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Evidence Based Practice: Dr. Richa Singh Professor Dept. of Obs. & Gynae. S. N. Medical College, Agra

Evidence based practice involves using the best available research evidence to guide clinical decision making. It integrates clinical expertise, patient values, and research. EBP provides guidelines that help clinicians efficiently choose effective treatments while considering each patient's unique situation. Barriers to EBP include lack of time, resources, and access to research evidence. Overall, EBP aims to improve patient outcomes through informed treatment decisions.

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richa singh
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67 views

Evidence Based Practice: Dr. Richa Singh Professor Dept. of Obs. & Gynae. S. N. Medical College, Agra

Evidence based practice involves using the best available research evidence to guide clinical decision making. It integrates clinical expertise, patient values, and research. EBP provides guidelines that help clinicians efficiently choose effective treatments while considering each patient's unique situation. Barriers to EBP include lack of time, resources, and access to research evidence. Overall, EBP aims to improve patient outcomes through informed treatment decisions.

Uploaded by

richa singh
Copyright
© © All Rights Reserved
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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EVIDENCE BASED PRACTICE

DR. RICHA SINGH


PROFESSOR
DEPT. OF OBS. & GYNAE.
S. N. MEDICAL COLLEGE , AGRA
• Benefield defines Evidence based practices as
using the best evidence available to guide
clinical decision making.
• The conscientious, explicit and judicious use of
current best evidence in making decision
about the care of individual patient
- Dr. David Sackett
DEFINITION

• The integration of clinical expertise, patient


values, and the best research evidence into
the decision making process for patient care.
History of Evidence Based Practice
• Evidence based practice has its roots in
Evidence based medicine (also referred to as
Evidence based Health Care)
• EBM was created in the 1980s
• Popularised in the early 1990s as a response
to medical textbooks being unable to keep up
with rapid changes in medicine and being
frequently based up on the interpretation of
small number of people in a respective field.
Need for EBP
• EBP provides guidelines that help clinician make
intelligent choices.
• Helps the clinician to evaluate the mass of data
and choose in skilled manner, what to use and
what to discard.
• New evidence is constantly being generated
which might significantly change the way we care
for patients.
• Our knowledge and clinical performance
deteriorate with time ,so we should update it
timely.
EBP provides
• High quality , clinically oriented and relevant
research which provides better information
for the clinician
• It will yield improved treatment for the
patient
• Personal satisfaction that patient is offered
the best treatment.
Evidence
• Knowledge derived from a variety of sources that
was found to be credible
• Types of evidences
 Type I – At least one good systemic review
 Type II- At least one good RCT
 Type III-Well designed interventional studies
without randomisation
 Type IV-Well designed observational studies
 Type V-Expert opinion, influential reports and
studies
Goals of EBP
• Introduce innovation
• Assists with efficient and effective decision-
making
• Resolve regulatory problems
• Achieve excellence in regulation
• Resolve problems in the clinical setting
• Reduce variations in care
Evidence based approach
• The approach will emphasize-
 Precise definition of patient problems to
facilitate efficient literature search
Understanding rules of evidence to interpret
literature regarding correct prognosis and
therapeutic approach
Extraction of clinical message and its
application to patient problem
Evidence based approach
High quality , clinically oriented and relevant
research which provides better information
for clinician
Improved treatment to patient
Personal satisfaction that our patients are
offered the best treatment
Benefits from EBP
• For Patients
Saves time
No need to approach other clinicians when
treatment plan is based on evidence based
practice
Relatively low harm to patient
Patients needs and preferences are valued
• For Practitioners
Personal satisfaction
High quality of care rendered to patients
Greater confidence in treatment planning
Wastage of resources is minimized
Good rapport developed between patients
and practitioner
It also favors to take up new and better
treatments in practice
• For researchers
They are being called upon to do the clinical
testing necessary before new products are
introduced.
Advantages of EBP
• Provide better information to practitioner
• Enable consistency of care
• Better patient outcome
• Provide client focused care
• Increases confidence in decision making
• Provide guidelines for future research
• Helps practitioners to provide high quality
patient care
Disadvantages of EBP

• Not enough evidence for EBP


• Time consuming
• Suppress creativity
• Publication bias
Key points of EBP
• EBP is a structured approach for clinical
decision making
• It assists the practitioner in finding and
applying the best evidence in clinical practice
• EBP manages the information overload and
uncertainty
Barriers to implement EBP
• Lack of interest
• Lack of involvement
• Lack of time
• Lack of renumeration
Potential barriers to change clinical
practice
1) Knowledge and attitude of practitioner
Information overload
Clinical uncertainty
Influence of opinion leaders
Outdated knowledge
2. Patient factors
 Demands for care
 Perceptions and belief about appropriate
care
3. Practice environment
 Time constraints
 Poor practice organization
4. Educational environment
Inadequate continuing education programs
Inadequate preparation of faculty for teaching
5. Wider health system
Inappropriate funding system
Lack of financial support for innovation
Failure to provide practitioners with access to
appropriate information
Conclusion
• Evidence based practice is the most effective
approach for treating patient.
• Evidence based approach improves patient
care through decision making.
• Incorporates research evidence , along with
clinical expertise and patient preferences.
• Research evidence should help guide , rather
than dictate clinical decisions.

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