Advancing the implementation of evidence-based practices into clinical practice: How do we get there from here?

2006 ◽  
Vol 37 (6) ◽  
pp. 606-613 ◽  
Author(s):  
Heather J. Gotham
Keyword(s):  
Clinical Practice ◽  
Evidence Based ◽  
Evidence Based Practices

scholarly journals The New Embryology Journal Club - eJC STAR format: An equation for evidence-based education and embryologists’ empowerment

2021 ◽  
Author(s):  
Fadi Choucair ◽  
Nagham Younis
Keyword(s):  
Clinical Practice ◽  
Critical Appraisal ◽  
Scientific Literature ◽  
Journal Club ◽  
Journal Article ◽  
Evidence Based ◽  
Evidence Based Practices ◽  
Traditional Lecture ◽  
Journal Clubs ◽  
Club Meeting

Journal clubs are a valuable tool to assist learners in the evaluation of scientific literature and to promote the adoption of evidence-based practices. The Middle East Fertility Society Embryology Specialty Interest Group developed a concise journal club to enhance the engagement of embryologists and provide the structure of a journal club. The embryology journal club STAR format is a monthly super group journal club meeting in which an invited presenting “star” author exposes his group’s article to the entire embryologist’s community. In our modified approach, instead of a traditional lecture, the journal article to be discussed will be sent to participants in advance in conjunction with the STAR (Study design validity, Tackling the methodology, Analysis of the results, Reflecting the results into practice) critical appraisal checklist and a short online quiz to be completed before the meeting. The concise embryology journal club STAR format may be beneficial for embryologists to help them develop an efficient and consistent means to appraise evidence in clinical practice and stay abreast of the latest clinical research.

Implementing Evidence-Based Practices in School Psychology:  Excavation by De-Implementing the Disproved

2020 ◽  
Author(s):  
Steven Shaw
Keyword(s):  
Clinical Practice ◽  
School Psychology ◽  
Canadian Journal ◽  
Evidence Based ◽  
Critical Aspect ◽  
Evidence Based Practices ◽  
What Works ◽  
Scientist Practitioner Model ◽  
Model Of Practice

The scientist-practitioner model of practice is the most common approach to the profession of school psychology and embraces evidence-based practices as foundations of clinical practice. The focus on evidence-based practices involves not only using the preponderance of research to determine what works, but also how to implement these practices effectively. An important impediment to implementing innovative evidence-based practices is that interventions and practices that have been proved ineffective or of low value continue to be used in education and psychology. What are the issues that assist in discontinuing practices that are widely used, but have been disproved or are otherwise problematic? How can room be made for more effective, innovative, and evidence-based practices? This issue of the Canadian Journal of School Psychology is devoted to exploration of different forms of disproved, low value, or problematic practices, factors that keep these practices alive in schools, and how to best de-implement ineffective and problematic practices. If the scientist-practitioner model is to be defined largely by the implementation of evidence-based practices, then de-implementation will be a critical aspect in the evolution of the profession of school psychology.

scholarly journals Building a Knowledge to Action Program in Stroke Rehabilitation

2016 ◽  
Vol 43 (5) ◽  
pp. 619-625 ◽  
Author(s):  
Shannon Janzen ◽  
Amanda McIntyre ◽  
Marina Richardson ◽  
Eileen Britt ◽  
Robert Teasell
Keyword(s):  
Clinical Practice ◽  
Knowledge Creation ◽  
Stroke Rehabilitation ◽  
Best Practice ◽  
Evidence Based ◽  
Clinical Implementation ◽  
Evidence Based Practices ◽  
Knowledge To Action ◽  
Best Practice Guidelines ◽  
Action Project

