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main external drivers to evidence based practice
rising healthcare costs, awareness of potential harm, misinformation, better care and access
there is more PT research than
every before, making it more accessible but nearly impossible to obtain all information
barriers to integrating research into practice
time, skill and translation
EBP
integration of best research evidence, clinical expertise and patients values and circumstances to make decisions about the care of individuals
three legged stool of EBP
best available evidence, clinical expertise and patient values
steps to integrating EBP into practice
ask, acquire, appraise and apply
ask
converting the need for information into an answerable question
acquire
tracking down the best evidence with which to answer that question
appraise
critically appraising that evidence for its validity, impact, and applicability
apply
applying evidence in clinical decision making and integrating the evidence with the patients preferences and particular circumstances