Evidence-Based Practice: Overview

Further resources

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Evidence Based Practice

Francoise Jourde, ‘evidence’ , CC License CC BY-NC-SA 2.0, (creativecommons.org/licenses/by-nc-sa/2.0/deed.en),  Image source: Flickr   (www.flickr.com/photos/prof_jourde/7679786836/)The purpose of Evidence Based Practice is to:

  • improve quality, effectiveness and appropriateness of clinical practice
  • share decision-making with patients
  • substantiate the care provided to patients
  • reduce variations in practice patterns resultant from geographical differences or gaps in current knowledge

Where these components intersect forms the body of research that is known as Evidence Based Practice.

Ask Ability to formulate a research question based on a clinical problem that needs to be solved or a gap in the literature
Access Design and conduct a search strategy choosing comprehensive search terms and the most appropriate databases
Appraise   Using appropriate chosen critical appraisal tools, the evidence is appraised for suitability to answer the research question, bias, suitability of analysis, reliability of the outcome measures
Apply The evidence is applied to a clinical situation or to respond to a specific research question
Assess Integration, evaluation, reflection, adaptation of practice based on evidence and the application of these findings
  (Dawes, M, Summerskill, W, Glasziou, P, Cartabellotta, A, Martin, J, Hopayian, K, Porzsolt, F, Burls, A & Osborne, J 2005, 'Sicily statement on evidence-based practice', BMC Medical Education, vol. 5, no. 1, DOI:10.1186/1472-6920-5-1.)

Professor Paul P Glasziou joined Bond University in July, 2010. He was previously the Director of the Centre for Evidence-Based Medicine, and Professor of Evidence-Based Medicine in the department of Primary Care at the University of Oxford.  Watch Professor Paul Glasziou explain the feasibility of introducing evidence based practice techniques into normal medical practice:

Evidence Based Medicine in Practice #2, YouTube (viewed 4 February 2013)
(Running time: 5.58 minutes)

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