Evidence–based practice is defined as a problem–solving and decision making approach
in practice that involves the conscientious use of current best (research) evidence,
clinical expertise, & patient preferences. Evidence–based practice involves critical
appraisal of information used to answer a clinical question.In health care, it is widely accepted/recognized that provision of high quality care which
is safe and generating good outcomes is best achieved through evidence based practice.
As such, practicing in an evidence informed manner is an important competency of
health professionals.
Reference: Waite R., Killian P. 2010. Evidence–Based Practice6.aspx
Image taken from : Curtin University Evidence Based Health Sciences page
Why Is Evidence-Based Practice Important?
EBP is important because it aims to provide the most effective care that is available, with the aim of improving patient outcomes. Patients expect to receive the most effective care based on the best available evidence. EBP promotes an attitude of inquiry in health professionals and starts us thinking about: Why am I doing this in this way? Is there evidence that can guide me to do this in a more effective way? As health professionals, part of providing a professional service is ensuring that our practice is informed by the best available evidence. EBP also plays a role in ensuring that finite health resources are used wisely and that relevant evidence is considered when decisions are made about funding health services.
Source. Hoffman, T., Bennett, S., & Del Mar, C. (2013). Evidence-based practice: across the health professions (2nd ed.). Chatswood, NSW: Elsevier.
Evidence-based physical therapy (EB-PT)
The term ‘evidence-based practice’ (EBP) is defined as the use of high quality clinical research to inform decisions in clinical practice with regard to the care of individual patients. According to the EBP principles, the decisionmaking process need also to consider the physical therapist’s experience and the patient’s preferences. 1,2 The EBP can be used according to the following steps: (1) formulation of a clinical question, (2) review of the literature, (3) critical appraisal of the evidence, (4) application of the evidence in clinical practice, and (5) appraisal of the implementation of evidence in clinical practice.
(Herbert, Jamtvedt, Mead & Hagen, 2005, p. 1).
MedStar's EB-PT Goals
At Medstar, we have established goals based on evidence-based practice to help our patients. These goals include:
1.To make sure that all decisions made for patient care take into account “the best available evidence”
2.To better plan and evaluate service delivery
3.To provide better patient information
4.To better understand the reasons for lack of compliance by patients in relation to their PT care
5.To accurately gauge the relationship between patients and physical therapists and its effect on health-related outcomes.
6.To accurately gauge the relationship between patients and physical therapists and its effect on health-related outcomes
.
Summary of 5( eb-pt) Steps
Under the leadership of Dr. Saedifar and vast experience using EB-PT, the following are the 5 Steps used to provide the best treatment plan for our patients. These 5 steps include:
Ask: Convert the need for information into an answerable question.
Find: Track down the best evidence with which to answer that question.
Appraise: Critically appraise that evidence for its validity and applicability.
Apply: Integrate the critical appraisal with clinical expertise and with the patient’s unique biology, values, and circumstances.
Evaluate: Evaluate the effectiveness and efficiency in executing steps 1-4 and seek ways to improve them both for next time.
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