Therapists know that utilizing evidence-based practice utilizes critically appraised research and combines those results with clinical expertise and a patient or client’s needs or preferences to create best practices, informed clinical decisions, and research-driven interventions.
Evidence-based practice (EVP) is essential for up-to-date information for making care decisions.
These worksheets are a tool for applying critical appraisal of the importance and applicability of clinical evidence.
These two worksheets aim to
critical analysis of available research. The worksheets empower practitioners to apply the findings into the context of practice. By incorporating thoughts and notes into the analysis, clinicians can add the perspectives and judgment that is imperative for true evidence-based practice.
Why Evidence-Based Practice in Occupational Therapy
Why is this analysis and review of the evidence important? For so many reasons!
- Evidence-based interventions
- Research-backed treatment plans
- Advocacy for the profession
- Improves quality of care
- Allows clinicians to stay current in the profession
- Improved quality of therapy
- Improves outcomes
- Promotes best practices using standardized, evidence-based protocols
- Informed decision making
- Effective selection of treatment
- Guide research by revealing evidence gaps
- Improves accountability of clinicians
- Development of individualized guidelines of best practices
- Opens the door for dialogue between patients and providers, incorporating patient preferences and values into decision-making
How to appraise and review research to incorporate Evidence-Based Practice into therapy
As a general overview, there is a process of incorporating research-backed therapy into practice.
1.) Ask- Beginning with a question or problem, a therapist should ask a question. This question may be related to assessment, prognosis, intervention, treatment planning, or other areas.
2.) Search for the evidence- Use a variety of tools and research sources to locate evidence.
3.) Appraise the evidence- This is where the Appraisal of the Evidence Worksheet comes into play. Review and assess the evidence for validity, outcomes, services, and other areas.
4.) Implement the evidence into practice. Utilize the information gathered to apply the evidence into daily practice, alongside experience and clinical expertise. Utilizing these areas as well as a patient’s values, preferences, and interests, it is possible to guide treatment.
5.) Follow-up- Finally, an assessment of the outcomes can guide and promote further clinical expertise based on evidence.
Evidence-Based Practice Worksheets
The worksheets described below are tools for guiding clinical best practices using the evidence. They are strategies for fostering a dialogue toward best practice while supporting new learning.
Facilitating professional growth, the evidence-based worksheets are guides to reflecting on evidence and incorporating EBP into the clinic.
Appraisal of the Evidence Worksheet
This one page worksheet can be used to appraise research articles. The questions guide conversation on an article’s validity and relevance in practice. Areas for notes allow for self-reflection on the evidence related to outcomes, particular client needs, services, and decision-making.
Evidence Review Worksheet
This review worksheet can be used by clinicians as they reflect on the evidence and apply it to a specific client’s needs, preferences, interests, values, and goals. The worksheet promotes a quality of intervention related to evidence and is a tool for improving services. It can be used as a pre-post assessment related to expectations and outcomes based on evidence. The review worksheet can be a helpful resource in guiding standards toward best outcomes.
Together, these worksheets are a valuable tool in transitioning therapists toward quality intervention based on the evidence.
The Worksheets described above are FREE but only for a limited time as we gear up for the opening of The OT Toolbox Community.
Now Open! The OT Toolbox Community
The OT Toolbox Community is a free space for Occupational Therapists and COTAs to communicate, network, encourage, and reflect on their professional development while collaborating and creating meaningful and professional relationships with therapists from all over the world. It’s a space for dialogue related to the profession and a place to support, implement, and learn.
The OT Toolbox Community is a space for finding and sharing evidence-based practice articles and reviews. The worksheets above will be valuable in using to gather information and incorporating into practice using the Community’s tools.
The OT Toolbox Community is based on the profession’s greatest tools: it’s therapists!
I can’t wait for you be part of this exciting opportunity!
George Tomlin, Bernhard Borgetto; Research Pyramid: A New Evidence-Based Practice Model for Occupational Therapy. Am J Occup Ther 2011;65(2):189-196. doi: 10.5014/ajot.2011.000828.