際際滷

際際滷Share a Scribd company logo

Evidence Based Practice .pdf

Download as PPT, PDF
Anne Murray
Anne Murray

This document discusses evidence-based practice and some challenges in applying research findings to real-world situations. It defines evidence-based practice as the conscientious use of current best evidence in decision making. While randomized controlled trials provide the strongest evidence, there can be gaps between what works in tightly controlled research and complex real-world practice. Practitioners must balance research evidence with their own expertise and reflect critically on how to best apply sometimes competing or uncertain evidence for individual cases.

1 of 11
Download to read offline
Evidence Based Practice Anne Murray 2014
Definitions The conscientious, explicit, judicious use of current best evidence in making decisions Finding out what works, and ensuring that the interventions we and others make in childrens lives are as good as they possibly can be. Lloyd 1999
From Intuition to Strong Evidence 1. Systematic review of well designed Randomised Control Trial 2. RCT from at least one properly designed study 3. Well designed trials without randomisation 4. Non Experimental studies: Longitudinal 5. Opinions from respected authorities: NICE 6. Views of colleagues /peers What is your main source of evidence?
Gap between Clear RCT Evidence and Real World Practice Smoking Diet Exercise
Buyer Beware! 70% of conclusions not justified by the research
Causes and Associations Smoking causes Cancer There is a relationship between poverty and school attainments
Competing Evidence e.g. around alcohol Wine reduces risk of heart disease Increases risk of liver failure Increases life span Increased risk of breast cancer Lack of clear causative evidence about risks for pregnant women Its legal, it must be OK.
Truth Can experimental evidence be applied to the real world? Can we stick exactly to the treatment
Scientific Knowledge on its own is not enough Difficult to match research exactly to real life situations Real life contexts are not under control and we cannot replicate experimental interventions Risk of doing nothing Risk of Decision Fatigue
Healthy Scepticism and Respectful Uncertainty Critical Reflection Plan-Do-Review Model Build into every day practice Learning Culture Balance research and practitioner knowledge
Reflective Practice Regular Supervision Imagine different outcomes Devils Advocate Question the obvious Project into the future Clarify terms: specialist, therapeutic, ADHD Read the research Monitor your own beliefs and practice Have clarity around the purpose of actions Avoid confirmation bias (telescope vision) Be aware of rule of Optimism and Faith

More Related Content

Evidence Based Practice .pdf

  • 2. Definitions The conscientious, explicit, judicious use of current best evidence in making decisions Finding out what works, and ensuring that the interventions we and others make in childrens lives are as good as they possibly can be. Lloyd 1999
  • 3. From Intuition to Strong Evidence 1. Systematic review of well designed Randomised Control Trial 2. RCT from at least one properly designed study 3. Well designed trials without randomisation 4. Non Experimental studies: Longitudinal 5. Opinions from respected authorities: NICE 6. Views of colleagues /peers What is your main source of evidence?
  • 4. Gap between Clear RCT Evidence and Real World Practice Smoking Diet Exercise
  • 5. Buyer Beware! 70% of conclusions not justified by the research
  • 6. Causes and Associations Smoking causes Cancer There is a relationship between poverty and school attainments
  • 7. Competing Evidence e.g. around alcohol Wine reduces risk of heart disease Increases risk of liver failure Increases life span Increased risk of breast cancer Lack of clear causative evidence about risks for pregnant women Its legal, it must be OK.
  • 8. Truth Can experimental evidence be applied to the real world? Can we stick exactly to the treatment
  • 9. Scientific Knowledge on its own is not enough Difficult to match research exactly to real life situations Real life contexts are not under control and we cannot replicate experimental interventions Risk of doing nothing Risk of Decision Fatigue
  • 10. Healthy Scepticism and Respectful Uncertainty Critical Reflection Plan-Do-Review Model Build into every day practice Learning Culture Balance research and practitioner knowledge
  • 11. Reflective Practice Regular Supervision Imagine different outcomes Devils Advocate Question the obvious Project into the future Clarify terms: specialist, therapeutic, ADHD Read the research Monitor your own beliefs and practice Have clarity around the purpose of actions Avoid confirmation bias (telescope vision) Be aware of rule of Optimism and Faith

Editor's Notes

  • #8: Children of mothers who don't take folic acid more likely to have severe language delaysRead more: http://www.dailymail.co.uk/health/article-2048601/Children-mothers-dont-folic-acid-early-pregnancy-likely-severe-language-delays.html#ixzz1ag140kx0