EBP REFLECTION Evidence Based Practice involves the incorporation of the client’s perspective, internal and external evidence, and the clinician’s expertise to make an informed decision to provide the best care to the client. Throughout my clinical experience, I have had the opportunity to implement several evidence-based interventions. Common evidence-based interventions that I have implemented have been Semantic Feature Analysis (SFA), Traditional Articulation Approach, and Minimal Pairs Approach. Evidence-based interventions are rooted in research to support the utilization of the intervention to generate positive outcomes. As we often discuss, our field is ever-changing and ever-evolving as new information emerges. In the field of speech …show more content…
Tambyraja & Schmitt provides a list of examples of evidence-based curriculum that aid in addressing literacy skills in school-aged children (Tambyraja & Schmitt, 2020). The article states that there is a noticeable research-to-practice gap (Tambyraja & Schmitt, 2020). With this knowledge in mind, I hope to bridge the gap and provide evidence-based interventions to clients in order to provide clients with the greatest opportunity for success within speech and language services. Within the article there are considerations for facilitating the utilization of evidence-based practices and overcoming barriers in the school-based setting (Tambyraja & Schmitt, 2020). The considerations provided in the article are utilizing assessments to identify children’s needs, make efforts to collaborate, seek out training and support, and embrace a growth mindset (Tambyraja & Schmitt, 2020). I plan to take these considerations and utilize them in my practice as a school-based SLP. Each client is unique and there is no one size fits all approach. When researching, it is important to find evidence that is as similar to the client as possible. While it is not likely that the client’s profile will be exactly that of the client(s) within the research, it is important to find clients who are as …show more content…
I have grown immensely in the area of appraising evidence throughout my time in the graduate program. This is an area of research that I felt most uncomfortable with, but now feel competent in. “Learning how to interpret and apply the results from RCTs to inform clinical practice for purposes of improving patient care is a critical evidence-based practice skill for clinicians to develop (Donohue et al., 2023).” The Donohue et al. article provides a checklist of questions to critically appraise randomized control trials (Donohue et al., 2023). I plan to utilize the checklist provided in the article to aid in appraising research for clients in my practice. References Donohue, C., Carnaby, G., & Focht Garand, K. L. (2023). A Clinician's Guide to Critically Appraising Randomized Controlled Trials in the Field of Speech-Language Pathology. American Journal of Speech-Language Pathology, 32(2), 411–425. https://doi.org/10.1044/2022_AJSLP-22-00180 Guo, Kristina L., PhD, MPH. DECIDE: A Decision-Making Model for More Effective Decision Making by Health Care Managers. The Health Care Manager 27(2): 118-127, April 2008. | DOI: 10.1097/01.HCM.0000285046.27290.90 Tambyraja, Sherine R.;
Melnyk’s Hierarchy of Evidence is a system often use for assigning levels of evidence in nursing by integrates clinical expertise and patient choices with the best available research. It is represented by a pyramid that enumerates the levels of strength of the evidence from 1 to 7, of which level 1 is the higher level. The higher level on the pyramid, the more likelihood that the research is valid; therefore, answering a clinical or practice question. “The systematic review or meta-analysis of randomized controlled trials are at the top of the evidence pyramid and are typically assigned the highest level of evidence, due to the fact that the study design reduces the probability of bias” (Melnyk, 2011). The weakness of the system is that when
It is essential that when using evidence-based practice guidelines to choose a treatment, that variety of research methods are applied so that the best relevant data can be produced. Such methods include qualitative/quantitative research, randomised controlled trials and systematic reviews. Both qualitative and quantative methods produce valuable data. Quantative research produces numeric evidence that is necessary for practice and can be measured and qualitative research produces descriptive data about the subject by using patients views etc. which can also be applied to clinical practice (Broeder et al, 2010)
The implementation of evidence-based programs is generally quite new in the field of medicine, and it is even more recent in the social sciences field. One point of interest in the development towards evidence-based programs was the foundation of the Food and Drug Administration that is in charge of testing the security and safety of medicinal treatments (Leff, Conley, & Hennessey, 2006). Another point of interest was in the utilization of randomized control studies. It was in 1948 that the first study occurred – examining the adequacy of streptomycin in treating tuberculosis. By the 1960s the quantity of randomized control experiments reached into the hundreds, and in the last ten (10) years there are tens of thousands happening each day (Dodge, 2006). In the field of psychology, which does not have a legislative body inspecting the adequacy of treatments, it is the obligation of those in the field to examine effective and compelling programs. It truly was not until the 1990s that this concept started to expand. The Alcohol, Drug Abuse and Mental Health Reorganization Act of 1992 assisted with the creation of the Substance Abuse and Mental Health Services Administration (SAMHSA), whose part was to help in disseminating research and viable programs/services in regards to issue practices. In 1999, the American Psychological
I became inspired to become a speech-language pathologist when I first watched the film, Paulie. This film depicted a small girl, named Marie that had a speech impediment, which caused her to stutter. In order to improve Marie’s speech her mother would pronounce certain sounds and practice daily with her. While watching this film I began to realize that there is a number of individuals in our population that have different speech impairments. As I noticed how the character of Marie struggled with her speech impairment I sought to research the different treatments for individuals similar to Marie, and came across speech therapy and speech-language pathologists. I have always been fascinated by language and how it is essential in communication. I view speech-language pathologists as having a major role in helping