AbstractThe knowledge to action (KTA) process proposed by Graham et al (2006) is a framework to facilitate the development and application of research evidence into clinical practice. The KTA process consists of the knowledge creation cycle and the action cycle. The Evidence Based Review of Stroke Rehabilitation is a foundational part of the knowledge creation cycle and has helped guide the development of best practice recommendations in stroke. The Rehabilitation Knowledge to Action Project is an audit-feedback process for the clinical implementation of best practice guidelines, which follows the action cycle. The objective of this review was to: (1) contextualize the Evidence Based Review of Stroke Rehabilitation and Rehabilitation Knowledge to Action Project within the KTA model and (2) show how this process led to improved evidence-based practice in stroke rehabilitation. Through this process, a single centre was able to change clinical practice and promote a culture that supports the use of evidence-based practices in stroke rehabilitation.

scholarly journals Implementing Evidence-Based Practices in School Psychology: Excavation by De-Implementing the Disproved

2021 ◽  
pp. 082957352110005
Author(s):  
Steven R. Shaw
Keyword(s):  
Clinical Practice ◽  
School Psychology ◽  
Canadian Journal ◽  
Evidence Based ◽  
Critical Aspect ◽  
Evidence Based Practices ◽  
What Works ◽  
Scientist Practitioner Model ◽  
Model Of Practice

The scientist-practitioner model of practice is the most common approach to the profession of school psychology and embraces evidence-based practices as foundations of clinical practice. The focus on evidence-based practices involves not only using the preponderance of research to determine what works, but also how to implement these practices effectively. An important impediment to implementing innovative evidence-based practices is that interventions and practices that have been proved ineffective or of low value continue to be used in education and psychology. What are the issues that assist in discontinuing practices that are widely used, but have been disproved or are otherwise problematic? How can room be made for more effective, innovative, and evidence-based practices? This issue of the Canadian Journal of School Psychology is devoted to exploration of different forms of disproved, low value, or problematic practices, factors that keep these practices alive in schools, and how to best de-implement ineffective, low value, and problematic practices. If the scientist-practitioner model is to be defined largely by the implementation of evidence-based practices, then de-implementation will be a critical aspect in the evolution of the profession of school psychology.

scholarly journals Evidence-Based Chiropractic Education: Are We Equipping Graduates for Clinical Practice with Improved Patient Outcomes?

2012 ◽  
Vol 26 (2) ◽  
pp. 184-187 ◽  
Author(s):  
Michael W. Shreeve
Keyword(s):  
Clinical Practice ◽  
Curriculum Development ◽  
Patient Outcomes ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Driving Factor ◽  
Educational Strategies ◽  
Evidence Based Practices ◽  
Chiropractic Education ◽  
Current Curriculum

Evidence-based practice has emerged as a driving factor in current curriculum development in chiropractic education. This commentary discusses educational strategies incorporating evidence-based practices in the doctor of chiropractic curriculum and explores whether all five steps of the evidence-based process and patient outcomes from evidence-based practice are being assessed.

Bringing Single-case Methodology into the Clinic to Enhance Evidence-based Practices

2012 ◽  
Vol 13 (3) ◽  
pp. 347-359 ◽  
Author(s):  
Robyn L. Tate ◽  
Vanessa Aird ◽  
Christine Taylor
Keyword(s):  
Clinical Practice ◽  
Treatment Effect ◽  
Single Case ◽  
Clinical Intervention ◽  
Therapeutic Interventions ◽  
Evidence Based ◽  
Evidence Based Practices ◽  
Treatment Delivery ◽  
Case Methodology ◽  
Low Levels

There are many challenges in incorporating an evidence-based approach into clinical practice and a large literature exists on various barriers and facilitators. Within this context, we have developed a framework to advocate an empirical approach to therapeutic interventions, using our Model to Assess Treatment Effect (MATE). The MATE is designed to characterise how an intervention is delivered to an individual patient/client. It is organised hierarchically into seven levels, from low levels of capacity to demonstrate treatment effect (e.g., Level 1: treatment commenced without pre-intervention assessment) to high levels where cause–effect relationships can be established between the intervention and the behaviour being treated (e.g., Level 6: implementation of a well-designed single-case experimental design). Consequently, the MATE captures all levels of clinical intervention and can be applied readily to an individual patient, as well as an entire clinical setting. In this paper, we present a decision tree in the form of a detailed flow-chart which assists the clinician to classify treatment delivery on the MATE. We believe that the MATE has the capacity not only to document current clinical practice, but also to provide a model whereby future treatments can be planned and implemented with greater scientific rigour and hence accountability in relation to treatment outcomes.

