HLSC122 Chapter Notes - Chapter 1-2: Researchgate, Federated Search, Google Scholar
2 Jun 2018
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CHAPTER ONE
Formulating your clinical question → Searching for evidence → Appraising evidence →
Applying evidence to practice
Evidence Based Practice
● Practice that is supported by;
○ Scientific evidence
○ Clinical expertise
○ Client values
● Will have significantly better outcomes than ‘standard’ care for your patients
● According to the most widely quoted definition, evidence based practice is;
○ “The conscientious, explicit and judicious use of current best evidence in
making decisions about the care of individual patients”.
● EBP should be visualised as a three-pronged and overlapping approach, also known
as a triad approach:
○ The best possible research evidence, clinical expertise and patient values
and preferences
Best Possible Research Evidence
● High level of evidence
● Example: Would you prefer implementing a new exercise regime because your
cousin told you it worked for her, or because a systematic review of over 450,000
people demonstrated that it would have significant results?
Clinical expertise
● Takes into consideration your experiences, both personal and professional, to help
guide you in how to best care for your patients
● May have previously attempted something yourself - eg removing a leech from your
body using salt - and a patient attempts this ‘remedy’ and reports back to you with
the results
● You then begin to build your ‘clinical expertise’ in this area
Patient values and preferences
● Times where you might research the ‘best possible treatment’ for your patient
● From clinical experience you are aware that it might work quite well, but that when
you explain the treatment or procedure to the patient, they might prefer an alternative
treatment, or;
○ Values or religious beliefs will not permit the treatment you have suggested
● As you are treating patients, their values and preferences should be the first thing
that you take into consideration
What is research? ‘Focused, systematic enquiry aimed at generating new knowledge’.
Things to consider when assessing patients
● Patient preferences
● Symptoms
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
Formulating your clinical question searching for evidence appraising evidence . Will have significantly better outcomes than standard" care for your patients. According to the most widely quoted definition, evidence based practice is; The conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients . Ebp should be visualised as a three-pronged and overlapping approach, also known as a triad approach: The best possible research evidence, clinical expertise and patient values and preferences. Takes into consideration your experiences, both personal and professional, to help guide you in how to best care for your patients. May have previously attempted something yourself - eg removing a leech from your body using salt - and a patient attempts this remedy" and reports back to you with the results. You then begin to build your clinical expertise" in this area. Times where you might research the best possible treatment" for your patient.
