Lec 3/4.1 - Evidence-Based Practice/Patient and Health Education

Evidence-Based Practice

• Problem-solving approach to clinical decision making

• Used to review, analyze, and translate the latest scientific evidence

• Weighs risk, benefit, and cost against the patient's preferences

• Amalgamation of the best scientific evidence, the OT’s clinical experiences, and patients’ values

1972

• Health profession is criticized for administering treatments that are not evidence-supported

McMaster University Medical School

• 1980

• Evidence-based Medicine was used at _______ in Canada

Cochrane Center

• 1992

• Funding was approved for a _____ to facilitate the systematic review of randomized controlled trials of healthcare

Joanna Briggs Research Institute

• 1996

• ________ was founded and allowed for research to be linked with practice

Traditional Practice

• Focused on survival and disease control, and on morbidity and mortality

Contemporary Practice

• EBP emphasizes a broader patient-centered perspective, looking at function, quality of life, and healthcare costs

  • How can our patients live fruitful and quality lives?

Omnibus Health Guidelines

• Overarching policy reference containing consolidated best available evidence-based standards of care across various life stages and various settings

• National reference for delivering standardized, high-quality, evidence-based healthcare for Filipinos

PAOT Standard of Practice, Standard 9

• Continuous Quality Improvement

  • Monitor and document the continuous quality improvement of practice.

  • Monitor all aspects of an individual’s OT service for effectiveness and timeliness

  • Systematically assess the review process of patient care

PAOT Code of Ethics, Duties

• OTs shall perform their duties based on accurate and current information

Evidence

• Dimensions of EBP

• Best available, current, valid, and relevant research

• Can be characterised by:

  • Empirical in nature

  • Low bias

  • Relevant to clinical question

  • Has high clinical utility

Expertise

• Dimensions of EBP

• Experience and proficiency acquired through practice

  • Clinical proficiency and critical thinking skills

Client

• Dimensions of EBP

• Their values, beliefs, preferences, circumstances, context, conditions, and access to care and support.

Research

• Generates knowledge, improves existing theories

• Questions are used to report findings

• Focuses on hypothesis and research questions to answer a knowledge gap

Evidence-Based User

• Restricted set of skills

• Uses pre-appraised evidence

• Applies the easiest or most applicable solutions

Evidence-Based Practitioner

• More seasoned

• Employs independent searching and critical appraisal

• Uses the best evidence

Clinical Patient Education

• Planned, systematic, sequential, and logical process of teaching and learning, provided to all patients in all clinical settings

• Involves the healthcare provider, patient, caregiver, and family

Health Education

• Concentrated on wellness, prevention, and health promotion

• Provides a focus on changing and improving societal health behaviors