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An evidence-based practice

- What is evidence-based practice? - integration of clinical expertise with the patient’s values and the best available research evidence to ensure optimal outcomes. - What are the goals of evidence-based practice? Sources of PT Knowledge Category Description Pro Con Example When is it most appropriate to use this source? Traditions Allows for a shared language and communication Types of Information Sources Primary Secondary Tertiary Description How it differs from other columns How does this rank in terms of trustworthiness? Examples Critiquing the Literature - What does it mean to critically appraise an article or a number of articles? - Why should we critically appraise an article? Consumers of research must understand the reliability and validity of the information provided within a journal article. Before restating or using the information provided, readers must systematically assess how much trust they have for the information, determine it's value and how it can be applied. Purpose – why is this section important to read/understand? Information Included – what questions help us understand the information? How do we appraise this? What questions should we ask to determine reliability and validity? Title For Example: This section helps the reader determine, at first glance, if the article is something they would like to read and to determine if it pertains to their patient demographic, provides information about a topic of their own interest, and/or if it involves an intervention they use or would like to use. Introduction Methodology Data Analysis (stats selected) (pertains only to the statistical analysis used, not the results produced - not always stated in the methodology) Results - Intent to treat - Effect size Discussion Conclusion What are the steps of incorporating evidence-based practice into clinical practice (more so related to treatment/interventions – from Cleland et al. 2008)? 1. 2. 3. 4. 5.