Evidence-Based Practice in Provision of Amplification

2005 ◽  
Vol 16 (07) ◽  
pp. 419-438 ◽  
Author(s):  
Robyn M. Cox
Keyword(s):  
Critical Appraisal ◽  
Evidence Based Practice ◽  
State Of The Art ◽  
Scientific Progress ◽  
Communication Disorders ◽  
Evidence Based ◽  
Traditional Practice ◽  
Hearing Rehabilitation ◽  
Step Process

Evidence-based practice (EBP) has been widely embraced in many health-care fields as a way of maintaining currency of knowledge and state-of-the-art treatment recommendations in an age of information abundance and rapid scientific progress. Although the principles of EBP are slowly entering the specialties of communication disorders, they are not well known or extensively employed as yet. In this article, the rationale for EBP is presented and differences between EBP and traditional practice are highlighted. The five-step process of EBP is described: defining the problem, searching for evidence, critically appraising the evidence, formulating a recommendation, and assessing the outcome. Critical appraisal calls for determination of the validity, clinical significance, and applicability of evidence. Each of these topics is explored with emphasis placed on the application of EBP to hearing rehabilitation. Finally some suggestions are offered for researchers and practitioners to facilitate a transition to EBP in amplification provision.

Current Issues: Evidence-Based Practice for the Real World: Thoughts on Clinical Education in Communication Disorders

2010 ◽  
Vol 20 (3) ◽  
pp. 100-105 ◽  
Author(s):  
Anne K. Bothe
Keyword(s):  
Clinical Education ◽  
Real World ◽  
Evidence Based Practice ◽  
Communication Disorders ◽  
University Faculty ◽  
Evidence Based ◽  
Speech Language Pathology ◽  
Basic Principles ◽  
The Real ◽  
Language Pathology

This article presents some streamlined and intentionally oversimplified ideas about educating future communication disorders professionals to use some of the most basic principles of evidence-based practice. Working from a popular five-step approach, modifications are suggested that may make the ideas more accessible, and therefore more useful, for university faculty, other supervisors, and future professionals in speech-language pathology, audiology, and related fields.

Evidence-Based Social Sciences: A New Emerging Field

2018 ◽  
Vol 5 (2) ◽  
pp. 207-211
Author(s):  
Nazila Zarghi ◽  
Soheil Dastmalchian Khorasani
Keyword(s):  
Social Sciences ◽  
Critical Appraisal ◽  
State Of The Art ◽  
Internal Validity ◽  
Evidence Based ◽  
Multiple Sources ◽  
Social Settings ◽  
Research Findings ◽  
Academic Area ◽  
Different Levels

Abstract Evidence based social sciences, is one of the state-of- the-art area in this field. It is making decisions on the basis of conscientious, explicit and judicious use of the best available evidence from multiple sources. It also could be conducive to evidence based social work, i.e a kind of evidence based practice in some extent. In this new emerging field, the research findings help social workers in different levels of social sciences such as policy making, management, academic area, education, and social settings, etc.When using research in real setting, it is necessary to do critical appraisal, not only for trustingon internal validity or rigor methodology of the paper, but also for knowing in what extent research findings could be applied in real setting. Undoubtedly, the latter it is a kind of subjective judgment. As social sciences findings are highly context bound, it is necessary to pay more attention to this area. The present paper tries to introduce firstly evidence based social sciences and its importance and then propose criteria for critical appraisal of research findings for application in society.

Step 3: Critically Appraising Evidence

2021 ◽  
Vol 40 (6) ◽  
pp. 402-405
Author(s):  
Susan Givens Bell
Keyword(s):  
Critical Appraisal ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Appraisal Process ◽  
Levels Of Evidence ◽  
The Third

Critical appraisal of the evidence is the third step in the evidence-based practice process. This column, the first in a multipart series to describe the critical appraisal process, defines and provides examples of the levels of evidence and tools to begin the appraisal process using a rapid critical appraisal technique.

Using a Critical Appraisal Assignment to Infuse Evidence-Based Practice into a Therapeutic Modality Course

2014 ◽  
Vol 9 (1) ◽  
pp. 22-28 ◽  
Author(s):  
Mary Beth Zwart ◽  
Bernadette Olson
Keyword(s):  
Clinical Practice ◽  
Athletic Training ◽  
Critical Appraisal ◽  
Evidence Based Practice ◽  
Clinical Findings ◽  
Therapeutic Modality ◽  
Future Research ◽  
Evidence Based ◽  
Clinical Question ◽  
Starting Point