In social work evidence based practice is considered to be a decision making process and practitioners rely on the evidence when working with clients. According to Aveyard and Sharp (2013), evidence based practice is not easy to put into practice and there are many barriers to evidence based practice such as lack of time, lack of awareness of research, lack of support and cooperation, and lack of authority and inadequate facilities (p. 145). Although there are challenges to implementing evidence base practice this is still a doable task in the field of social work. Therefore, practitioners need to explore the motivation, knowledge and skills needed by the individual, the organizational motivation, learning
230) in EBP. Clinical opinion, together with the best relevant research evidence, provides the framework to for the best patient outcome. The nurse’s clinical opinion is acquired through knowledge and skills developed from undergraduate, graduate, or continuing education, clinical experience, and clinical practice (Melnyk & Fineout-Overholt, 2010). Clinical opinion also includes internal evidence, which is generated within a clinical setting from quality improvement outcomes, management initiatives or EBP implementation projects (Melnyk & Fineout-Overholt, 2010). Nurses use their clinical opinion when they identify each patient’s condition, individual risks, personal values and expectations, benefits of possible interventions, and gather evidence for EBP. When searching for the best available evidence, there is a hierarchy in the strength of evidence. The highest level of evidence usually comes from a systematic review or an evidence-based clinical practice guideline based on a systematic review. Systematic reviews provide the strongest evidence through a summary combining the results from many relevant, unbiased studies, to answer a particular clinical question. Nurses critically assess the individual studies, to gather the best evidence available for patient care. Systematic
Walshe,K. & Rundall,T. 2001, Evidence based management:From theory to practice in health care ,Milbank Quarterly, Vol.79, PP.429-457
Throughout most of history the perception of a nurse was interpreted as a bedside maid that served the doctor they worked under. However, nurses have defined, implemented, and birthed evidence based practice for over a hundred years (What’s, 2011). The application of evidence-based practice nursing care is concurrent with the effect on improved patient outcomes (Davis, 2016). The evidence based practice has evolved into a need for health care power teams that work together to continuously research the best outcomes for the patients in their care as a unit (Kerr,2007). Furthermore, the trinity relationship that exists between research, evidence-based practice, and quality control work behind the scenes to produce a decline in errors with patient’s
Evidence-based practice is important to consider when researching for interventions, further knowledge, or help to guide a new idea in the health professions. Evidence-based practice is comprised of three significant concepts: respect and awareness for the targeted population’s values, previous clinical practice or experience with that population, and systematic research to establish a better understanding of what is already known about the study’s focus. These concepts are all taken into consideration when designing and conducting a study because it provides a more valid and credible source for others.
O'Brien, D. (2009). Randomized controlled trials (RCTs). In R. Mullner (Ed.), Encyclopedia of health services research. (pp. 1017-1021). Thousand Oaks, CA: SAGE Publications, Inc. doi: http://dx.doi.org.proxy1.ncu.edu/10.4135/9781412971942
...son (2005) evidence helps to build understanding of the ever-changing policy environment. It can assess the effects of policy change so that the most suitable options are chosen and their effects monitored. Evidence has the potential to link strategic direction with intended results and policy objectives. This can help to outline the necessary actions to achieve strategic goals. Evidence also helps influence others so that they contribute towards successful delivery of the policy (Shaxson, 2005).
Tunis S., Stryer D., Clancy C. Increasing the Value of Clinical Research for Decision Making in Clinical and Health Policy. JAMA. 2003;290(12): 1624-1632
“Medicine”, a career for some and a profession for others, but for me it has been a journey. A journey that has brought along many surprises and was filled with challenges at every step. During this journey I have had many memorable moments. Some of which that I particularly remember are presenting my first case history, conducting a delivery by myself in OBGY, touching a live human heart while assisting a CABG, and so forth. The joy of all this has been overwhelming, but still it could not be compared with the feeling that I had when I made a child and his parents smile.
CHAPTER ONE 1.1 BACKGROUND OF STUDY The healthcare system is continuously changing, progressing and evolving, with development of new assumptions and theories on diseases, new medications, advance in technology, patient care trends, new and revised procedures, medical breakthroughs and research findings. With the rapidity of change in practice, equipment and technology, and increased complexity of the health care environment, healthcare recipients trusts health care professionals to continually provide optimal, high quality and safe care that is individualized, evidence-based, and patient-centered (Nsemo, John, & Etifit, 2013). According to the Institute of Medicine (IOM, 2004), nurses, are practical caregivers, who are involved in healthcare
Descriptive Reflection Throughout my nursing career I have never truly understood or accepted nursing theory as anything of great importance. Truthfully through previous courses I found myself wondering how nursing theorists even considered themselves a part of nursing at all. Nursing theorists’ views in my eyes were so drastically removed from what was actually occurring medically within my patients that I felt that the entire subject was worthless.