A primer on selected aspects of evidence-based practice to questions of treatment. Part 2: interpreting results, application to clinical practice, and self-evaluation.
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 second commentary in a 2-part series will review principles relating to steps 3 through 5 of this 5-step model. The purpose of this commentary is to provide a perspective to assist clinicians in interpreting results, applying the evidence to patient care, and evaluating proficiency with EBP skills in studies of interventions for orthopaedic and sports physical therapy.
Noteboom
J Timothy
JT
Department of Physical Therapy, Regis University, Denver, CO 80212, USA. noteboom@regis.edu
Allison
Stephen C
SC
Cleland
Joshua A
JA
Whitman
Julie M
JM
D002983:Clinical Competence; D002986:Clinical Trials as Topic; D016001:Confidence Intervals; D019317:Evidence-Based Medicine / Q000379:methods / Q000592:standards; D006305:Health Status Indicators; D006801:Humans; D009140:Musculoskeletal Diseases / Q000628:therapy; D017063:Outcome Assessment, Health Care