Context It is the responsibility of athletic training educators, through curriculum and clinical experiences, to engage students towards adopting evidence-based practice (EBP) into their practice. The initial task of implementing EBP into a curriculum or course can seem like a large task for educators and students. As a way to start scaffolding EBP concepts across the curriculum, a modified critical appraisal assignment was developed to teach therapeutic modality concepts. Objective The purpose of this action research project was to demonstrate how a modified critical appraisal assignment can be used to introduce the process and aspects of critical appraisal and begin scaffolding the development of critical appraisal skills over time. The objectives of this study were to evaluate the students' ability to (1) successfully locate relevant research needed to answer clinical questions and (2) successfully appraise the literature according to basic EBP strategy. From a program perspective, the modified critical appraisal assignment was a starting point from which to include EBP principles into didactic coursework. Design Seventeen athletic training students completed 3 modified critical appraisal assignments pertaining to the use of therapeutic modalities. Each paper included 5 sections: (1) clinical question, (2) key clinical findings, (3) clinical applicability based on information from the appraisal and significance of results, (4) article comparison table, and (5) implications for clinical practice, patient education, and future research. The instructor evaluated the assignments blind. Conclusions Students were generally able to complete the critical appraisal assignment; however, students had difficulty locating research that answered the clinical question. Students struggled to relate the key clinical findings of the research articles and implications for clinical practice to the given clinical question. Findings from this study have informed faculty teaching, including introducing EBP skills earlier in the curriculum and inserting assignments that stress various aspects of the critical appraisal process.

scholarly journals Research on salary floor and teacher remuneration: a state of the art – 2008-2021

2021 ◽  
pp. 100-133
Author(s):  
Maria José Rocha Lima ◽  
Fernando Sadio Ramos
Keyword(s):  
Literature Review ◽  
Evidence Based Practice ◽  
State Of The Art ◽  
Decisive Factor ◽  
Quality Of Education ◽  
Evidence Based ◽  
Academic World ◽  
Bibliographic Search

This article presents a survey on studies on salary floor and teacher remuneration between 2008 and 2021[3]. In this sense, the literature review on the salary floor of the magisterium is a fundamental piece. To this end, the methodology developed for bibliographic search is based on the scientific and careful use of Evidence-Based Practice (EBP) theory – in Portuguese, Práticas Baseadas em Evidências (PBE). It is a state of the art that cuts out one of the most decisive factors for the transformation of the educational reality: studies on salary floor and remuneration of Brazilian teachers. In this study, another contradiction between emphatic or grandilohot discourses in defense of the valorization of teaching and the practices of political and educational authorities is exposed, also calling us the low production of monographs, dissertations and doctoral theses, in the academic world, on salary floor and teacher remuneration. Even with the proclamation of the appreciation of the teacher as a decisive factor for ensuring the quality of education, more than ten years have passed since the establishment of the salary floor, however, about 60% of Brazilian municipalities have not yet implemented it and this does not have the expected reverberation in academic studies.

scholarly journals Evidence-Based Medicine, Systematic Reviews, and Guidelines in Interventional Pain Management, Part I: Introduction and General Considerations

2008 ◽  
Vol 2;11 (3;2) ◽  
pp. 161-186
Author(s):  
Laxmaiah Manchikanti
Keyword(s):  
Health Care ◽  
Pain Management ◽  
Systematic Reviews ◽  
Evidence Based Medicine ◽  
Critical Appraisal ◽  
Evidence Based Practice ◽  
The United States ◽  
Evidence Based ◽  
Interventional Pain Management ◽  
Based Medicine

Evidence-based medicine, systematic reviews, and guidelines are part of modern interventional pain management. As in other specialties in the United States, evidence-based medicine appears to motivate the search for answers to numerous questions related to costs and quality of health care as well as access to care. Scientific, relevant evidence is essential in clinical care, policy-making, dispute resolution, and law. Consequently, evidence based practice brings together pertinent, trustworthy information by systematically acquiring, analyzing, and transferring research findings into clinical, management, and policy arenas. In the United States, researchers, clinicians, professional organizations, and government are looking for a sensible approach to health care with practical evidence-based medicine. All modes of evidence-based practice, either in the form of evidence-based medicine, systematic reviews, meta-analysis, or guidelines, evolve through a methodological, rational accumulation, analysis, and understanding of the evidentiary knowledge that can be applied in clinical settings. Historically, evidence-based medicine is traceable to the 1700s, even though it was not explicitly defined and advanced until the late 1970s and early 1980s. Evidence-based medicine was initially called “critical appraisal” to describe the application of basic rules of evidence as they evolve into application in daily practices. Evidence-based medicine is defined as a conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients. Evidence-based practice is defined based on 4 basic and important contingencies, which include recognition of the patient’s problem and construction of a structured clinical question, thorough search of medical literature to retrieve the best available evidence to answer the question, critical appraisal of all available evidence, and integration of the evidence with all aspects and contexts of the clinical circumstances. Systematic reviews provide the application of scientific strategies that limit bias by the systematic assembly, critical appraisal, and synthesis of all relevant studies on a specific topic. While systematic reviews are close to meta-analysis, they are vastly different from narrative reviews and health technology assessments. Clinical practice guidelines are systematically developed statements that aim to help physicians and patients reach the best health care decisions. Appropriately developed guidelines incorporate validity, reliability, reproducibility, clinical applicability and flexibility, clarity, development through a multidisciplinary process, scheduled reviews, and documentation. Thus, evidence-based clinical practice guidelines represent statements developed to improve the quality of care, patient access, treatment outcomes, appropriateness of care, efficiency and effectiveness and achieve cost containment by improving the cost benefit ratio. Part 1 of this series in evidence-based medicine, systematic reviews, and guidelines in interventional pain management provides an introduction and general considerations of these 3 aspects in interventional pain management. Key words: Evidence-based medicine, systematic reviews, clinical guidelines, narrative reviews, health technology assessments, grading of evidence, recommendations, grading systems, strength of evidence.

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