresses the ‘outcome(s)’ of interest
- Consider patient preferences when selecting
Turning research into practice (TRIP)
Federated search engine
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
To guide an effective and efficient search to find the answer to our question. Could be the intervention, diagnostic test, prognostic factor, or issue. Ebp begins and ends with the patient. A clinical problem that arises out of care of the patient or person. What is their issue, where are they (home, hospital, community, university) What are you interested in doing (intervention) What are you hoping to achieve (outcome) Mostly people manage, but uncontrollable feelings of anxiety may become a problem. For university students who have anxiety are complementary therapies more effective compared to anti-anxiety medication. Outcome = treatment or therapy or remedy. Using phrases narrows your search - you retrieve less. Using truncation broadens your search - you retrieve more. Using wildcards broadens your search - you retrieve more. Your search strategy with keywords and search terms from your search table.
