EIP midterm Questions with accurate answers, graded A

EIP midterm Questions with accurate answers, graded A Evidence-based medicine (EBM) is - ✔✔the integration of the best research evidence with clinical expertise and patient values There are two main categories of r ...

EIP midterm Questions with accurate answers, graded A Evidence-based medicine (EBM) is - ✔✔the integration of the best research evidence with clinical expertise and patient values There are two main categories of research: - ✔✔basic research and applied research 4 Sources of Evidence-Based Medicine - ✔✔- clinical expertise - research evidence - information from the practice context - client's values and circumstances How to determine the strength of the evidence: - ✔✔First, classify the type of information as primary or secondary. Then, identify the level of evidence. Primary Sources - ✔✔Publications that are written by the author; first-person reports and are often referred to as original sources. The purpose of a primary source - ✔✔to present new findings or discoveries about a topic, and to build or add new information to previous findings. Examples of primary sources: - ✔✔- Randomized Control Trial (RCT) - Controlled Clinical Trial (CCT) - Experiments - Surveys - Case-control or a cohort study - Case study - Case reports or case series Secondary Sources - ✔✔seek to describe, review, or summarize the available information on a topic by gathering data from several primary resources Examples of secondary sources - ✔✔narrative reviews or systematic literature reviews Level I Evidence - ✔✔Evidence provided by one or more well-designed, randomized, controlled clinical trial, including overviews (meta-analyses) of such trials Level II Evidence - ✔✔Evidence provided by well-designed observational studies with concurrent controls (e.g., case control or cohort studies) Level III Evidence - ✔✔Evidence provided by expert opinions, case series, case reports and studies with historical controls The purpose of EBP is to - ✔✔assist in clinical decision making Why is EBP Important? - ✔✔- aim of improving client outcomes - promotes an attitude of inquiry - encourages professional accountability When you practice EBP as a practitioner, you should aim for these four things: - ✔✔- awareness - consultation - judgment - creativity Five specific steps that you should follow when applying evidence-based practice: - ✔✔Step 1: Answerable question Step 2: Find evidence Step 3: Appraise evidence Step 4: Integrate appraisal & evidence Step 5: Evaluate steps effectiveness and efficiency Interprofessional Education Competencies: - ✔✔• Competency 1: Values and ethics for interprofessional practice. • Competency 2: Roles and responsibilities for collaborative practice • Competency 3: Interprofessional communication practices • Competency 4: Interprofessional teamwork and team-based practice Aims for interprofessional collaboration - ✔✔• Improving population health • Improving patient experience • Reducing costs of health care • Reducing burnout for health care providers Benefits of Interprofessional Education - ✔✔• Provides opportunities to learn and practice skills that improve communication and collaboration. • Build professional identity and pride by articulating one's scope of practice. • Dispel stereotypes about other disciplines or team members through understanding each others' roles and responsibilities. • Establish rapport and trust among team members that leads to valuing interdisciplinary collaboration. • Positive changes in teamwork. IPP means - ✔✔Interprofessional practice Professionals practicing IPP: A: Provide information to a case coordinator B: Have a multidisciplinary certification C: Must be licensed in multiple professions D: Participate in a non-heirarchical interdisciplinary team approach - ✔✔D: Participate in a nonheirarchical interdisciplinary team approach IPP is seen as a means of: A: Improving the design of health care and school facilities B: Improving the client/patient/student experience of care C: Eliminating the need for training programs in different professions D: Cost-savings through personnel reductions - ✔✔B: Improving the client/patient/student experience of care In IPP teams: A: Team members rotate responsibilities for note-taking B: Each discipline writes a separate report C: The physician leads with input from others D: The emphasis is on consensus-building and mutual respect - ✔✔D: The emphasis is on consensusbuilding and mutual respect Parts of a PICO Question: What is P? - ✔✔Population/Patient/Problem - Who are the patients? - What are the problems? Parts of a PICO Question: What is I? - ✔✔Intervention/Exposure - What do we do to them? - What are they exposed to? (can include diagnostic or screening procedures) Parts of a PICO Question: What is C? - ✔✔Comparison/Contrast - What do we compare the intervention with? Parts of a PICO Question: What is O? - ✔✔Outcome - What happens? - What is the outcome? Review the following questions and identify the parts of their PICO questions: Question #1: In toddlers with expressive vocabulary delays, does focused stimulation lead to significantly greater vocabulary gains than no treatment? - ✔✔P: In toddlers with expressive vocabulary delays I: does focused stimulation C: than no treatment? O: lead to significantly greater vocabulary gains Review the following questions and identify the parts of their PICO questions: Question #2: In adults who sustained a severe traumatic brain injury at least 1 year previously, does a program of cognitive strategy instruction lead to significantly better job performance ratings than no intervention? - ✔✔P: In adults who sustained a severe traumatic brain injury at least 1 year previously I: does a program of cognitive strategy instruction C: than no intervention? O: lead to significantly better job performance ratings 2 steps in selecting articles to read: - ✔✔1: Select the Right Article: Determine the type of article(s) that will best help you get the information needed. 2: Perform an Analysis: Perform a quick analysis to determine if the article contains relevant information. True or False: Evidence from systematic research is the only acceptable basis for clinical decision making - ✔✔False True or False: The EBP framework recognizes that the experiences, values, and preferences of ourselves and our clients can and should contribute to our clinical decisions. - ✔✔True True or False: The amount of information available for review is overwhelming, so you should focus on "high-yield" sources in your area. - ✔✔True True or False: Only people who have completed years of specialized study can do a critical appraisal of research studies. - ✔✔False Steps to Searching the Literature: - ✔✔find and gather a manageable amount of relevant literature using a wide range of contemporary tools and resources. Steps to Reviewing the Literature: - ✔✔analyze information for effectiveness and efficacy of interventions. It requires that you review the clinical application of the ideas to ensure evidence-based practice. The goal of reviewing the literature: - ✔✔find out what is known about the topic based on these four things: (1) theory, (2) facts, (3) opinions, and (4) methods Is this an example of searching the literature or reviewing the literature? - Identifying the quality and relevance of the information - ✔✔reviewing the literature Is this an example of searching the literature or reviewing the literature? - Using google scholar to locate journal articles on a topic - ✔✔searching the literature Is this an example of searching the literature or reviewing the literature? - Evaluating the type and source of information for the most current information - ✔✔reviewing the literature Is this an example of searching the literature or reviewing the literature? - comparing the outcomes of more than one treatment - ✔✔reviewing the literatur