What is Evidence-Based Practice?
Evidence based practice is the integration of clinical expertise, patient values, and the best research evidence into the decision making process for patient care.
Clinical expertise refers to the clinician's cumulated experience, education and clinical skills.
The patient brings to the encounter his or her own personal and unique concerns, expectations, and values.
The best evidence is usually found in clinically relevant research that has been conducted using sound methodology. (Sackett, 2000)
© North Metropolitan TAFE 2019 The higher up the pyramid you go the more rigorous the study
RESEARCH - EVIDENCE BASED PRACTICE
When using the internet to supplement information you have already found, the quality of web sites vary and each must be evaluated according to criteria such as:
Authorship - what are the credentials of the author?
Origin - who hosts the site - university, government department, commercial enterprise?
Reliability - is the web site reliable?
Currency - when was the web site last updated?
Accuracy - does the author cite the sources used?
1) Health Literacy
2) Shared decision-making
3) Infection prevention
4) Wound management
5) Medication safety
6) Delirium
7) Falls prevention
8) Pressure injuies
9) Malnutrition
10) Clinical handover
11) Blood management
12) Recognising and responding to acute deterioration
Looking for evidence to support best practice in line with the Australian National Safety and Quality Health Service Standards?
These automatic PubMed searches – focussed on the hospital setting – are available in four categories:
1) Last 5 Years 2) Broad 3) Broad limited to Australia 4) Broad limited to Review
"As the name suggests, The Cochrane Library is a collection of resources that can be used as a tool to help clinicians and consumers make decisions about appropriate and effective health care. The information is presented in the form of systematic reviews (also referred to as Cochrane reviews). These reviews are the most rigorous in the world, and provide the foundations for continuous improvement in the quality of health care. Entry to the Library is available via the Cochrane Library." [copied from website]
APA reference
The Department of Health and Aged Care. (n.d.). About the Cochrane Library. https://www.health.gov.au/contacts/cochrane-library
"Australia is one of the first developed countries to negotiate a national subscription to The Cochrane Library, giving all Australians access to the library from their home computer, or any other terminal with Internet access in Australia, free of charge. The Australian Government has funded this national subscription in an effort to provide Australians with the best and latest evidence to inform their health care choices." [Copied from websie]
Every day there are news reports of new health advice, but how can you know if they're right? Doctor and epidemiologist Ben Goldacre shows us, at high speed, the ways evidence can be distorted, from the blindingly obvious nutrition claims to the very subtle tricks of the pharmaceutical industry.
Well worth watching
Share Link :
https://youtu.be/h4MhbkWJzKk?si=0QLNqqHem4l55BOX
Fall and Slip
Slips and Falls
Falls
Falling
"Accidental Fall" OR "Accidental Falls"
"fall prevention"
fall* AND "fall* prevention"
"Fall Risk Prevention"
"Fall Risk" AND Prevention
"Pressure Injury" OR "Pressure ulcer"
Ulcer OR Ulcers
Decubitus
"Decubitus Ulcers"
"Pressure Ulcers"
Bedsore OR "Bed Sore" OR Bedsores OR "Bed Sores"
Sore OR Sores
"Pressure Sore" OR "Pressure Sores"
Skin and "Connective Tissue Diseases"
"Skin Diseases"
"Skin Ulcer"
"Buruli Ulcer"
"Leg Ulcer"
"Pyoderma Gangrenosum"
This is usually a short answer assessment, however some academic areas will embed the knowledge component in with the practical application of the skills; students need to show they know something by applying this knowledge whilst completing a relevant task.
TAFE lecturers assess student’s knowledge by giving students the opportunity to show they know how and why they would apply that knowledge. This can happen via questioning during the practical component.
Auditors prefer knowledge to be assessed before the practical is given as some knowledge is safety related or procedure related, and employees need to know these before they act.
(Auditors do not like multiple choice assessments as they don’t take a lot of skill to write, and they still provide an opportunity for the student to guess rather than demonstrate their knowledge).
This can happen in the workplace or a simulated environment, where the students are given a task or scenario, and then demonstrate the skills.
Assessors will use an observation checklist ticking off behaviours and skills they have seen demonstrated and making notes about their observations.
Some practical assessments have a written component, if the unit includes writing as a skill, assessors may get students to write how they would do something before they proceed with a physical demonstration.
Regardless all units have skills that must be physically observed.