Evidence Based Practice Law Policy and Practice Guidelines

Evidence Based Practice Law, Policy and Practice Guidelines Practice Communities Professional Goals

“The best way to predict the future of health care is to create it. ” (Otternbacher, Tickle-Denen & Hasselkus, 2002)

Objectives At the end of this presentation, the participant will be able to: • Define evidence-based practice and knowledge transition • Discriminate between scholarly and popular articles • Identify three databases from which to gather information • Demonstrate ability to retrieve one scholarly, peer reviewed article regarding collaborative consultation in schools.

American Occupational Therapy Association Centennial Vision We envision that occupational therapy is a powerful, widely recognized, science-driven, and evidence-based profession with a globally connected and diverse workforce meeting society’s occupational needs.

Top Ten Reasons… It sounds impressive. Your team will be impressed. Your patients will be impressed. Everyone is doing it. You want to know what your students are talking about. You want to be reimbursed. You want to be a competent practitioner. You want to be a scientific practitioner. You want to be an ethical practitioner. You want the best outcomes for your clients. Margo B. Holm, PHD, OTR/L, FAOTA, ABDA: “OT PRACTICE online”

Reevaluate Plan an action Ask the question Evidence-based Practice Use clinical reasoning Assess the information Look for the answers

What is evidenced-based medicine? Evidenced-based medicine is the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients. The practice of evidence-based medicine means integrating individual clinical expertise with the best external clinical evidence from systematic research. (Sackett et al. , 1996)

Knowledge Translation • Closing the gap between research and practice.

Scholarly vs. Popular Articles • • Scholarly Primary sources are: professional journals, edited books, and internet databases Most often peer reviewed Well cited and referenced At least research based Popular • Primary sources are magazines, books, internet search engines • Written to be easy to read for general public • Not well cited

Research Literature • Quantitative Studies • Levels I – V (highest are randomly controlled trials) • Qualitative Studies • • • Phenomenological Ethnographic Grounded Theory Participatory Others specific to theoretical disciplines

Critical Appraisals • Structured approach to assessing scholarly information • Individual and systematic reviews • Available through AOTA and through specific databases such as Cochrane Review, Pub. Med and MEDLINE

Let’s give it a try… 1. Determine question: “What effect does collaborative consultation have in the school system? ” 2. Choose Database 3. Identify key words and put in search box. 4. Refine search words or limit results function to manage amount of results. 5. Review abstracts and choose articles.

Searching Using a Database • ERIC • Pub. Med Central • Google Scholar • Chatham University • AJOT (BJOT and CJOT)

Citing Literature • Always track your resources • Start a citation manager on your computer • Become familiar with American Psychological Association (APA) formats • Beware of plagarism

"Never doubt that a small group of thoughtful, concerned citizens can change the world. Indeed it is the only thing that ever has. " Margaret Mead

References • American Occupational Therapy Association, [AOTA]. (2007). Centennial Vision. American Journal of Occupational Therapy, 61(6). Retrieved from http: //www. aota. org//media/Corporate/Files/About. AOTA/Centennial/Background/Vision 1. pdf • AOTA’s Centennial Vision and Executive Summary. (2007). American Journal of Occupational Therapy, 61(6), 613– 614. http: //doi. org/10. 5014/ajot. 61. 6. 613 • Eckel, E. (2014). Introduction to EBP OTH 690. Chatham University. • Law, M. , & Mac. Dermid, J. C. (2014). Evidence-Based Rehabilitation: A Guide to Practice (3 rd Edition). Thorofare, NJ: Slack Incorporated. • Mc. Glynn, Elizabeth A. , Asch, Steven M. , Adams, John, Keesey, Joan, Hicks, Jennifer, De. Cristofaro, Alison, & Kerr, Eve A. (2003). The Quality of Health Care Delivered to Adults in the United States. New England Journal of Medicine, 348(26), 2635 -2645. • Ottenbacher, K. J. , Tickle-Degnen, L. , & Hasselkus, B. R. (2002). Therapists Awake! The challenge of evidence-based occupational therapy. American Journal of Occupational Therapy, 56(3), 247– 249 • Reder, R. D. (2015, April). Changing the way we practice: A roadmap to transforming care. Presented at the AOTA Conference, Nashville, TN. • Sackett, D. L. , Rosenberg, W. M. , Gray, J. A. , Haynes, R. B. , & Richardson, W. S. (1996). Evidence based medicine: what it is and what it isn’t. BMJ  British Medical Journal, 312(7023), 71– 72. • Taylor, M. C. (2007). Evidence-Based Practice for Occupational therapists (2 nd ed. ). Oxford, UK: Blackwell Publishing, Ltd.