Competencies EBP Author Annemarie Brouwer Coauthor Catherine Suttle
Competencies & EBP Author: Annemarie Brouwer Co-author: Catherine Suttle
Competencies • Competency is the ability to perform the activities within an occupation to the standard expected in employment • Competencies are the skills, attitudes and knowledge needed to be able to practice
24 subjects • 4 knowledge based • 20 practical based
EBP vs EBM • Evidence Based Medicine • Evidence Based Practice
EBP is: The use of the best available evidence together with the patient’s preferences and the practitioner’s expertise. EBP was introduced to Medicine in 1991 as a process to: “assess the validity and importance of evidence before applying it to day-to-day clinical problems” Oxman et al (1993) JAMA 270: 2093 -2095.
EBP: • “Evidence based medicine is the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients. ” Sackett, Rosenberg, Gray, Haynes, Richardson (1996)
EBP Research Papers Conferences Expert opinion Cost Time Quality of life Cultural Policies/pressures Time Computer access Consistency History, signs, symptoms Education First principles Experience Books
https: //www. eboptometry. com/sites/default/files/EBP%20 diagram%20 Nov%202013. png JMB 10 -05 -2017
5 steps http: //ebbp. org/images/5 steps. jpg JMB 10 -5 -2017
5 steps • Asking a clinical question • Putting together words that capture the clinical situation and can be used in the next step • Acquiring relevant evidence • Finding evidence – starting with sources that provide evidence of high reliability, moving to other sources if necessary • Appraising the evidence • Reading or listening to the evidence critically • Applying the evidence • Making a clinical decision on the basis of best available evidence, patient’s preferences and clinician’s expertise/experience • Auditing its effectiveness • Reflecting on whether EBP is being applied effectively
OCULUS and EBP • No EBP in current European diploma • Analyse • Development • Implementation
EBP assessment tool • identify learning and teaching strategies that aim to teach aspects of EBP • compare each of these against strategies that are based on the best available research evidence (‘best practice’) • where needed, modify existing strategies to meet best practice
Tool Adapted from: (Tilson et al. , 2011)
Current state • Data collection • June: compare all strategies with best evidence • Modify strategies and implement in curricula
- Slides: 14