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Explore Sackett’s Model for sound clinical decisions in physical therapy, emphasizing patient preferences and research evidence. Understand the core aspects of Evidence-Based Practice (EBP) to improve treatment outcomes and prioritize patient safety. Unpack the importance of clinical judgment, patient values, and research evidence, facilitating interventions that enhance patient care while steering clear of ineffective or harmful practices. Gain insights into refining clinical decision-making processes with a multidimensional approach.
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Evidence Based Practice: Unit I Introduction Mount St. Mary’s College Doctor of Physical Therapy Program Faculty Online Instruction
How Should Treatments Be Critiqued for Scientific Merit? • Phys Ther. 1996
Objectives • Define elements of Sackett’s Model and relate them to clinical decision making. • Describe the application of Sackett’s Model to diagnosis, prognosis and intervention.
What is Evidence Based Practice • Clinical Judgment • Research Evidence • Patient Preferences or Values • Evidence and Decision Making
Objectives of EBP • Promote interventions that do more good than harm • Prevent use of unproven interventions • Remove harmful interventions • J A Muir Gray (1997). • Harwood, 2005 (Preview 2020)
Clinical Judgment PriorExperience Knowledge Complexity and Uncertainty Environment Meta-analysis Patient Values Research Evidence RCTs Clinical Decision Making Patient Goals Observational Studies Patient Characteristics Modified from Portney,2005 http://www2.apa.org/practice/ebpstatement.pdf
ClinicalJudgment Complexity and Uncertainty PriorExperience Knowledge Modified from Portney,2005 http://www2.apa.org/practice/ebpstatement.pdf
ClinicalJudgment Complexity and Uncertainty PriorExperience Knowledge Modified from Portney,2005
ClinicalJudgment Complexity and Uncertainty PriorExperience Knowledge Modified from Portney,2005
ClinicalJudgment Complexity and Uncertainty PriorExperience Knowledge Modified from Portney,2005
Patient Values Patient Characteristics Patient Goals Environment http://www2.apa.org/practice/ebpstatement.pdf Modified from Portney,2005
Patient Values Patient Characteristics Patient Goals Environment Modified from Portney,2005
Patient Values Patient Characteristics Patient Goals Environment Modified from Portney,2005
Patient Values Patient Characteristics Patient Goals Environment Modified from Portney,2005
Patient Values Information Patient Characteristics Patient Goals Environment Modified from Portney,2005
Research Evidence Meta-analysis & Systematic Reviews Randomized Controlled Trials Observational Studies Modified from Portney,2005 http://www2.apa.org/practice/ebpstatement.pdf
Research Evidence Meta-analysis & Systematic Reviews Randomized Controlled Trials Observational Studies Modified from Portney,2005
Research Evidence Meta-analysis & Systematic Reviews Randomized Controlled Trials Observational Studies Modified from Portney,2005
Research Evidence Meta-analysis & Systematic Reviews Randomized Controlled Trials Observational Studies Modified from Portney,2005
Summary • Three Elements of EBP • Clinical Judgment • Patient Values or Preferences • Research Evidence