“Evidence-based practice is the integration of best research evidence with clinical expertise and patient values” (ASHA). Staff of ASHA embarked upon the new idea of Evidence-Based Practice (EBP) in 2005. The goal of EBP is the integration of: clinical expertise/expert opinion, external scientific evidence, and client/patient/caregiver perspective to provide high-quality services reflecting the interests, values, needs, and choices of the individuals we serve (ASHA). The four steps of EBP include: framing the clinical question, finding the evidence to suppose the question, assessing the evidence, and making the clinical decision. Researchers have studied the status of current implementation of EBP in the field, challenges to implement EBP, …show more content…
IDEA requires that each student’s individualized education program include a statement of services “based on peer-reviewed research, to the extent practicable” (Hoffman, Ireland, Hall-Mills, & Flynn, 2013). Sackett, Straus, Richardson, Roesnberg, and Haynes created 5 discrete steps related to EBP in the public school setting. These steps include: ask the question, search for evidence, evaluate evidence, make the decision, and evaluate the outcomes (Hoffman, Ireland, Hall-Mills, & Flynn, 2013). SLP’s analyze each step with each child in order to develop a differential diagnosis. Other relatable connections to EBP include periodic reports on the progress the child is making toward meeting his/her annual goal and how their progress is being measured, which is required by …show more content…
It is important to go through every detail of conducting a study. If not, it may be detrimental for readers because they will not feel confortable or confident in knowing if the information is accurate. The most common method that SLP’s use when conducting a research design is a quantitate research method. When using this method, researchers test a hypothesis, identify cause and effect relationship, and explain behaviors objectively (Hammer, 2011). Researchers utilizing this specific method have found valuable information pertaining to this field. Another research method that is not commonly used is the qualitative method. “qualitative methods can be used to………. (Hammer, 2011). Because they are not commonly used, there are less research designs based on a qualitative approach. There needs to be more awareness in utilizing this method when conducting research studies to increase our
Evidence Based Practice emerged in the late 20th century, becoming widespread in the 21st century. According to Research and Practice: The Role of Evidence-Based Program Practices in the Youth Mentoring Field ( 2009) “The concept of Evidence Based Practice (EBP) actually has its roots in the medical field, where the work of Archie Cochrane (1972) and others examined the key role that the substantial body of medical research and literature could play in how doctors make decisions in patient care” (para 6); Thus, a doctor’s decision would be an “educated” decision, based on evidence gathered (patient symptoms), history of cases they have overseen, or research of previous case diagnosed by another doctor, with a related case. Evidence Based Practices are defined as “ integration of: (a) clinical expertise/expert opinion, (b) external scientific evidence, and (c) client/patient/caregiver perspectives to provide high-quality services reflecting the interests, values, needs, and choices of the individuals we serve” (“Evidence Based Practice (EBP),” 1997-2014); often described as the “Best Practices”. The evidence itself is not the basis of decisions made, but it does help support the process of care given to our clients.
Therefore a knowledge of EBP would benefit an Occupational therapist because literature and research demonstrates that any interventions are both clinically and cost effective , Also it gives Occupational Therapists the tools and the evidence to justify and back up some of the interventions to the patients they are working with, the management team and to themselves (Taylor 2000).
I also volunteer, assisting students with various developmental and learning disabilities complete their educational tasks (e.g. homework and test preparations). In the past, I’ve worked as a teacher’s aide in the Buffalo, NY public school system and as an undergraduate assistant in the Buffalo State Speech-language and Hearing Clinic. I plan to become a school-based SLP preferably in the Washington, D.C. area. I have great interest in working in the public-school system because I believe that it will allow me to reach and assist a large array of children with a wide variety of unique needs. I am particularly passionate about assisting children that come from socioeconomically disadvantaged backgrounds because I come from one myself. I also believe that children are often misdiagnosed with language or speech impairments because they use a vernacular that is different from mainstream English or because they fail standardized tests that are not culturally appropriate for them. Correspondingly, a child’s language or speech impairment can be overlooked because they use a vernacular that differs from mainstream English. As a school-based SLP, I will strive to ensure that all children receive the appropriate services they require, warranting that they become proficient communicators and will be able to use their skills to enhance their lives and contribute to society. Nothing will give me more gratification than to help children make greater use of their communicative
Evidence-based practice integrates best current evidence with clinical expertise and patient/family preferences and values for the delivery of optimal health care (qsen.org). Like most medical professions, nursing is a constantly changing field. With new studies being done and as we learn more about different diseases it is crucial for the nurse to continue to learn even after becoming an RN. Using evidence-based practice methods are a great way for nurses and other medical professionals learn new information and to stay up to date on new ways to practice that can be used to better assess
Over seven million people just in the US have some sort of speech disorder. Just think about how many it is around the world! There are many different types of speech disorders, such as: stuttering, lisping and, mumbling, to name a few. Many of these disorders become noticeable during early childhood, however, this is not the only time a speech disorder may occur. Many people that suffer from strokes or other traumatic accidents encounter struggles with speech through their recovery. Those who struggle with speaking after an accident, though, have more access to treatments than children that are born with speech impediments. The treatments that are most known for children include: phonology, semantics, syntax, and pragmatics. There are speech
Psychological Association (2006, p. 273) defines EBP as "the integration of the best available research with clinical expertise in the context of patient characteristics, culture and preferences."
