A primer on selected aspects of evidence-based practice relating to questions of treatment. Part 1: asking questions, finding evidence, and determining validity

The process of evidence-based practice (EBP) guides clinicians in the integration of individual clinical expertise, patient values and expectations, and the best available evidence. Becoming proficient with this process takes time and consistent practice, but should ultimately lead to improved patie...

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Bibliographic Details
Published in:The journal of orthopaedic and sports physical therapy 2008-08, Vol.38 (8), p.476-484
Main Authors: Cleland, Joshua A, Noteboom, J Timothy, Whitman, Julie M, Allison, Stephen C
Format: Article
Language:English
Subjects:
Clinical Competence
Evidence-Based Medicine - methods
Evidence-Based Medicine - standards
Humans
Reproducibility of Results
Review Literature as Topic
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Summary:The process of evidence-based practice (EBP) guides clinicians in the integration of individual clinical expertise, patient values and expectations, and the best available evidence. Becoming proficient with this process takes time and consistent practice, but should ultimately lead to improved patient outcomes. The EBP process entails 5 steps: (1) formulating an appropriate question, (2) performing an efficient literature search, (3) critically appraising the best available evidence, (4) applying the best evidence to clinical practice, and (5) assessing outcomes of care. This first commentary in a 2-part series will review principles relating to steps 1, 2, and 3 of this 5-step model. The purpose of this commentary is to provide a perspective to assist clinicians in formulating foreground questions, searching for the best available evidence, and determining validity of results in studies of interventions for orthopaedic and sports physical therapy.
ISSN:0190-6011
1938-1344
DOI:10.2519/jospt.2008.2722