Category Archives: Evidence-Based Practice

How to Craft a Search Strategy to Answer Clinical Questions

This is part two of two posts to foster your ability to systematically frame your questions to craft a search strategy that will offer you the best chance at finding the relevant and valid evidence you need to answer those questions, in the most time-efficient manner possible.  The first post

Identifying and Building a Clinical Question for Research and Evidence-Based Practice

This post is the first of two parts for crafting an efficient search strategy for research studies and for evidence-based practice (EBP) projects. In this post, I’ll provide 4 steps to get you halfway to writing a search strategy. I’ll show you how to identify a clinical question and your knowledge

What Does “Grading the Evidence” Mean in Evidence-Based Practice?

When reviewing a clinical practice guideline (CPG) or systematic review (SR) with practice recommendations, you’ll notice two scales that are used in conjunction with each practice recommendation offered: a levels of evidence scale and a grading scale.   I talked about levels of evidence (LOE) hierarchies in last week’s post. This

What Does “Levels of Evidence” Mean in Evidence-Based Practice?

In evidence-based practice (EBP), we talk a lot about “Levels of Evidence.”  You will see levels of evidence (LOE) ratings on critically appraised topics or synopses of original research, or in the methodology section or evidence table of a clinical practice guideline or systematic review. But what does an LOE

Using the 6S Pyramid to Find the Best Evidence

  Whether you’ve got a research paper to write or you are looking for best evidence for a specific intervention, you’ve got to search for the evidence to make or back up your arguments, right? Presumably, you’ve answered your background questions and have your foreground question in a PICO format.

What Does “Pre-Appraised Evidence” Mean in Evidence-Based Practice?

When looking for evidence – where should you start? Well at the top of course! At the top of the hierarchy of evidence quality is pre-appraised evidence (Haynes, 2007). If you go through your university or medical library, there are multiple databases to search, such as MEDLINE or CINAHL. You

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Expert Advice: EBP Resources: Online Clinical Practice Guidelines

One of the questions I’ve been asked recently is around finding free online resources for evidence-based practice (EBP).  (Of course, I think you are already on the best website for clarifying your questions and really understanding how to be an evidence-based practitioner!) 🙂 I have been obsessed with finding good

What’s the Difference Between Statistical Significance and Clinical Significance?

There are two types of significance used to interpret research studies – statistical significance and clinical significance. They are not the same thing. One answers the question, Are the statistical results due to random chance? and the other answers the question, So what? Will the results matter to our patients?

Use the 6A’s to Remember the Evidence-Based Practice Process

In recent weeks, I presented an overview of what the three components of evidence-based practice (best evidence, clinical expertise, and patient preferences) really mean to the evidence-based practitioner.  In this post, I’m going to present an overview of the evidence-based practice process, also known as the “A’s” – this post

What Does “Patient Preferences” Mean in Evidence-Based Practice?

To be an evidence-based practitioner one must find the best evidence available, include one’s clinical expertise as an additional source of evidence, and then incorporate patient preferences and values into a recommendation for care.  A few weeks ago I talked about EBP in general terms.  I deconstructed the major components

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