The process of EBP has several models with common elements that start from uncertainty in the clinical setting, and lead to making an informed decision by assessing and implementing the latest research evidence into practice (Stevens, 2013). Melnyk and Fineout-Overholt (2010) define the seven step process of EBP as:
1. Many people have multiple reasons why they want to be able to help others in their everyday jobs. My attraction to being a Speech Language Pathologist is because I want to be able to people overcome their speech problems. As a Speech Language Pathologist I want to be able to help people that have speech problems, overcome this problem and be able to be independent without needing the help of myself or other people that are trying to talk to them. I personally know their feelings and have actually been in their shoes to know how frustrating life can be trying to talk and have someone else talk for you.
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.
It’s interesting to know that clinics like the one I volunteer for are approved by the Department of Education and can provide additional services to children who need them. I have been told by quite a few people that in the past, speech-language pathologists had to know a little bit of everything, and while that still holds true today, specialized speech-language pathologists are becoming more of the norm. The American Speech-Language-Hearing Association offers SLPs the opportunity to receive their Clinical Specialty Certification, which is a step beyond the Certificate of Clinical Competence. These areas include Child Language and Language Disorders, Fluency and Fluency Disorders, Swallowing and Swallowing Disorders, and Intraoperative Monitoring; Auditory Verbal Therapy (AVT), what the SLP that worked with Student A was certified in, is governed by the Alexander Graham Bell Academy for Listening and Spoken Language. As a future speech-language pathologist, I will be able to refer a child whose speech and language issues go beyond hearing loss to the appropriate SLP and work collaboratively with him/her; educators will be able to advocate for their
One feature of evidence based practice is a problem-solving approach that draws on nurses’ experience to identify a problem or potential diagnosis. After a problem is identified, evidence based practice can be used to come up with interventions and possible risks involved with each intervention. Next, nurses will use the knowledge and theory to do clinical research and decide on the appropriate intervention. Lastly, evidence base practice allows the patients to have a voice in their own care. Each patient brings their own preferences and ideas on how their care should be handled and the expectations that they have (Fain, 2017, pg.
At the turn of the twentieth century, many interventions for students with speech and language disorders began in the public schools. After the passing of public law 94-142, these mandated students began to receive speech services in public schools. When speech therapist began servicing students it was in large groups. Unfortunately, due to meeting the needs of the individual students there was a decrease in teacher caseloads.
At the time I didn't realize it but Speech and Language Pathologists have been a big part of my life since I was a child. When I was in elementary school it was discovered by a dentist that I had an orofacial myofunctional disorder that was causing my tongue to push on my front teeth triggering a massive overbite. Around the same time my brother, from the very start of his language development, was developing a severe stutter. As young children with these impairments life was just a little more difficult. I had other students mock and make fun of the way I looked and my brother got the same from his peers as well as frustrations from adults who did not have the patience to listen to him.
In conclusion, Evidence-Based Practice requires explicit use of best evidence and decision making. However, clinical skills, judgment and experience are as critical. The best systematic recording will have a significant impact on increasing the confidence on the effectiveness of the treatments and correct interpretation of evidence. “To practice EB means becoming a better history taker, better clinical examiner, a consumer of empirical evidence and a thoughtful diagnostician and therapist” (Ambrose, B, 2011). As physiotherapists, we are responsible to make contributions and able to provide patients the best treatment and services.
In the last decade, technology has come a very far way, and it is just going to keep advancing. Technology greatly affects the future of speech language pathology. The knowledge and power that speech therapists have now has a lot to do with the devices and technological advances that have been made in the world; in the future, there will be even more. With future technology, therapists may be able to find quicker and more successful ways to treat a patient, have more advanced ways of conducting tests, and may even have more machines and information to be able to conduct even further research than what the field already has. Though technology has minor negative impacts, the list of positive impacts is forever growing. Technology has changed