Exam 1: Introduction to Evidence-Based Practice
Which of the following statements is true about prior research on practitioner effectiveness?
A
Many studies lack credibility due to fatal flaws in their research designs and methods.
True
Explain why EBP is not a mechanistic, cookbook process.
Evidence-based practice (EBP) is not a mechanistic, cookbook process because it involves more than just following a set of guidelines or protocols. EBP requires critical thinking and decision-making skills to integrate the best available evidence with clinical expertise and patient values and preferences.
First, EBP involves a complex and dynamic process of gathering, appraising, and synthesizing evidence from research studies, clinical expertise, and patient input. This requires clinicians to stay updated on the latest research and be able to critically evaluate the quality and relevance of the evidence to their specific clinical question or patient population.
Second, EBP recognizes that clinical expertise is an essential component of decision-making. Clinicians must be able to apply their knowledge and experience to interpret and apply the evidence to individual patients, considering their unique circumstances and preferences. This personalized approach goes beyond simply following a standardized protocol or algorithm.
Third, EBP emphasizes the importance of considering patient values and preferences in decision-making. This means engaging in shared decision-making with patients to ensure that their individual needs and goals are taken into account when developing a treatment plan.
Overall, EBP is a multi-faceted and iterative process that requires critical thinking, clinical expertise, and patient-centered care. It is not a one-size-fits-all approach, but rather a framework for integrating the best available evidence with individual patient needs and clinical judgment. As such, it cannot be reduced to a mechanistic or cookbook process.
Almost all past reviews of research on the effectiveness of psychotherapy have agreed that it is overall very effective.
Describe what a practitioner should do when he or she cannot find the best evidence supporting the effectiveness of an intervention for a particular client.
EBP is primarily a cost-cutting tool used by third-party payers that involves a rigid decision-tree approach to making intervention choices irrespective of clinical judgment.
Describe the criteria you would use in selecting an assessment instrument.
Worrying about scientific evidence makes practitioners less compassionate.
Some studies have found that practitioner effectiveness is influenced by the type of intervention employed as well as relationship factors.
Explain why engaging in EBP makes one a more ethical and compassionate practitioner.
Which of the following statements is true about EBP decisions?
If you can't find highly rigorous evidence supporting the effectiveness of an intervention with clients just like yours, you should;
Although following the EBP process makes a practitioner more scientific, it risks making them less ethical.
When considering using an assessment instrument, the practitioner should ask whether it is:
EBP decisions about which intervention to provide should be made in light of:
Engaging in the EBP process requires rejecting the dodo bird argument.
Which of the following statements is/are true about searching for, finding, or using the best scientific evidence to guide practice decisions?
Which of the following statements is/are true about the use of research in practice before the emergence of EBP?
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