Meeting the Best Practice for Hearing Aid Verification in Children: Challenges and Future Directions

2019 ◽  
Vol 28 (4) ◽  
pp. 877-894
Author(s):  
Nur Azyani Amri ◽  
Tian Kar Quar ◽  
Foong Yen Chong
Keyword(s):  
Clinical Practice ◽  
Hearing Aids ◽  
Best Practice ◽  
Hearing Aid ◽  
Evidence Based ◽  
Future Directions ◽  
Major Barrier ◽  
Klang Valley ◽  
Age Range ◽  
Fitting Hearing Aids

Purpose This study examined the current pediatric amplification practice with an emphasis on hearing aid verification using probe microphone measurement (PMM), among audiologists in Klang Valley, Malaysia. Frequency of practice, access to PMM system, practiced protocols, barriers, and perception toward the benefits of PMM were identified through a survey. Method A questionnaire was distributed to and filled in by the audiologists who provided pediatric amplification service in Klang Valley, Malaysia. One hundred eight ( N = 108) audiologists, composed of 90.3% women and 9.7% men (age range: 23–48 years), participated in the survey. Results PMM was not a clinical routine practiced by a majority of the audiologists, despite its recognition as the best clinical practice that should be incorporated into protocols for fitting hearing aids in children. Variations in practice existed warranting further steps to improve the current practice for children with hearing impairment. The lack of access to PMM equipment was 1 major barrier for the audiologists to practice real-ear verification. Practitioners' characteristics such as time constraints, low confidence, and knowledge levels were also identified as barriers that impede the uptake of the evidence-based practice. Conclusions The implementation of PMM in clinical practice remains a challenge to the audiology profession. A knowledge-transfer approach that takes into consideration the barriers and involves effective collaboration or engagement between the knowledge providers and potential stakeholders is required to promote the clinical application of evidence-based best practice.

What Does Evidence-Based Practice Mean to You? A Follow-Up Study Examining School-Based Speech-Language Pathologists' Perspectives on Evidence-Based Practice

2020 ◽  
Vol 29 (2) ◽  
pp. 688-704
Author(s):  
Katrina Fulcher-Rood ◽  
Anny Castilla-Earls ◽  
Jeff Higginbotham
Keyword(s):  
Clinical Practice ◽  
Research Evidence ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Clinical Expertise ◽  
Speech Language Pathologists ◽  
School Based ◽  
Research Findings ◽  
Ebp Implementation

Purpose The current investigation is a follow-up from a previous study examining child language diagnostic decision making in school-based speech-language pathologists (SLPs). The purpose of this study was to examine the SLPs' perspectives regarding the use of evidence-based practice (EBP) in their clinical work. Method Semistructured phone interviews were conducted with 25 school-based SLPs who previously participated in an earlier study by Fulcher-Rood et al. 2018). SLPs were asked questions regarding their definition of EBP, the value of research evidence, contexts in which they implement scientific literature in clinical practice, and the barriers to implementing EBP. Results SLPs' definitions of EBP differed from current definitions, in that SLPs only included the use of research findings. SLPs seem to discuss EBP as it relates to treatment and not assessment. Reported barriers to EBP implementation were insufficient time, limited funding, and restrictions from their employment setting. SLPs found it difficult to translate research findings to clinical practice. SLPs implemented external research evidence when they did not have enough clinical expertise regarding a specific client or when they needed scientific evidence to support a strategy they used. Conclusions SLPs appear to use EBP for specific reasons and not for every clinical decision they make. In addition, SLPs rely on EBP for treatment decisions and not for assessment decisions. Educational systems potentially present other challenges that need to be considered for EBP implementation. Considerations for implementation science and the research-to-practice gap are discussed.

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