Using systematic reviews to inform practice.pptVIP

Using systematic reviews to inform practice Statewide School-based OT/PT Conference October 28, 2005 Steven M. Cope, Sc.D., OT Evidence-based medicine is the integration of best research evidence with clinical expertise and patient values Sackett et al. (2000) An evidence-based occupational therapy practice uses research evidence together with clinical knowledge and reasoning to make decisions about interventions that are effective for a specific client(s) Law Baum (1998) Although there is an undeniable art to pediatric physical therapy, the heart of our practice should be the scientific basis of our interventions. The challenge is to integrate art and science in making clinical decisions that allow us to provide our patients and families with optimal care. M.J. Barry Evidence-based practice is… based on a single patient based on clinical judgement and patient values (client-centered) guided by research rather than dictated by it Being an evidence-based practitioner means… You value the importance of scientific literature as a foundation for clinical decision making; You frequently ask yourself, “what evidence exists in the literature to support or refute the intervention I am about to provide?” You believe your interventions will be more effective when research evidence is integrated Assumptions of EBP Scientific research provides an important basis for verifying the effectiveness of our interventions The effectiveness of interventions are improved under an evidence-based approach Life-long learning is important to effective clinical practice Diagnostic and technical skills increase with experience; however, clinical effectiveness deteriorates with time unless current knowledge is used to modify practice patterns Barriers to EBP Time for individual study and group discussion (lack of) Access to scientific literature (lack of) Interpretation of published findings (difficult to understand) Attitudes towards EBP may be negative Evidence-based